HomeMy WebLinkAbout4164 Sumter Sq - Permits/Water Heater - 07/14/2020Owner: CHAUBAL RAJENDRA/LISA H
4164 SUMTER SQ
FORT COLLINS, CO 80525 Phone: 970-481-6228
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: Block #:
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: ALLEN PLUMBING & HEATING
101 S. LINK LANE
FORT COLLINS, CO 80524
License #: MP-4
Phone: 970-484-4841
Supervisor cert #:
Subcontractor(s) Phone License Number
Plumbing: ALLEN PLUMBING & HEATING 970-484-4841 MP-4
Work Description: Remove existing water heater and replace with like new water heater.
SCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone: 970-221-6769
** Online Portal: fcgov.com/CitizenAccess ** Online Portal via Mobile Device: fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 300 301 302
TOTAL FEES PAID AS OF 07/14/20: $78.52 Payment method: Trust Account
** Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owner or owner's agent, authorized to perform the proposed workonthepropertydescribedherein.
I agree to comply with all the requirements contained herein, and City ordinances, and State laws associated with suchwork. I understand that such permit may be
revoked in the event that issuance was basedonincorrectinformation. This permit shall become null and void if the work authorized by suchpermitisnotcommenced,
suspended, abandoned or not inspected within 180 days fromthedateofsuchpermit.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 - fax
Building Permit #: B2007709
Issued Full: 07/14/2020
Permit Type: Residential Water Heater
Site Address: 4164 SUMTER SQ
Job Valuation: $2,302.00 Category: Residential
Signature: Print Name: Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 07/14/2020 $78.52
Receipt issued: 07/14/2020 Total Paid to Date: $78.52
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $44.31 $44.31 07/14/2020 $0.00
County Sales/Use Tax 100.217030 $9.21 $9.21 07/14/2020 $0.00
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 07/14/2020 $0.00
TOTAL FEES: $78.52 $78.52 $0.00
TOTAL BALANCE DUE AS OF 07/14/2020: $0.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 - fax
Building Permit #: B2007709
Issued Full: 07/14/2020
Permit Type: Residential Water Heater
Site Address: 4164 SUMTER SQ
Job Valuation: $2,302.00 Category: Residential
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010