HomeMy WebLinkAbout4128 SUMTER SQ - PERMITS - 5/1/2000m
Community Planning &Environmental Services BUILDING PERMIT
PERMIT FEES
Building & Inspections Division
gh�2,900.00
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
B0012271
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Phone (970) 221-6760 Fax (970) 224-6134
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JOB
SITE ADDRESS 4128 SUMTERSQ F.00
PERMIT DATE
05/01/2000
Budding Permit WO/Subs
$38.50
Ol /2000
ROOF Roofing - ReRoofing
PERMIT LEVEL
ISSU FUL
CATEGORYTYPE
RESIDENTIAL
PERMITTYPE
C*yal�f•IiKJ»r f•xf
-
COUflIy SaIesJUseTax
$11.60
5%07/2fioo
Last Name, First, Middle Initial
Construction Type
Occupancy Group
HAFERMAN, LEONARD R
Z
Address
City / State
wp No. of Stories
Building Height
3
4128 SUMTER SO
FORT COLLINS, CO
O
O
Zip2�J-82 PhongKo.2�7
LZ3
Building Square Footage
Stock Plan/Options
O
-
Front Setback Rear
Setback
REOUIRED INSPECTIONS
0
Z
Right Side Setback Left Side Setback
CALL 221-6769
Z
TO SCHEDULE INSPECTIONS
Plat File No. ZBA Case Number Zoning District
(See reverse si a or Inspection Description)
_
ROO
Subdivision/PUD
Filing
Q
Lot
Block
Lot Area O
Parc
%bl413011
OCompany
Name
Contractor License No.
Address
City/State
OZ
Phone
Supervisor Can. No.
V
Electrical
License No.
GMechanical
License No.
Roofing
License No.
Z
ADVANCED ROOFING TECH
R-1161
O
V
Framing
License No.
m
Plumbing
License No.
V)
REMOVE EXISTING SHAKE ROOF, INSTALL 30 YEAR O.C. DRIFTWOOD
29 SQUARES
As
a condition for the issuance of a permit, I hereby declare that I am an owner or the owner's agent, authorized to perform the proposed work on the property
described
herein. I agree to comply with all City ordinances, and State laws associated with such work. I understand that such permit may be revoked in the
event
that issuance was based on incorrect or incomplete information. This permit shall become null and void if the work authorized by such permit is not
commenced,
suspended, abandoned or not inspected within 180 days m the date of such permit or from the date of the last inspection.
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Print
name of o ner/agent 4ignalure Date
TOTAL fiEES.�ti