HomeMy WebLinkAbout4144 SUMTER SQ - PERMITS - 2/6/2014FrfCollins
Site Address: 4144 SUMTER SQ
Job Valuation: $1,150.00 Category: Residential
Owner: WOOD KENDALL C/JANET S
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1400560
Issued Full: 02/06/2014
Permit Type: Residential Water Heater
1105 KNOBCONE PL
LOVELAND, CO 80538 Phone:
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 M
Code: Res sq ft: Corn sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:.
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: WORKMAN PLUMBING SERVICES INC License#: MP-673 Supervisor cert#:
PO BOX 794
LOVELAND, CO 80539 Phone: 970-308-9796
Subcontractors) �� `` ::% ..- Phone License Number
Plumbing: WORKMAN PLUMBING SERVICES 970-3089796 ❑ MP-673
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Work Description: Wat\ater replacement
SCHEDULE INSPECTIONS: ***By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Ins ections: FNP FINE FNM
TOTAL FEES PAID AS OF 02/06114: $50.59 Payment method: Cash
Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owner or owners agent, authorized to perform the proposed work on the property described herein.
I agree to comply with all the requirements contained herein, and City ordinances, and State laws associated with such work. I understand that such permit may be
revoked in the event that issuancewas bqso4n incorrect information. This permit shall become null and void if the work authorized by such permit is not commenced,
suspended, abandoned or not inspectwthin 180 days from the date of such permit.
Carbon Monoxide
required within 15 feet of each bedroom entrance.
Signature: Print Name: r V' Date: /
Form Revised Oct 2010
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Site Address: 4144 SUMTER SO
Job Valuation: $1,150.00 Category: Residential
Transactions
Cash 02/06/2014 $50.59
Receipt issued: 02/06/2014 Total Paid to Date: $50.59
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $22.14
County Sales/Use Tax 100.217030 $3.45
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit M B1400560
Issued Full: 02/06/2014
Permit Type: Residential Water Heater
,Comments
Paid by cash IN $60.00 OUT $9.41
Amount Paid
Date Paid
Amount Due
$22.14
02/06/2014
$0.00
$3.45
02/06/2014
$0.00
$25.00
02/06/2014
$0,00
TOTAL FEES: $50.69 $50.59
$0.00
TOTAL BALANCE DUE AS OF 02106/2014: 0.00
O %
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Forth Revised Oct 2010