HomeMy WebLinkAbout4149 SUMTER SQ - PERMITS - 6/2/2004Community Planning &Environmental Services
FEES
Building & Inspections Division BUILDING P E RM I TPERMIT
P.O. Box 580 281 N. College Ave.
Building valuation
-
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 80403490
$2, 00.00
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 4149 SUMTER SQ
PERMIT DATE
06/02/2004
Building Permit w/o Subs
$38.5
6/2/04
PERMIT
TYPE PERMIT LEVEL
ROOF fkoofing - %Pkmfing ISSU_FUL
CATEGORY TYPE
Residential
City 5alesMse Tax
County Sales/Use Tax
$43. 5
$11.8
5/2/04
6/2/04
w
Last Name, First, Middle Initial
HALL, STEPHEN W/SUSAN C
Construction Type
Occupancy Group
Z
3
Wp
O
Address
4149 SUMTER SQ
City/State
FORT COLLINS, CO
No. of Stories
Building Height
ZipV
80525
Phone No. 226-4%�
O
Building Square Footage Stock Plan/Options
Front Setback
Rear Setback
O
•
Z_
Z
Right Side Setback Left
Side Setback
• •
Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
ROO
Q
wLot
Block Lot Area Parcel No.
0 8731414007
Company Name Contractor License No.
O
Address City/State
H
Phone Supervisor Cert. No.
V
Electrical License No.
OMechanical
License No.
H
Roofing
License No.
H
License No.
OFraming
V
Plumbing
License No.
SO
to
Concrete
License No.
REROOF WITH 29 SQUARES
F-
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 inspected within 180 days from the date of such permit or from the date of the last inspection.
name of owner/agent Signature Date
Print
TOTAL FEES
SIM