HomeMy WebLinkAbout4128 SUMTER SQ - PERMITS - 6/29/2010arof
t Collins
Site Address 4128 SUMTER SO
Job Valuation 614 00 Category Residential
Owner FANTONE KENNETH S
4128 SUMTER SQ
FORT COLLINS CO 80525 3462
Zoning Front setback
Rear setback
Community Development & Neighborhood Services
281 N College Ave Fort Collins CO 80522
g7o 221 676o 97o 224 6134 fax
Budding Permit # B1004116
Issued Full 06/29/2010
Permit Type
Phone 372 1382
Right setback
Minor Amend # Plat File # ZBA Case #
Zoning district RL LOW DENSITY RESIDENTIAL DISTRICT
Legal Subdivision/PUD
Code Res sq ft
# of stones
Fire Sprklr
Contractor
Residential Water Heater
Left setback
Filing # Lot # Block #
Ind sq ft Basement sq ft
Const Type
Stock plan options
O License # Supervisor cart #
Phone
Subcontractors Phone
rem
J�
Work Description
Com sq ft _
Occ Group _
Stock plan #
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Ri
E BY HOMEOWNER
4
�r:. attatti
II " SCHEDULE INSPECTIONS '' By Phone 221-6769 *'* By Web http //aaweb fcgov com/CitizenAccess"' �I
Ins ections FNP FNE FNM
TOTAL FEES PAID AS OF 06/29/10 26 67 Payment method Cash
Fee Detail Displayed on Next Page
Asa oondition for the issuanceof a pemmt, I hereby declare that I am the owneror owner's agent, authorized to perform the proposed work on the property deso abed herein
I agree to comply with all the requirements contained herein and City ordinanoes and State laws assoaated with such work I understand that such pemut may be
revoked in the event that issuance was based on incorrect information This permit shall beeorne null and void if the work authorized by such pemmt is not commenced
suspended abandoned or not inspected within 180 days from the date of such permit.
Stgnatu _zl��Print Name Date (o��(�Gto
Form Revised ay 2010
art Collins
Site Address 4128 SUMTER SQ
Job Valuation 614 00 Category Residential
Transactions
Method Check Number Date Paid Amount Paid
Cash 06/29/2010 $26 67
Receipt issued 06/29/2010 Total Paid to Date $26 67
Fee Description Account Code
City Sales/Use Tax 251 122030
County Sales/Use Tax 100 217030
Permit Flat Fee w/o Subs $15 1000 422010
Community Development & Neighborhood Services
281 N College Ave Fort Collins CO 8o522
970 221 676o 97o 224 6134 fax
Building Permit # B1004116
Issued Full 06/29/2010
Permit Type Residential Water Heater
Comments
KENNETH FANTONE PD CASH
Fee Amount
Amount Paid
$9 21
$9 21
$2 46
$2 46
$15 00
$15 00
Date Paid
Amount Due
06/29/2010
$0 00
06/29/2010
$0 00
06/29/2010
$0 00
TOTAL FEES $26 67 $26 67 $0 00
c V CTOTAL BALANCE DUE AS OF 06/29/2010 0 00