HomeMy WebLinkAbout4128 SUMTER SQ - PERMITS - 10/4/2011City of Community Development & Neighborhood Services
Fort Collins 281 N. CollegeAue Fort Collins, CO - 2
970.221.676o 970.224.6134 fax
Building Permit#: B1108314
Issued Full: 10/04/2011
Site Address: 4128 SUMTER SQ
Job Valuation: $4,226.61 Category: Residential
Owner: FANTONE, KENNETH S
4128 SUMTER SQ
FORT COLLINS, CO 80525-3462
Permit Type: Residential Mechanical
Phone: 970-372-1382
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PLID:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: POLIDRE VALLEY AIR
2416 DONELLA CT #A
FORT COLLINS, CO 80524
Subcontractors)
Mechanical: POLIDRE VALLE AIR
Filing #: Lot #: Block #:
Ind sq ft:
Const Type: _
Stock plan options:
License #: H-835
Phone:970-493-2050
i' Phone
970-493-2050
Work Description: INSTAL AIR CONDITIONER /f /
Basement sq ft:
Supervisor cert#:
License Number
r �H-835_ ..
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess **
Inspections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 10/04/11: $15.00 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 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 issuance was based on incorrect 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 from the date of such permit.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: 1 1 1 fa ed Print Name:
Date:
Form Revised Oct 2010
art Collins
Site Address: 4128 SUMTER SQ
Job Valuation: $4,226.61 Category: Residential
Transactions
Method Check Number Date Paid
Trust Account 10/04/2011
Receipt issued: 10/04/2011 Total Paid to Date:
Fee Description Account Code
Permit Flat Fee, w/o Subs $15 1000.422010
TOTAL FEES:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1108314
Issued Full: 10/04/2011
Permit Type: Residential Mechanical
Amount Paid Comments
$15.00 POUDRE TRUST ACCT
$15.00
Fee Amount Amount Paid Date Paid
$15.00 $15.00 10/04/2011
$15.00 $15.00
TOTAL BALANCE DUE AS OF 10/04/2011
Amount Due
$0.00
$0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.