HomeMy WebLinkAbout4326 WESTSHORE WAY - PERMITS - 8/16/2006Community Planning &Environmental Services
Building & Inspections Division BUILDING P E RM i TPERMIT
P.O. Box 580 281 N. College Ave.
Building valuation
i Fort Collins, CO 80522-0580 ���� �
City Fort
$18,000.00
of Collins phone (970) 221-6760 Fax (970) 224-6134
ACCOUNT
FEE
DATE PAID
JOBSITE
ADDRESS
11 PERMIT DATE '-� / 1 kl-+ /
_ CATEGOBIdyBuilding Permit Y/ Subs
$173.
8 8/16/D
PERMITTYPE
Hvn Altei atio, itAddition
PERMIT LEVEL
Construction Type Occupancy Group City Sales/Use Tax
$ 2 7 D .
0 8/16/OE
Last N
W
w
Z
Addre S City/State
"' No. of Stories Building y Sales/Use Tax
HeightCOUnt Sales
$ � 2 .
D B 16 D
/ /
O
O
Building Square FootAR5 Stock Plan/Options
! •
Zip 3213
Phone No.
Front Setback Rear Setback
0
Z
Z
Right Side Setback Left Side Setback
• • •
Plat File No.
��ZBA Case Number Zoning District
(S88 reverse side fob Pspectio,n Descr�'Rtlon)
JJGGii I( 1Ti
C L I N F N B
J
Subdivision/PUD INIDFiling
wQ
Lot Block Lot Area
Parcel No. � �
FNE FNP FNM
I - . :L '
SPI UCP
F R FP RE
r ;FD
Comp a r I L i J JA a
Contractor License No.
8
v Address i t L i l o v
t
City/State UJLJ QZ
7
�iecu wa'
License No.
Mechanical
License No.
O0
URoofing
H
License No.
OFraming
License No.
V
DPlumbing
License No.
rn
Concrete
License No.
BASEMENT
HOMEOWNER AFFIDAVIT ON FILE
W
MERRIAM CONST DOING CONCRETE ONLY
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.
(B%QN* `Rk e 1! 6106
Print name of owner/agent Signatute Date TOTAL FEES