HomeMy WebLinkAbout2242 Clydesdale Dr - Permits/Single Family New - 04/19/1983of rort uojains BUILDING INSPECTION DIV
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address a' #^
Name I t t {
Mail Address e f,r
Phone
Name t,rt.) t Ct7�Rt}
:4
0
Address ? i .r.-1e • / �� 2t t
c
O
i 4vc'l•.^7 iti
U
License No. � �
Phone (.l °. t K 7 /
C
o
a
Lot [
Block !1
Filing Number
Subdivision 2., (r y r1
°
m.
PUD
pe
J
` DESCRIPTION OF WORK
i 0 if
Stock 1 Options
Plan No. t� Codes
Est. Total Cost -✓- .- �»
(including labor, material, profit)
I hereby acknowledge that I have read this application and
state that the above is correct and agree to comply with all city
ordinancesand state lawns regulating building construction.
signed `' -� J date
—CLASS OF WORK -
tJew Alteration Addition Demolish Move
1]. ❑ ❑ ❑ ❑
Plbg�. Mec EI❑ec. Struck. Fire ❑Prot.
Occ.QQG""r``. _� Type Const. kjy/` Use Zone
Use of Building Jt °.e 4 t`- FA•^ f v'
Floor Area t )
Height
No. Stories
Lot Area 1 ] Y
r
Frontage
Occ. load
Occ. Change from
Plat File No. < /,53—/
No. D.U.
Garage area -4 1/
Fin. Bsmt. area -19&y
Type heat F t is ,
No. Fireplaces or stoves AYO
— RELEASES — Dates
Zoning 6
i
Engineering
Fire Department
Electric Department
Water B Sewer
Plan Review
Special Conditions:
Valuation
FEES
Permit
to D • -4,
Plan Check S' /
. OZi
St. Oversizing
o2"/4 DO
Water Plant Investment
• a1ei
Sewer Plant Investment
• OID
Storm Drainage
3 a'.3 19
Electric Underground
of ♦7/ • ii
City Sales Tax
/'K/SNC�•CV
Total Fees
� �
Permit No.
Date
l
A 06)Z.ly APR 1919�
a
0
0
ZBA Case # Date
,
BBA Case# Date
Building
Insp. Approval
by
-date
Off -Street Parking,
(No.'Cars) i
Interior Lot -
Corner Lot - ❑
Reversed Corner Lot ❑
t t tf0)
�r
d
�
�
n
in
o
`JLL
Street
Tt
DistrcW,a,: Qigina - Applicant; Blue - Office: Canary - Sales Taxi Pink - Applicant: Tag - Bldg. Insp.