HomeMy WebLinkAbout2440 S College Ave - Permits/Addition or Alteration - 12/08/1983of -r'ort uolllriS BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE .OF OCCUPANCY
Applicant complete this part of form only.
' Press firmly using ball point pen.
Job Address2 f'
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Name i-_>,.
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Mail Address ` f(
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Phone
Name i t
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Address rI �.-, .•-•
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License No. •yy fA �_
Phone l > ,
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Lot
Block _
Filing Number
Subdivision
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DESCRIPTION OF WORK
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Stock Options
Plan No. Codes
Est. Total Cost 'Z /.
(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
ordinances and state laws regulating building construction.
r' signed �`.;`1 date
— CLASS OF WORK —
New Alteration Addition," Demolish Move
❑ ❑ O,� ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
Occ. Gr. Type Const.
Use Zone . Rit,
Use of Building ✓�: r
Floor Area J
Height
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation y' FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
-
Total F es
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Off -Street Parking
1, r
(No. Cars)
Interior Lot
❑
Corner Lot
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Reversed Corner Lot
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Street
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ZBA Case#- ! Q ti
Date l;? �-
BBA Case #
Date
Building Insp. Approval
by date
2•S? 5
/ 2
ermit No.
Date
Orstn but on- Original - Applrcaru; Blue - 0;1,Canary - Sales Ta R: Pink - Appbcent- Tag 'altlg. Iasip r