HomeMy WebLinkAbout2651 W Lake St - Permits/Patio Cover or Sunshade - 07/02/1985City of Fort Col11nS 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 Address (,2 11 v v Z
Name s..• r� r; r
Mail Address r 5 i )y,• a ,, f
O
r1r
., Phonee«r
Name
0
Address
0
U
License No.
Phone
C
a
Lot
Block
Filing Number
N
Subdivision
°
PUD
1
DESCRIPTION OF WORK
Stock Options
Plan No. Codes
Est. Total Cost ell.-q ; •: r: �-
(including labor, material, profit) f
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.
signed -- 4 CSC ` date`,,
— CLASS OF WORK —
New Alterations Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
Occ. Gr. '� Type Ccnst. +k;
Use Zone
Use of Building`s
Floor Area /
Height
No. Stories
Occ. load
Lot APea I Frontage
Occ'�Ch�ange from
Plat File No. �--?/
No. D.U.
K
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
—tRELEASES — Dates
Zoning :; `^-: ?'
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review cn 0 Y? e
Special Conditions:
c+.'1E►z �.
r
Valuation ' '" FEES
Plan Check
_
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
_
Electric Underground
Total Fees..—_:
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot O,
Reversed Corner Lot j❑
r
4
• �
±.fir r;�� • ._.;'. �:;<
m
�^
b '0
P
•t }
fn
.fit,
L �''• 0
LL
Street,•`
O _
s(Il.. Y., "
ZBA Case # Date
BBA Case # Date
Building Insp.
r .Approval
by date
Permit Noe,\
Date
Distribution: Original -Applicant; Blue - Otfice: Canary --Sales T,ax; Pink -A 1p'ljcant; Tag - Bldg:`Insp: .� ���;_ `\1" `• V -