HomeMy WebLinkAbout2824 Eastborough Dr - Permits/Reroof - 12/31/1999of Fort
S BUILDING INSPECTION DIVISIO
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address
Name /
ro
Mail Address '- ;x
o
Phone
Name
Address .i J
U
License No.,, j - ,'7'W I-+,,,,
Phone
Lot
Block
Filing Number
a
Subdivision
PUD
m
Parcel It
DESCRIPTION OF WORK
Ai
%tJ r9
Stock Options
Plan No. 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
ordinances and state laws regulating building construction.
~Y
signed date
— CLASS OF WORK —
New Alterationi Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building 4 I I
FloorArea /( i �4i
He
No. Stories '.
Lot°Area Id-
Frontage
Occ. loader !
Occ. Change fromf-%
Plat File No.y ,
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:
�n
Valuation G' f'r„f,� '� 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
❑
Reversed Corner Lot ❑
a
m
v
_\v
in
`m
0
in
0
JLL
Street
iry .n
a
r
a:
ZBA Case #
Date
BBACase#
Date,
Building Insp. r ; ,-., Approval
by ',��-; i date
,t /
Permit No.
Date
Distribution: Original - Appl icanl'. Blue- Ottrce, Canary - Sales Tax: Pink! Applicant; Tag - Bldg'lnsp.