HomeMy WebLinkAbout3030 S College Ave - Permits/Addition or Alteration - 11/07/1986-r.•_.!"-�.:
Clty ��of Fort C011inS 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 0 S G�
Name
s i '
Mail Address
- t ,
Phone
Name
;
Address '', �• -
t.
0
License No. _
Phone
C
°
a
Lot
Block
Filing Number
N
Subdivision
o
`
PUDca
Parcel #
DESCRIPTION OF WORK
;AJ
Stock Options
Plan No. ; r 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.
signed _ date
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ W ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ O°` ❑ ❑
Occ. Or.
Type Const.-�,i
Use Zone
Use of Building
FloorArea
Height I
No. Stories
Lot Area r' Frontage
Occ. load i
Occ. Change. from., f
Plat File No. ,� No.
D.U.
Garage area Fin.
Bsmt. area
Type heat No.
Fireplaces or stoves
— RELEASES — Dates
Zoning i' I % I / � c�
Engineering
Fire Department .
Electric Department
Water & Sewer
Plan Review ;; y/z {�/�'' ✓ ,"°.jC"�
Special Conditions:
Valuation. /" FEES
Plan Check°
.Permit
y?
Parkland
J 1'
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Distribution: Original - Applic`ant.Blue - Office; Canary,Sales Tax: Pink-'Applicanii Tag - Bldg. Insp. �-
Off-Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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Street
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ZBA Case # Date
BBA Case # n a Date
Building Insp. Approval
by date
7j- 5L,,2
o Permit No. =
Date
.