HomeMy WebLinkAbout1212 Baker St - Permits/Garage - 10/12/1987"City vf Fort �COifins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Jo
,b Address 1212. I�AK 5T'
Name
Mail Address
3
T - CO LL I fv CC
Phone _I
Name CIY� N
o
u
Address \_\2�Ai'' �T•
A
U
License No.
Phone .5peK1E
Contractor Sales Tax No.
Lot 113108k
N/A
Filing Number
.a
a,
Subdivision
PUD
DESCRIPTION OF WORK
rJLf C2 t J
Stock Options
Plan No. Codes
Est. Total Cost I
(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.
Io/Gsg
signed
date
H�a
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Dec. Gr. Type Const.
Use Zone QL
Use of Building
Floor Area
Height
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No. Iq
No. D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning G. /b
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review �P
Special Conditions:
Valuation FEES
Plan Check
/'`('O
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Off -Street Parking 1
(No. Cars)
Interior Lot
❑
Corner Lot
Reversed Corner
Lot ❑
d
r
CC
N
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N
m
i
rn
0
0
✓LL
PRMTS 38.50
Street
TOT`
38.50
N24145
14:32 A
QCT.13'87
c
0
0
ZBA Case#
Date
BBA Case #
Date
Building Insp.
Approval
by
date
Z10
Permit No.
to
3.50
Distribution: Original - Applicant: Blue - Office; Canary - Sales Tax: -Pink - Applicant: Tag - Bldg. Insp.