HomeMy WebLinkAbout1220 Fairview Dr - Permits/Furnace - 11/17/1986City
v
���i.!{+..�� � .�.n� may! � L_ V b��y^ f:. }��± �=i4y` :'MSS.. �.�.+"� ����,;��y�. '13�. .._!v�:i'iTf �-•^F1.:.�.:
Y"Y.S^.��t.'YWI'�^ YL �:' >4 �Y"Y._ Y'•^M1(, +•C"J�.'I..-,Tr'FY{Y-„'i�
BUILDING INSPECTION DIVISION
X
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly tksing ball point pen.
Job Address •� -„;: a4.v: _, $
Name
c
Phone y-•\�
Name AX yj
wi` VA;,i.-: - - `1 \`
o
Ad ress t ~'
m
r
U
Lot Block
Filing Number
Subdivision
m
PUD
v
Parcel # �� ���� _ • �� ,�>
DESCRIPTION OF WORK
Vt
0
Stock Options
Plan No. Codes
Est. Total Cost - a'
(including labor, material, profit)
I hereby,acknowledge that I have read this application and
stat"t6t the above is correct and agree to comply with all city
o0inances and state laws regu atiiig building construction.
r`
signed
1
— CLASS OF WORK —
New Alta(ation Addition Demolish Move
❑ f� ❑ ❑ ❑
Plbg. e . Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑
Occ. Gr. ,� Type Const.
Use Zone
Use of Building
Floor Area �('
Height
No. Stories
,3 I
Lot Area j'e� Frontage
Occ. load _,,.
Occ h2nge from"
Plat File
Garage area, ,`.Fm,"Bsmt.
NoZD.U: �
area
Type.beat'
No. Fireplaces or stoves
RELEASES — Dates
Zoning
Engineering ♦~< \�
Fire Department ;.:Z)till
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation ,,,..�f�"t'"-+�'"`� "'�"j FEES
Plan Check
Permit
1. _
Parkland
City Sales Taxr1
,
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
ry
in
�
in
0
LL
'V
Street
;s•r#T;
r vrv•� ?^ �!i
o
_
-o
c r •nay? �
ZBA Case # Date
BRA
Case # Date
Building Insp. Approval
by
l date
Permit No:� `
r Date
`
i \ �`�`��
DlstnDutio¢Onglnal- APPlitant "61uo �Oflice�Cana =•Sales-Tax'.Pink'-Applicaut;,Tag=Did, Insp
City Of Fort COIIInS BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
` Applicant complete this part of form only.
Press firmly ui ball point pen.
Job Address
Name
a�
Mail Address -•- . at
w
Phone
Name ♦t 7� \' .1 'sR �
ca
Address
c
E• J .�._ J
License No. - i
Phone
°
.a
Lot
Block
Filing Number
y
Subdivision
o
m
PUD
J
Parcel #
DESCRIPTION OF WORK
Stock Options
Plan No. Codes
Est. Total Cost' 'y
(including labor, material, profit)
I hereby acknowledge that I have -read this application and
state,ttTat the above is correct and agree to comply with all city
ordinances and state laws regulating building construction.
\
signed !date
Distribution: Original - Applicant Blue, jOffice. canary --Sales T.az: Pink"- Applicant�,Tag -Bldg. Insp.
. I — CLASS OF WORK —
New /AItekation Addition Demolish Move
❑ fs ❑ ❑ ❑
Plbg.-NN4�ech. Elec. Struct. Fire Prot.
❑ 91 ❑ ❑ ❑
Occ. Gr. Type Const.
`a
Use Zone
Use of Building
FloorArea
1.Height
No. Stories
Lot Area, `_. Frontage
Occ. load , ..
�t
•O c Change from"_ ___,,
-Plat File No _ __
`
N,g°ND
Ga ge area' '` .Ein:)Bsmt.
area
Type,heaf
No. Fireplaces or stoves
— RELEASES — Dates
Zoning f ,
Engineering >�
Fire Department`
a
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit
;.
Parkland
City Sales Tax
_. A `1
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
❑
}
in
m
r
in
0
li
Street
-Ave
ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by ) date
No:-,
,
f Date
•Permit
i