HomeMy WebLinkAbout1100 E Elizabeth St - Permits/Basement Finish - 01/11/1983of Fort COIIlI1S 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�gj-Ga-/�'s/'9�r%7�
Name
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Mail Address
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Phone
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Address _ c G,I'a /7 ✓/�
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License No.
Phone 226 ,3?
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Lot Block
Filing Number
Subdivision
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DESCRIPTION OF WORK
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.
signed ; date
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mach. Elec. Struct Fire Prot.
El ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building
Floor Area 194k:7
Height
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area
Fin. Bsmt. area
Type heat FP: <5t 4z
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation J4 poU r (ip
FEES
Permit
Plan Check
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
City Sales Tax
�' I
Total Fees
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Permit No.
Date
09606
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ZBA Case H
Date
6EA Case n
Date
Building Insp.-i
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Approval .�
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by 1 r t
date J" )
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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Street
Distribution: Onlfrsi-•ApplIant, aiue - Office, Canary - Sales Tax: Pink - Applicant: Tag - Bldg. I nap.