HomeMy WebLinkAbout170 Kensington Dr - Permits/New Commercial - 06/29/1984 (3)_�.� s `�,, : -., ,max
City `6f' : Fort Col11nS BUILDING INSPECTION ,DIVISION 4-
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address' 70 ` µ f L<DAI 6-ran/
Name
--
f
Mail Address" r (;> v : ;'trA/-• ; .>,/ioc �::
4 -3 '1 :.. i' µ%,•"'b � is ��. i ' %r v' "i;' �.i f `rf
Fi•.'.-is.r c�,P ��7: Phone 7jtf-.i'<�,'-`_1
Name i}
U
Address
License No.
FlroneY • �'3 ' f, E,
C
+
L'ot f - P 1ock
Filing Number
Q
f:
Subdivision R ! _
PUD
J
DESCRIPTION OF WORK
r >
Stock Options
Plan No. Codes
Est. Total Cost (7 1 _7 <,>
•(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
; \• - C. - - .date i i ..}
MA
— CLASS OF WORK —
New Alteration Addition Demolish Move
b: ❑ ❑ ❑ ❑
PI'6g. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ o ❑
Occ. Gr. =
E+:
Type Const. "�
Use Zone '
?`
Use of Building ,='"i s '.: r.: C r e, �' " .(.,,I
Floor Area _ a fIl 413
Height
No. Stories {
�
Lot Area , �r!_,r
Frontage l q`,',,,;�!
Occ. load
a
Occ. Change from
Plat File No.
No. D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
RELEASES — Dates
Zoning f s_.
Engineering f `�
Fire Department
'Electric Department
Water & Sewer
Plan Review
Special Conditions:.
Valuation FEES
Plan Checks
Permit
i f*
Parkland,.;
City Sales Tax
{` �#• y �- 1 .
St. Oversizing
..
Water Plant Investment
s
Sewer Plant Investment
Storm Drainage
-+--
Electric Underground
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Total Fees ; '`• r. :>. -.,
s _
Distribution: Original - Applicant; Blue -`Office; Canary -Sales Tex: Pink -Applicant: Tag - BI(f'�. Insp.
a
Off -Street Parking
(No. Cars)
Interior Lot ❑
;a
Corner Lot p
='
Reversed Corner Lot ❑
z `
4 Stl
m
cis
vV
r
E
Street
C
CUO
ZBA Case # Date
BBA Case # Date
Building
Insp. Approval
by
date
C
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Vl n r : •Date` -* •,
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