HomeMy WebLinkAbout807 Kimball Rd - Permits/Single Family New - 06/02/1983t ,��w �- �9•yak�lsc,�r�,
City of Fort Co111ns 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 8
Name
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Mail Address j
Phone y '�
0
Name
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Address-
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License No.
Phone # ', t 9
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a
Lot
Block
Filing Number
Z3
Subdivision
cc
PUD
J
DESCRIPTION OF WORK
z2=4 4-
Stock - Options
Plan No. :f 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.
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signed date
— CLASS OF WORK —
New Alteration Addition Demolish Move
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Plbg. Mech. Elec. Struct. Fire Prot.
EF
Gr
Type Const. Use Zoneof
BuildingrArea
- a
r
HeightStories
Lot Area }
Frontage
Occ. load
Occ. Change from
Plat File No. 3'1CGi
No. D.U.
Garage area 7-y
Fin. Bsmt. area
Type heat ..,51 1; 4
No. Fireplaces or stoves
— RELEASES — Dates
Zoning 0 (C t)I /f: '
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit
-7 7. i
Parkland
4 '
City Sales Tax
i
St. Oversizing
= .i
Water Plant Investment
Sewer Plant Investment
Storm Drainage
_-" f
Electric Underground
Total Fees
Off -Street Parking
(No. Cars)
Interior Lot
O
Corner Lot
❑
Reversed Corner Lot
❑
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Cn
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LL
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Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp:•-''- N Approval
C'
by
/� PZj,/j 1 date
107
22
Permit No.
Date
i Tj
Distribution: briganal ••.A licanFBlue— Office; Cariar Sales Tax; Pink -Applicant; licant; Tag -Bldg. Ins � PP Y - PP 9 - 9� P� �-: �,,•� � _� ,�