HomeMy WebLinkAbout3737 Benthaven St - Permits/Patio Cover or Sunshade - 04/08/1988 (2)its BUILDING INSPE
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address ..J737 II ,iii "t r`%
Name
l r
ty
d
Mail Address 1
7' �' en T r, (//ew -,�,/r
/3
{�
Phone d - 5-) 4*
Name
o
Address
m
C
U
License No.
Phone
Contractor Sales Tax No.
c
°
Lot ti
Block
Filing Number
o.
v
Subdivision F-otl �z7.SnF1 S
m
PUD
-7
Parcel # l.rj
{ DESCRIPTION OF WORK
{
i n r . 'v
Stock Options
Plan No. Codes
Est. Total Cost l+ on 0
j 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.
w.
signed - date
IM
- CLASS OF WORK -
New Alteration Additiop/ Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
El ❑ ❑
Occ. Gr. Type Const.
//�;'�
Use Zone xT (., jl
Use of Building 5 _ ( '�
"'
Floor Area /
eight
No. Stories
Lot Area JLr+`- -i
Frontage 1 0
Occ. load Occ. Change from
Plat File No. No. D.U. /
Garag area
Fin. Bsmt. area
Type heat 1_
No. Fireplaces or stoves
— RELEASES — Dates
Zoning ✓ it's )'/ -3
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review ' �� �'�%�> ! `,! ; '.,t-�•/' %__
i
Special Conditions:
Valuation FEES
Plan Check
Permit
ir
Parkland
City Sales Tax
/ �, .T 7
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 ❑
m
3) a
`m
f�
_IV
7�
U)
r
n
c
0
Street
PRIITS 117.50
TOTL 31.25
`o
CHCK
-o N27454 152?6 A
APR. 21 ' 8&
ZBA Case #
Date
S BA Case #
Date
Building Insp. Approval
by date
Permit p< ,
Date
V
f.`5
Distribution Original - Applicant. Blue— Office, Canary -'Sales Tlaxt2ink�'Appl)oan0 f'aagr Bldg. Insp.