HomeMy WebLinkAbout3930 Benthaven St - Permits/Single Family New - 03/20/1987n�N .
City of Fort CC011im§` 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 ,�,i / ,j cij �, „'{jza
Name
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Mail Address
Phone
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Name--
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Address -
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0
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License No. L if `l
Phone
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Lot
Filing Number •j
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Subdivision !' Uvf / „S += �„ �,•
N
PUD
Parcel # 73 7 �s - aiy
DESCRIPTION OF WORK
Stock Options
Plan No. Codes
Est. Total Cost Z 000 -
(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� —data 1
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— CLASS OF WORK —
New Alteration Addition Demolish Move
IN ❑ ❑ ❑ ❑
Plbg, Mach. Elec. Struct. Fire Prot.
Occ. (
Use Zone Lh
Use of Building .,,5.,, f I
FloorArea /2S�, CISF
lHeight %B
No. Stories -
Lot Area J j Cj Frontage 16N.62
Occ. load
Occ. Change from
Plat File No. Q'G- 1 %
No. D.U.
Garage area 5.
smt. area 7540
Type heat t1r,11
No. Fireplaces or stoves
— RELEASES Dates
Zoning( "1 3"" f
)
Engineering
Fire Department .
Electric Department
Water & Sewer
`�
Plan Review,_ :?2 �.--i— iitc_.,I
Special Conditions:
_
Valuation �& (1J FEES
Plan Check
Permit
- /✓�.--
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
�� p
Sewer Plant Investment
(� • G
Storm Drainage
/ _/
Electric Underground
Off -Street Parking d
(No. Cars)
Interior Lot ❑
Corner Lot
Reversed Corner Lot ❑
30,
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Street
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TAXPt'I 72c, f
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NoOiiBts 12�36 A
IiAR .20' 67
ZBA Case # Date
BBA Case# t f j Date
Building Insp. y' 44'-�`Approva{
byy��y' L. date
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ermit-No.
Date
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DlstribWion, Original - Applicant Bloe-Onlce7Cenary-ales Tax; Pink- pA plicam'T.-Bldg9'nsp:
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