HomeMy WebLinkAbout4205 S Lemay Ave - Permits/Demolition - 03/20/1986City of - t Colli
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nS BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of for onl
Press firmly using ball pointip ` .:� )
Job Address'
Name
Mail Address w
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Phone
Name
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Address
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License No. 1 • i
Phone `_ ,i {
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Lot
Block
Filing Number
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Subdivision, _
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PUD
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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.andstate laws regulating building construction.
sigried,�,- date
— CLASS OF WORK —
New Alteration Addition De ish Move
❑ ❑ ❑ W ❑
Plbg. Mech. Elec. S ruct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone .
Use of Building
Floor Area t':
i_j
Heigh`
No. Stories
Lot Area �.''.. `^
lFrontage
Occ. load
Occ. Chanlge
from f
Plat File No. \
No. U.
Garage area 1
Fin. Bsmt. area
Type heatf t
'
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
IL
t
f
f
Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Distribution: Original - ApplicantK81\office: Canary`Sa`I`s Tax: Pink - Applicant; Tag --Bldg. Insp.\ ,�� �,, - `` •.\
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Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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ZBA Case #
Date
BBA Case #
Date
Building Insp.; '^yApproval
by ;._ f date
Perm,it_N.o -�•--
Date