HomeMy WebLinkAbout4219 Cape Cod Cir - Permits/Sprinkler - 04/02/1987Of FOPt C01HIAS 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 ZI G G
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NameXI-il
Mail Address G
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Name
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A'ddress
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License No
Phone
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Lot
Block
Filing Number
Subdivision
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POD
Parcel #
DESCRIPTION OF WORK
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67
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Stocky Options
Plan No. Codes
Est. Total Cost
(including labor, mate ial, profit)
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thereby 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.
t
,signed date
— CLASS OF WORK —
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New - An Addition Demolish Move
❑ ❑ ❑ ❑
Pibg. Mech. Elec. Struct. ire Prot.
❑ _ ❑ ❑ ❑
Occ. Gr. Type Const.
a Zone
Use of Building -
FloorArea
eigh
No. Stori
Lo
A a ront e
Occ. to
Oc n
o -
Plat Fil
o. D.U.
Garage area
Fin. Bsmt. area
Type heat -
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES -
Plan Check 7-
Permit
Parkland
City Sales Tax
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 ❑ -
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PRMTS 15.00
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TOTL 15.00
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CHCK 1
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APR.03'87
ZBA Case #
Date
BBA Case #
Date
Building Insp.
Approval
by
date
Permit No.
Date
Nq
Distribution: Original - Applicant; Blue - Office; Canary - Sales Ti = Applicant, Tag - Bldg, Insp. -