HomeMy WebLinkAbout5801 Ballina Ct - Permits/Single Family New - 09/26/1984dity, ✓Of ,Fort Col11ns BUILDING` INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
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Phone
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Address
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License No. Phone
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DESCRIPTION OF WORK
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Stock Options
Plan Codes
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Est. T tal Cost/f6/ri+�iL
linclu ing labor, material, profit)
I ereby acknowledge that I have read this application and
state t at the above is correct and agree to comply with all city
ordina ces and state laws regulating building construction.
igned r"� t t t^��J i 7�-!!"�dateI t� E
— CLASS OF WORK —
ew Alteration Addition Demolish' Move
❑ ❑ Cl ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. �� Type Const. v. Use Zone
Use of Building -
FloorArea
Height
No. Stories
Lot Frontage J
Occ. Change from
Occ. load
Plat File No. 40
Garage area
Type heat
No. D.U.
Fin. Bsmt. area
No. Fireplaces or staves
— RELEASES — Dates
Zoning G 1 r
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review i*. ji'S jai(jlc{� Q�, C. Z.55-
Special Conditions:
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Valuation _��) )-0 FEES
Permit
Parkland
City Sales Tax-7-
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
.��1 "1 ;any
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Electric Underground
J
Total,Fees, '
J
Off -Street Parking a
(No. Cars)
Interior Lot 0.
Corner Lot ❑
Reversed Corner Lot ❑
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SEP.26'84
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ZBA Case# \` Date
BBA Case �� Date
ilding 1 Approval
�p..� date
by
_t <-1 it No.
Date
DislnbGMgI OF M l -App pcanf. Blue - Office, Canary -.Sales Ta,, PinA - Applicant Tag- Bldg Insp.