HomeMy WebLinkAbout719 Columbia Rd - Permits/Footing and Foundation - 11/06/198511
City of Fort C011inS' BUILDING IN`SP'E•CTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address 's
Name
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Mail Address m #j
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Phone
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Name '
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Address r Rasr�ti rt:
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License No.
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2
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Lot
Block
Filing Number
Subdivision
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0
PUD
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DESCRIPTION OF WORK
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Stock Options
Plan No. Codes
Est. Total Cost t?L)
(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.
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— CLASS OF WORK —
N_e,,w Alteration Addition Demolish Move
C5 ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑ _.
Occ. Gr.; " ---`-�
Type Const. ! '. Use Zone-----
Use of Building
FloorArea Height
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage r a
Fin. Bsmt. area
Type/eat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
i
Valuation FEES
Plan Check^^
Permit
t
Parkland
City Sales Tax;'%
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Distribution: Original - Applicanm ug'-\Office: Canary -'S la e1 TJ: Pink - Applic.n' Tag 'BWg. Insp.
Off -Street Parking
(No.
Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. ? Approval
by date
F�ermkt Now
.Date
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