HomeMy WebLinkAbout913 Kimball Rd - Permits/Single Family New - 11/22/1983� 'r -.. ... ... � ._ y.... .. -.: •� i .# '� l k'iy "[�'. }_ , a .. _„ _. _ .....-., l.-v'...5`+-eYYi-ry,^ .:S�.i...Y-"✓.i. _.+r�+'�.yw.'„_.-- .. - .S} =tS �'-,.' y .- .....r - .- _.. .. ._` .� .Z..M1 .• - .. _.._
Clty" Of � F16rVv�G01'1ins 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
Name -
o
C
Mail Address
S
G'
Y
Phone
0
Name
m
Address l
o
U
License No.
Phone
a
Lot
Block
Filing Number
N
Subdivision
o
m
PUD
d
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 and state laws regulating building construction.
signed
— CLASS OF WORK —
New Alteration Addition Demolish Move
Plbg. Mech. Elec.. Struct. Fire Prot.
Occ. Gr.
Type Const.
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area:
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves •-
- RELEASES — Dates
Zoning 0kg
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review «_ ,; i _ , j Cy"
Special Conditions:
Valuation -=- f's f;':? FEES
Plan Check -; s `�
a„ .
Permit
Parkland
f
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
77771
iota) Fees
Distribution: Original -,Applicant; Blue - Office;Canary = Sales Tax; Pink- Applicant: Tag - Bldg. Insp.
r
1-0
Off -Street Parking
(No. Cars)
Interior Lot
O°
Corner Lot
❑
Reversed Corner Lot ❑
m
j}
�IV
m
^-
in
}
Cn
{" C
0
PRMTS 2kn\(LL)n3
F`} FEE 550.00
k 4:k PM 197.. ci
f` �'� 'ra-. r) 1
Street
c
0
.ro
ZBA Case #
Date
BBA Case #
Date
Building Insp. ' Approval
by , date
2
Permit No.
Date