HomeMy WebLinkAbout1017 Parkview Dr - Permits/Addition or Alteration - 12/22/1988City 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.
Job Address G'/7�(��/G� r
Name )15V 649 Ill
Mail Address a7�/�
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Phone 77,!5 sss'
Name E/✓IV`/S �� S��
Address
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License No. Phone yf.3^7SS�
Contractor Sales Tax No.
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Lot 1Block
Filing Number
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Subdivision• d LL GC
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PL D
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Parcel # '77 5/ •— / ...., ,Z _
DESCRIPTION OF WORK
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Stock Options
PlanNo.- -- Codes_
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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.
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signed date
— CLASS OF WORK —
New Alter tion Addition Demolish Move
❑ ❑ ❑ ❑
_
Plbg. Mech. Elea Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr Type Cons use Zone
Use of Building
7S'�
Floor Area IHeight
No. StoriesnLot
Area
Fron tage
Occ. loadOcc.
Change from
Plat File No.
No. D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES Pqtes
I
Zoning
-Engineering- -- —
Fire Department
Electric Department
Water & Sewer
Plan Review11%C (__ _ 1_7-�
Special Conditions:
Valuation FEES
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—
Plan Check
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Permit
Parkland
City Sales Tax
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St Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Distribution Original - Applicant Blue - Office. Canary - Sales Tax Pink - Applicant. Tag - Bldg 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
Permit No.
Date