HomeMy WebLinkAbout1029 Robertson St - Permits - 07/15/1988City of Fort C01111r1S BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PER4T AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point den.
Job Address ij
Name _T�)g ;Zu -jj.1. A�,j nQ 1-
M/a-il Address
Phone
Name .f-���,�� e'•�r` w; . ,ui.� � .",f _
C'
Q
Address ��Ip -4
c
v � LC � -•C I".i i J
O
U
_ —
License No. r.�_ " �` ��. Phone
Contractor Sales Tax No.
�°-
a
Lot Block Filing Number
- -
N
Subdivision
PUD t
Parcel#
DESCRIPTION OF WORK
-;
Stock Options
Plan No.—_ Codes_
Est. Total Cost _ 1.
(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
Ord' ances a state laws regulating building construction.
signed date
— CLASS OF WORK —
Alteration Addition Demolish Move ee
❑ ❑ ❑ ❑
_ _
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const. Use Zone
Use of Building
Floor Area /.j% 't
Height f;�r
No. Stories 1
Lot Area ti „ .� p
Frontage.yJ, 4,f
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
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check li
Permit
Parkland
_
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Distribuvon Onpinal - Anpbra,)! BILe - Office Canary - Cales Tnn.rnln - Appiicanf Tag - Dog. insp
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner
Lot ❑
i
Spy/
U)
m
r
n
0 0
ll
Street
0
ZBA Case #
Date
BBA Case #
Date
Building Ins p
Approval
by 'f�
date
Permit No.