HomeMy WebLinkAbout2401 Research Blvd - Permits - 06/03/1988W MR
City 0 0 t O ins 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 ✓re
d
Mail AddressSaw <
3
O
Phone
Name 01 oy
2
Address
q�y�
`c
o
U
License No. A
Phone
Contractor Sales Tax No.
c
n
Lot
Block
Filing Number
v
QSubdivision�
-a
P D . i
pilircel #
DESCRIPTION OF WORK
Stock Options
Plan No. Codes
-f
Est. Total Cost ` i
(including labor, mate al, profit)
I hereby acknowledge that I have read this application and
state that the above I# correct and agree to comply with all city
ordinances and state' laws r ulajing building construction.
signe date
— CLASS OF WORK —
New Alteration Addition Demolish Mope
❑ ❑ ❑ ❑ ❑`,
Plbg. Mach. Elec. Struct. Fire Prot.
<❑ ❑ ❑ ❑ ❑ s
Occ. Gr. Type Const.
Use Zone j
Use of Building
Floor Area
Herlt
No. Stories
Lot Area 46 (r L Frontage
Occ. load
Occ. Change from
Plat File No.,(�' j
No. D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning (,1 < 1 t t.
Engineering
Fire Department -114-
Electric Depa ment
Water & SSter
Plan Review -) t ; 04, f l" r
Special Conditions
/ dour f
t>�llc �5 . �� ✓�� L
Valuation . 7 FEES
Plan Check 40
t ,.
Permit
�( }
Parkland"�^�•—
City Sales Tax ? /
I 7 zz.
St. Oversizing 4_'Z
Water Plant Investment
t: �I,-�r
Sewer Plant Investment
7 Y0
Storm Drainage
Electric Underground
14 ,
Total Fees
;t
`.. istnbutiprS.QriQinal -��: Blue -� tl ce; canary - Sales Ta*:.Pink - Applicant j'•.Tag - BIOg. Ins
0:7-6/-)3v'' 86*,
M
Of/ -Street Parking?
I
(No. Cars)
Interior Lot
Ey
Corner Lot
❑
Reversed Corner Lot ❑
_.,A
m
7V
V�
S`
N
m
to
Gt
Street
0r-�
7'T(C}ln
/2rr'Z •O�
'ir'��'NITS...
fi,%i"Ml,'j i t!. 75
r
c70V§9000.00
ZT0VR4372'."21
TOI'L'r239.n8
o
Ci;C}i�13:
N20437 08-4; A:
TUN.03'88
4
U
ZBA Case #
Date
BA Case #
Date
Building Insp. / lr� Approval
by /�! date-. '
Permit No.
Date