HomeMy WebLinkAbout2190 W Drake Rd - Permits/Other - 11/11/1983City
HnS BUILDING INSP
of F6rf `C61 ECTION 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
Mail Address
0
Phone
Name
E2
Address
0
L)
License No.
Phone
0
Lot
Block
Filing Number
Subdivision
0
PUD
DESCRIPTION OF WORK
2!!j L-A C A Ift
Stock Options
Plan No. Codes
Est. Total Cost
(IncluclIng 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.
Sig e
-CLASS OF WORK -
New Alteration
13
- Addition Demolish Move
11 0 0 0
Plbg.
0
Mech. Elec. Struct. Fire Prot.
0 0 0 0--
Occ. Gr.
Type Const.
Use Zone
Use of Building
FloorArea
Height
No. Sto ries
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
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation
FEES
Plan Check
Permit
Parkland
City Sales Ta
7
St. Oversizingi
Water Plant idvestment
Sewer Plant Ovestment
Storm Drainage
ElectricUndeillground,
eel�
Off -Street Parkiii, - g
1
(No. Cars)
Interior Lot i
0
Corner Lot i
0
Reversed C=4� Lot 11
0
a)
Er
!D
0 2
LL
Street
C
0
ca
ZBA Case #
Date
BBA Case #
Date
Building lnsp.,. Approval
by
date
Date