HomeMy WebLinkAbout3407 Sam Houston Cir - Permits/Single Family New - 12/11/1986CRY Of Fort C011inS 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 .r ,7�ry�
Name +_'s.
4�Zr.`
Mail Address 1"'�,Ave
Phone
Name:'
ol
Address
c
O
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U
License No. _,/
Phone
°
.a
Lot w
Block
Filing Number
N
Subdivisior
co
PUD
`.�
Parcel # . R
DESCRIPTION OF WORK
d �
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 ` d to e
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑V-❑ ❑ ❑ ❑
PI❑bg Mech. E11c. �,r Str❑uc Fire❑Prot.
Occ.Gr.,0e_j
I Type Const. V,69Q,Use zonei'
Use of Building <1001-1-417,
Floor Area S,Height
No. Stories
Lot Area .*.'V,Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area . �''
Fln. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES— Dates
Zoning /Cf-_ 11b i f '
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Condiitions:
F Y0
Valuation „5-- FEES
Plan Check R�
Permit
Parkland
City Sales Tax---'
St.Oversizing'
Water Plant Investment
Sewer Plant Investment??
Storm Drainage
? ��
Electric Underground
Total�Fe"es
Distribution: original - Applicant; Blue - Off ce; Canary -Sales Tax; Pink - Applicant; Tag - Bldg. I I
F "s.;
Off Parking
-Street rt, y_•.,.
(No. Cars)
Interior Lot []=
Corner Lot ❑
Reversed Corner Lot ❑
•o
3 % m
m
a)
Cr
a� 2\
to } (75
LL
Street
t yr , .17 y
F M k 61 93)
s,rD R 575-, 0
2 r n
cc -;;'r 'l
Al �nr wq d+
co A
. DEC. 11 � as
ZBA Case # Date
BBA Case # Date
Building Insp. ,,�y� Approval
by +6T "- date
`�
Pewnitt 0,
Date