HomeMy WebLinkAbout4130 SADDLE NOTCH DR - PERMITS - 7/29/1983 (2)City of Fort Co111nS BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERhUT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address ', ') r3.tiic': 2 a sCYtCn ',rive
Name
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Mail Address
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Pt. Ct1Id1.s co _,wsn
Phone 22`)-55 1
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Name urC "x��eestez
Address `
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License No. _+ ,2 Phone 226-5531
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Lot Block
Filing Number
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Subdivision
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DESCRIPTION OF WORK
Stock Options 4" y f
Plan No. — Codes L
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 jaws, regulating building Construction
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— CLASS OF WORK
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot,
Occ. Gr. Type Const.
Use Zone
Use of Building
Floor Area
Height
No. Stories
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 8 Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check P /
Permit
Parkland r
City Sales Tax t
St. Oversizing
Water Plant Investment
Sewer Plant Investment
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Storm Drainage
Electric Underground
Total Fees
Distribution: Originrel - ApplicarF 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
H22E
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Permit No.
Date