HomeMy WebLinkAbout4342 CAPE COD CIR - PERMITS - 6/3/1986s.-,....�v�z .-.. �y};.-ir"•"^y,�n�s.i=�ch`a'r c-r-a1r - '�^n :�....: �+i-.�'�-'^-T-+•'•.,-.=" ;w�.a-a:-..,..-T' :.t.F :-...1- _— �.r.sn
of ' Fort Colli S BUILDIhtG'NVSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
;Applicant complete this part of form only.
I Press firmly using ball point pen.
II
IJob Address f0 �ry'G/G
Name�.n
Mail Address 7� ,(
�/i%✓"��Y Cam/ � t✓�7
to
f Phone
to
Name — -
Address
Licensee,No.
Phone
Lot
I Block
Filing Number
IS Subdivision
PUD
m
In Parcel fi
` DESCRIPTION OF WORK -
fill .2 2
i
�T�,
I
t
i
I
Stock
Plan
Est.
(including
Options /
No.. ,Codes $
TotalCost
labor, material, profit)
state
ordinances
I, I hereby i acknowledge that I have read this application and
that the above is correct and agreeto comply with all city
hnnndd'ssttatte laws regullattiiinnnd building construction.
signed date
J
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑
PI b_g0", M22ech. Ele - zlFire ❑Prot.
Oce. Gr. '41,,J Type Const.
Use Zone L
Use of Building V
Floor Area �3 3
Height 'T y
No. Stories
�l% Frontage,ITOcc.
load -
jLot.Area
e. Change from
Plat File No. {' ��%
No. D.U.
Garage area I ri tl
FifC Bsmt. area G
Type heat
N . Fireplaces o sievee.�
— RELEASES — Dates
Zoning Q - l
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check 'V
- , QQ
Permit
Parkland
City Sales Tax
St. Oversizing -
�. ,
Water Plant Investment
7
Sewer Plant Investment
,
Storm Drainage.
Electric Underground
r/
Total Fees -
w�
�ri
-
Off -Street Parking
�[f
IN C s)
Interior Lot
Corner Lot ❑
Reversed Corner Lot ❑
`m
.
1
TOTL
OTL <
l46992_A7,BiiM1S_
TA,aL 3. of
STOVR J. l
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'7-510nETi' n�
303
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Street -�•� • G
Tffu n411:14 v
Till% 75fjff
o
a 4`lAy.?f'4iA
ZBA Case # Date
BBA Case ! • Date
Building Insp.
Approval
by
date
09&
Permit No.
Date
B:`
DistrIbutlon: Original - Applicant; Blue - Office; Canary - Sales Tax; Pink - Applicant, Tag - Bldg. Insp.