HomeMy WebLinkAbout636 S COLLEGE AVE - PERMITS - 3/18/19839-t 7 y:')
City
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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 &qoS , e e—
Name') i
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Mail Address f4v
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Phone
Name
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Address
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License No. ,"
Phone i
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Lot
Block
Filing Number
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Subdivision
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DESCRIPTION OF WORK
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 date
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
Occ. Gr. aL
Type Const.
Use Zone
Use of Building t} a' <�z>, Iff - Z'
FloorArea
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 & Sewer
Plan Review
Special Conditions:
Valuation .r� �-T y, FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
_
Electric Underground
Total Fees
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. 1 Approval
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by �:• .— ..�.' date
A.
MAN 1 2 �99�
Permit No.
Date
Distribution: Original - Applicant; Blue - Office; Canary - Sales Tax; Pink - Applicant; Tag - Bldg. Insp.