HomeMy WebLinkAbout3230 SHARPS ST - PERMITS - 5/13/1983City of Fort C011i1jS 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
Name ,,, .f.,.
c
Mail Address
3
O
w U IS
Phone _ I
Name
Address r S •,` }4''
c
0
U
License No.
Phone -
c
3
fi
Lot I
Block
Filing Number
N
Subdivision
PUD
rn
J
DESCRIPTION OF WORK
t+ (
Stock Options .
Plan No. i . " Codes "• s 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 laws regulating building construction
--
signed -- date
— CLASS 01: WORK —
fyew. Alteration Addition Demolish Move
17 ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
6 ' 0 -❑ -❑ ❑
Occ. Gr. 1 ' ;']Type Const. c% f %
Use Zone
Use of Building
Floor Area
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area 4`
Fin. Bsmt. area
Type heat cs
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 Tax
St. Oversizing
Water Plant Investment
3,
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Distribution Original - Applicant, Blue - Office. Canary - Sales Tax: Pink - Applicant: Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
Reversed Corner Lot
❑
m
m
0
`V
�
v E
c
0
l
��
Street
c
0
ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
05*24
ppipk
Permit No.
Date