HomeMy WebLinkAboutAPPLICATION - 04-00249 - 237 S 4th W - RemodelName (-) . /' (A S �Q ((
Site Address 2 3 - 7 .5 .
Mailing Address Pa. S kr 7 g
City/State/Z n�, C p g y y a
Telephone/Fax/Mobile 00$) °313
CONTRACTOR
Name 5 7'
Mailing Address
City /State/Zip
Telephone/Fax/Mobile
PROJECT INFORMATION DEPARTMENT APPROVAL
Property Zone: Is existing use compatible with zoning, (screening parking, etc) 1 \
When was this building last occupied ✓ e&v C�17��n CL� 0tC!q � I ?
Architect/ Engineer Firm Plan Name
Subdivision Lot Block
Circle One esiden ' Commercial Educational Government Remodel Other
Circle One New House dition/Remodel to House New Commercial Commercial Remodel
Circle One Basement: None/ inishe Unfinished Other: None Patio/ Carport/ Awning N/A
Lot Square Footage Lot Width /
Upstairs Square Feet gb "1 Basement Square Feet g� N
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Garage Square Feet 9 06 Number of Stories ; Height of Building (5 2O
What will structure be used for: Home Home Business Apartment Commercial q5Z-1 DL-V /•e. �(
Will there be an apartment? 1/ eS If so, how many units
Total Estimated Building Valu .�' Are you in a fl plain
Signature of Applicant
Code Building Permit Fees
Zone
Building Type
Commercial Building Plumbing bid
Commercial Building HVAC bid
Commercial Building Square footage
Plan Check Fees
Plumbing Permit Fees
Digging Permit Fees
Water & Sewer Fees
Front Footage
(Parks, Fire, and Police) Impact Fees
TOTAL $
Signature of Inspector
Issued by