HomeMy WebLinkAbout1103 W Elizabeth St - Permits/Addition or Alteration - 07/12/1976City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
TO BUILD, ALTER, REPAIR, ADD TO OR WRECK A BUILDING OR STRUCTURE
(APPLICANT FILL IN THIS SECTION ONLY)
—CLASS OF WORK —
Building Address c�z
w New ( I Demolish
te�rt//
3ud 1Z I I Repair
Dote of Application 19I6 Alteration
Name k iV I4:o1_
Addition I I
Move
d
Mail Address Cpl<f) 161,�A,!Lu 1)4gSCJ �':
Use of Building PR /W (i-)C _
CitypLL.I Tel. No.
Size of Building Height _
�.
Name � �G
No. Floors Families
to;
Address (005
Floor Type
Size of Basement
0
Ciry ��' CpLL.ft
No. of Fireplaces
Size of Garage
0
u
1
city License No. OL- Tel. Na. qA7 -
o. Baths
Type of Heat
Lot
—S P E C I F ICATIONS—
Block
— — FOUNDATION — —
c
0
Subdivision
Exterior Interior or Pierr
Material
Width 6 Thickness of Footing
o
Name of Planned Unit Dev:
Width of Foundation Wall
n
Depth below fin, grade ,
-- F A M I N G --
Maximum
Size
Spa ' g
Spon
(Circle Correct classification)
1. Type of Construction I, II, III, IV, V
Girders
_
2. Fire Resistivity 1-Hr. 2-Hr. 3-Hr. 4-Hr.
foist, 1st FI_
Joist, 2nd FI.
3. Occupancy Group A, B, C, D, EX,0 G, H, I, J
Joist, Ceiling
Division 1, 0 3, 4
Exterior Studs
4. Use Zone R-E R-L RLM R-M R-H R-P RMP M-L
M-M B-P ffD- H-B B-G C IA I-G
Interior Studs
5. Fire Zone I, 4:�D 3
Roof Rafters
TOTAL VALUE/� eel
— —
— COVERING —
Includes all:bbco--n'fracfs; excludes land value,
Valuation subject to approval of Building Inspector.
Exterior Walls --'
Roof
Interior Walls -
Reroof
DESCRIPTION O`F`
!WORK
n I hereby acknowledge that I have read this application
/11 �A/ O�+P 1t✓/,tJ0011% and state that the above is correct and agree to comply with
oil city ordino and to laws regulo)',ing building con-
struction. p�
Signature of
By--------- -- - - -- -' --- --- - -- -- -- -
Plan Check No. Dote Issued JUL 1 2 1976
257 7 eidg, r« I s VALUATION., Other aspeections
C v Total
PLANNING AND ZONING INFORMATION
Type of Occupancy
Total Floor Arta
No. of Stories Total Height
Plat File No. Area of Lot
Frontage
New Construction Alter
Change of Occupancy from
m
a
Off -Street Parking ---------
------- .___-_
INo. Cori)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
-^a
i
ono
IT
0
JLL
Approved Variance Reference
BSA
Approved: for the Chief'Building Inspector
aai