HomeMy WebLinkAbout104 Columbia Rd - Permits/Sprinkler - 04/13/1976City of Fort Collins BUILDING INSPECTION DIVISION Plan Check No. Dote Inued APR 13 1
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY �ALU `VALUATIOeldg. F. s /aF
IaIa Omar aea I I
TO BUILD, ALTER, REPAIR, ADD TO OR WRECK A BUILDING OR STRUCTURE orW Inspections 1 I
(APPLICANT FILL IN THIS SECTION ONLY) " r O Total
—CLASS OF WORK —
Building
Address 09 / DY
I I
New Demolish
7l_-I�
Dote of Application �77'/ �/ / 6 19%(-s
II
Alteration I I Repair I
Name L. - �l G c�d c' %�
Addition I I
Move
n
Mo'1 Address �O 7 rt /(AI,1/ '9 / 1 d
Use of Building
O
City 'C7" GO//' /IlS Tel. No.
Size of Building _ Height
No. Floors No. Families
Name /la o/e 1—Jy/ /�G�f S,�* CO
Address J�d yo 74
Floor Type
Size of Basement
it- -v_- L Ga�—O
No. of Fireplaces
Size of Garage
a
cCity
OI
City License Nos / a �I, Tel. No.
No. Baths
Type of Heat
Lot
—SPECI F ICATIONS—
Block
— — FOUNDATION — —
°
Exterior Interior or Piers
Subdivision
Material
n
u
Width 6 Thickness of Footing
p
Name of Planned Unit Dev:
Width of Foundation Wall
a
Depth below fin, grade
— — FRAMING — —
Maximum
Size I
Spacing I
Spn
(Girth Correct classification)
1.
Type of Construction I, 11, 111, IV, V
Girders
2,
Fire Resistivity 1 -Hr. 2-Hr. 3-Hr. 4-Hr.
Joist, 1st Fl.
3.
Occupancy Group A, B, C, D, E, F, G, H, I, J
Joist 2nd Fl.
Joist, Ceiling
Division 1, 2, 3, 4
Exterior Studs
4. Use Zone R-E RA RLM R-M R-H R-P RMP M-L
M-M B-P BA H-B B-G C 14 I-G
Interior Studs
S.
Fire Zone 1, 2, 3
Roof Rafters
TOTAL VALUE
-- C O V E R I N G --
Includes all subcontracts; excludes land value.
Exterior Walls
Roof
Valuation subject to approval of Building Inspector.
Interior Walls
Reroof
DESCRIPTION OF WOR
/ r
c-vG�r.✓y�
1 hereby ocknowledge that 1 have r ad this application
and state that the abov is correct and I to comply with
all city ordinances an state laws
.
=qi
Signature ofiow-.
By-_ ..- -------------------:_
PLANNING AND ZONING INFORMATIOI;
Tvpe of Occupancy
Total Floor Area I
No. of Stories Total Height
Plat File No. Area of Lot
Frontage
New Construction Alter
Chance of Occuooncv from
m
Oft -Street Parking -------
-_.----- ---
(No. Cora)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
a
i
Y
`arc
( I
( 1
_ n
a
0
`c
0
�J4
Approved Variance Reference
ZBA Case No. Date
BBA Case No. Date
Approved: For the Chief Building Inspector
u
ar