HomeMy WebLinkAbout1928 W Lake St - Permits/Addition or Alteration - 12/01/1976City 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)
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Building Address /qZ g/) G% G>Q�l= v /
Date of Application 19�(!7
—CLASS OF WORK —
New I I�
Demolish
Alteration I 'f
Repair
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Name t; C_Z /"iC%%G'.G/G="7�L
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Addition I I
Move
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Mail Address /�12 8 Z✓ GA/LL:F-
Use of Building ZC'�/JL-�✓eL' _
O
�^ A
City /=%— W�/NS Tel. No.Y�7�/ Z-y'7r9'
Size of Building Height _
Name /(//C/G /!//G/✓OGS
No. Floors
No. Families _
8
Address 'a.O. /scx 5/y%
Floor Type
Size of Basement
0
oCity
No. of Fireplaces
Size of Garage
Vl
City License No. G-3/ Tel.
No, Baths
Type of Heat
Lot
—SPECIFICATIONS—
— — FOUNDATION — —
Block
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a
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Subdivision
I Interior or Piers
Exterior
Material
_
u
Width & Thickness of Footing
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Name of Planned Unit Dev:
Width of Foundation Wall
u
Depth below fin. grade
— — FRAMING — —
Size I
Spacing
Maximum
Span
1.
2.
3.
4.
5.
(Circle Correct classification)
Type of Construction I, il, III, IV, V
Fire Resistivity 1-Hr. 2-Hr. 3-Hr. 4- r.
Occupancy Group A, B, C, D, E, F, G, H101
Division 1, 2, 31 4
Use Zone R-E .'8 RLM R-M R-H R-P RMP M-L
M-M Pf H-B B-G C-IA I-G
Fire Zone 11 21 (5
I
Girders
_
Joist, Ist FI_
Joist, 2nd FI.
Joist, Ceiling
Exterior Studs
interior Studs
Roof Rafters
TOTAL VALU /Zoo,b
Includes all subcontrocts; excludes land value.
Valuation subject to approvol of Building Inspector.
DESCRIPTION OF WORK
-- C O V E R I N G --
Exterior Walls
Roof
Interior Walls
Reroof
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I hereby acknowledge that I hove read this application
and state that the above is correct and agree to comply with
all city ordinances and state laws regulating building con-
struction.
Signature of owner _ _ �- -/__-
By-_..__.___. ---- _________.___------ -------------- _.-____.__
,
,cWAi/ > ,�' TiG /r✓J �
Pion Check No. Date IssuedM^ '976
2�J�;
rn Bldg. F" s
VALUATION other Foes
/ ana Inspections
(7D Total
PLANNING AND ZONING INFORMATION
Type of Occupancy
Total Floor Area
No. of Stories Total Height
Plat File No. Area of Lot
New Construction Alter
Change of Occupancy from
To
Otf-Street Forking __------ _.--- ___..__
(No. Can)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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7 ( 1 )
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Approved Variance Reference
ZBA Case No. Date
Case No.
Approved: For the
Date
of Building Inspector