HomeMy WebLinkAbout2016 W Lake St - Permits/Reroof - 08/12/1970City of Fort Collins BUILDDING V SION INSPECTION
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)
Building Address
Date of Applic tion 19
'
—CLASS OF WORK —
New I I
Demolish
Alteration I
Repair
Name �. 1 .,r�_.�A
{I
Addition I I
Move
w
OMail
Address ,_ _. __ _
Use of Building _
City Tel. No.
Size of Building Height _
Name iv �,A
No. Floors
No. Families
0
Address / �,� ���� .a
Floor Type
Size of Basement
Size of Garage
City
No. of Fireplaces
0
_
City License No. S - Tel. No. . _
No. Baths
Type of Heat
Lot
—SPEC] F ICATIONS—
— — FOUNDATION — —
Block
o
-
Subdivision
Exterior Interior or Piers
Material
a
Width 6 Thickness of Footing
0
Width of Foundation Wall
o
a
J
Depth below fin. grade
— — FRAMING — —
Size
Spacing
Maximum
Span
]Circle Correct classification)
I. Type of Construction I, (1, 111, IV, V
2. Occupancy Group A, B, C, D, E, F, G, H, 1, J
Division 1, 2, 3, 4
3. Use Zone R-E RA RLM R-M R-H R-P RMP M-L
M-M B-P B-L B-G C I-L I-G
4. Fire Zone 1, 2, 3
Girders
Joist, 1st Ft:__
Joist, 2nd FI.
Joist, Ceiling
Exterior Studs
Inferior Studs
TOTAL VALUE 3 0-0
Includes all subcontracts; excludes land value.
Valuation subject to approval of Building Inspector.
DESCRIPTION OF WORK
Roof Rafters
— — C O V E R I N G — —
Exterior Walls
Roof
Interior Walls
Reroof
I hereby acknowledge that 1 have read this application
and stole that the above is correct and agree to comply with
all city ordinances and state lows regulating building con-
struction.
Signature of owner-- -
By------ ,.__---------- _------ -------------------- _ - _ ----- ------------------
Pic
1
Date Issued AUG 1 2 'M
�.
Bldg. Fee I;VALUATION
Other Fees
ana Inspections
Total
PLANNING AND ZONING INFORMATION
Type of Occupancy
Total Floor Area
No, of Stories Total Height
Area of Lot
New Construction Alter
Change of Occupancy from
To
Off -Street Parking ..__..._.____.___-
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
-ro
Y
a
u
�V
L 9 a
i
H y
o
_JS
Street-------- ------- ----------- -------------
Approved
Zoning Board of Appeals
By---------------------------- _____—_ --__-__—
Approved: Chief Building Inspector