HomeMy WebLinkAbout204 S College Ave - Permits/Reroof - 11/04/1975City 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)
Building Address
Date of Application /� 19
—CLASS OF WORK —
New I II
Demolish
Alteration I I
Repair
Name Ls-o
Addition I I
Move
m
a
Mail Address 7 dt 7—
Use of Building
9 _
O
City Tel. No.
Size of Building Height _
No. Floors No. Families
Name
s°—,
Address
Floor Type
Size of Basement
0
City;le
No. of Fireplaces
Size of Garage
0
OI
City License No. Tel. No.1 ^7�L Y
Lot
No. Baths Type of Heat
—SPECIFICATIONS—
— — FOUNDATION — —
Block
c
o
Subdivision
Exterior lInterior or Pierr
Material I I
n
o
Name of Planned Unit Dev:
Width 6 Thickness of Footing I I
Width of Foundation Wail I I
u
'Depth below fin, grade I I
-- F R A M I N G --
Size
Spacing
I I
Maximum Span
(Circle Correct classification)
1. Type of Construction I, II, III, IV, V
T Fire Resistivity 1-Hr. 2-Hr. 3-Hr. 4-Hr.
3. Occupancy Group A, B, C, D, E, F, G, H, I, J
Division 1, 2, 3, 4
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 I-L I-G
5. Fire Zone 1, 2, 3
Girders
I
I
Joist, 1st FL
Joist, 2nd FI.
I
I
I
Joist, Ceiling
Exterior Studs
I
I
I
Interior Studs
Roof Rafters
TOTAL VALUE:
Includes all subcontracts; excludes land value.
Valuation subject to approval of Building Inspector,
DESCRIPTION OF WORK
�'"
-- C O V E R I N G --
Exterior Walls
Roof
Interior Walls Reroo- f �T—
I hereby acknowledge that I have read this application
and state that the above is correct and agree to comply with
all city ordinances andstate laws regulating building can-
struction.
Signature of owner _yam
Q.yuC.�
��
`+
PIIpn4Cbh�e,( Date ImOV 4 1975
Slag. Fee 1 F I
VALUATION Other Fees
ono Inspections
s Total I I
PLANNING AND ZONING INFORMATION
Type of Occtrporvey
Total Floor Area
No. of Stories Total Height
Plat File No. Area of Lot
New Construction Alter
Change of Occupancy from
To
Off -Street Parking .— ---- .----- ----------
(N.. Cara)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
0
i
.J V
a
u
i
y
N
f
0
ILL
yr
Street-- - ------------ ----- --
Approved Variance Reference
ZBA Case No. Date
BOA Case No. Date
Approved: For the Chief Building Inspector