HomeMy WebLinkAbout628 S Shields St - Permits - 07/09/1975City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERAUT 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 —
New �� Demolish
Building Address i S Jy ' S � I L' W S
'
Date of ApppllicationJ b �/ q q7 S 19
Alteration I II
Repair
1l
Name �jt��Cl.^.t1 ( c M lC k'
_
Addition I (
Move
OMail
Address (,� '2 Y� sc , S h l e j Cl S
Use of Building
City 06 I I-Z s Tel. No.4 5,)^ S/0
Size of Building Height
No. Floors No. Families
Name
Address
Floor Type
Size of Basement
-co
No. of Fireplaces
City
Size of Garage
UI
City License No. Tel, No.
No. Baths
Type of Heat
Lot
—SPECIFICATIONS—
Block
— — FOUNDATION — —
c
Subdivision
I Exterior I Interior or Piers
o
Material
Width d Thickness of Footing
Width of Foundation Wall
Name of Planned Unit Dev:
a
.]
Depth below fin. grade
— — FRAMING — —
Maximum
Size
Spacing
I Span
(Circle Correct classification)
Girders
1. Type of Construction I, 11, III, IV, V
Joist, Ist FI_
I�
2. Fire Resistivity 1-Hr. 2-Hr. 3-Hr. 4-Hr.
Joist, 2nd FI.
3. Occupancy Group A, B, C, D, E, F, G, H, I, J
Joist, Ceiling
Division 1, 2, 3, 4
4. Use Zone R-E RA RLM R-M R-H R-P RMP MA
Exterior Studs
M-M B-P B-L H-B B-G C IA I-G
5. Fire Zone 1 2, 3
Interior Studs
Roof Rafters
TOTAL VALUE u"/ C,) �
Includes all subcontrocts; excludes land value,
— — C O V E R I N G — —
Exterior Walls Roof
Valuation subject to approval of Building Inspector.
DESCRIPTION OF WORK
Interior Walls Reroof
I hereby acknowledge that I have read this application
and state that the above is correct and agree to comply with
all city ordinances and state Ipws regul buildin con-
struction.
X300 S Signature of owner �.c -- -
By-- - - ------------- - --- - - ------------- --- - -
P26ca4c6*. Date IuwdUUL 9 1975
Bldg. F« s
VALUATION Other F«s
am Inspections
$ �- - Total
PLANNING AND ZONING INFORMATION
Type of Occupancy
Total Floor Area
No, of Stories Total Height
Plat File No. Area of Lot
u
n
Alter
from
Off -Street Parking ---- _-___-________.
(No. Cartl
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
_ra
`o
S
�v
i
C
0
Street------ -- ------ - ------ ------- --------
Approved Variance Reference
ZBA Case No. Date
BBA Case No. Date
Approved: For the Chief Building Inspector
By------ ----