HomeMy WebLinkAbout811 E Myrtle St - Permits/Addition or Alteration - 07/31/1975City of Fort CiollinS BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMT AND CERTIFICATE OF OCCUPANCY
TO BUILD, ALTER, REPAIR, ADD TO OR WRECK A BUILDING OR STRUCTURE
(APPLICANT FILL IN THIS SECTION ONLY)
2 1792
`C4 No. Date JUL 3 1 1975
_ Bldg.Fee j
VALUATION Omer ess I
orW Irapadfons
Total
—CLASS OF WORK —
r
Building Address j h1 * � `� V'R �—
New I I Demolish
J— C
Date of Application 3 AL 197.5 Alteration I I Repair
^
Name r 10 N, 6G P 4 imr-
Addition I I
Move
ar
oMoil
Address I j [ I�XgTLdG
Use of Building SST NG— _
City �� . nt S Tel. Nd��-SQ 3 S
Size of Building _ Height _
Name�E t� �tAETI'�tJ
No. Floors
No. Families
u
Address'PQ �X q loS
Floor Type
Size of Basement
0
City . �OI—a ttig
No. of Fireplaces
No.
Size of Garage
0
u
� City License No. (AL- (o 4 Tel. No.4?4-4 S bz
No. Baths
Type of Heat
Lot
—SPECI FICATIONS—
Block
-- F D A T 10 N --
t=
Exterior interior or Piers
nSubdivision
Material
`
k
Width 6 ThicZnbWof Foo ' g
Width of Foundation all I /_
Name of Planned Unit Dev:
Depth below fin. grade I
— R M I N G --
Maxi m
i
acing
pan
(Circle Correct classification)
1.
Type of Construction I, 11, III IV, V
Girders
I
2.
3.
Fire Resistivity 1 - r 2-Hr 3- r. 4-Hr.
Occupancy Group A, B, C, (9 E, H, I, J
Joist, 1st FI_
Joist, 2
Joist, Ceiling
Division 4
Exterior Studs
4.
Use Zone R-E R-L RLM �R-M/R-H R-P(RM-L
Interior scuds
I
M-M- B-P B-L v' B-G C I>Ti-�G
5.
Fire Zone 1, 3
Roof Rafters
TOTAL VALUE
C O V E R I N�G—
Includes all subcontracts; excludes land value.
Valuation subject to approval of Building Inspector.
Exterior Walls Roof
Interior Walls Reroof
DESCRIPTION OF WORK
I hereby acknowledge that I hove read this application
��I`�(OL�EL OIJB OT=F=IGE
and state that the above is correct and agree to comply with
nnlC \VD�r'
all city ordinances and state lows regulating building con-
P.DD
1�1JEL�INS.
struction. \�\ ,
Si nature of ownerj��-tom --._- u+T���---------
—
---------1 -------------------
PLANNING AND ZONING INFORMATION
Type of Occuponcy n —
Total Flow Area
No. of Stories Total Height
Plat File No. Area of Lot
Frontage
New Construction Alter
Change of Occupancy from
Off -Street Parking ----.--__----_--__------
(No. Cars)
Interior Lot ❑
Comer Lot ❑
Reversed Corner Lot ❑
_/1
0
a
r
Y
�V
c
VVLL
I I
Street
ZBA
nce Reference
BBA Case No. ate
Approve e f B Ilding I or
By------ -- ------------ ---- — -- —