HomeMy WebLinkAbout1507 Independence Rd - Permits/Single Family New - 03/20/1975City 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)
—CLASS OF WORK—
Buildirq
AddrssIs07 (NaTtwrtyNe-
I I Demolish "
New
Dote of Application 19
Alteration `I( I Repair
Name
Addition I
Move
3
Mail Address
Use of Building AA-4-_
O
City - Tel. No.
Size of Building Is to -ICI $ � Height Z%t
Nome
1. �, �^
No. Floors? l+•✓u7/
No. Families '
Address 17 f,1'� ry ��
Floor Type `
Size of BasementLS 1E 3
°I
o
�"
No. of Fireplaces
Size of Garage ZV Z Z
,L
C�License No.A t. 7 Tel. A+._% Z • 7111
No. Baths � + ���' + t/
Type of Heat 4 • f • A
Lot 7.10
—SPECIFICATION5—
Block
— — FOUNDATION — —
Sy
Exterior I Interior or Piers
Subdivision W
Material
o
Width 6 Thickness of Footing I`T..
2
Name of Planned Unit Dev:
Width of Foundation Wall I to
e
Depth below fin, grade I t
— — FRAMING — —
Maximum
Size
I Spacing 11
Span
(Circle Correa classification)
Girders
1.
Type of Construction I, 11, 111, IV,
Joist, 1st FI. -
IZ1E 10
rr
I O.G�
2.
Fire Resistivity 1 -Hr. 2-Hr. 3-Hr. 4-Hr.
Joist, 2nd Fl.
`•'"
3:
Occupancy Group A, B, C, D, E, F, G, H,�J
Joist, Ceiling
I
I r 0.4.
Division .1, 2, 3, 4
4.
Use Zone R-E(D RLM R-M R-H R-P RMP M-L
Exterior Studs
IZf
I1 rt0•GG
5.
M-M B-P BA H-B B-G C I-L 1-9
Fire Zone 1, 2, O
Interior Studs
Roof Rafters
I
TOTAL VALUE ZI C4'#'±ST ,
-- C O V E R I N G --
Includes all subcontracts; excludes land value..
Exterior Walls Roof
Valuation subject to approval of Building Inspector. -'
Interior Walls Reroof
DESCRIPTION OF WORK
I hereby ack wledge 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-
y
S1rUCtian.
Signature of owner__ ..._._ _ _._ ...____ - ..___,..
cal loft Check No. Date lo2 1975
F.��eI c» sty
VALUATION aryr Fees 1
j arul Inspections 1
oC / v Total
PLANNING AND ZONING INFORMATION
Type of Occupancy I /�- /Lv,D
Total Floor Area Z12aa
No. of Stories .x/O Total Height
-Plat File No. /1/- Y Area of Lot
Frontage
New Construction Alter
Change of Occupancy from
To
d
m
N
1
Off -Street Perking
_
(No. Cars?
Interior Lot
Corner Lot
❑
Reversed Corner Lot
❑
- A S
/J'0 2
Approved Variance Reference
ZBA Case No. Date -
BBA Case No. Date
Approved�:F ithe C f ildi g l or