HomeMy WebLinkAbout411 S Impala Dr - Permits/Addition or Alteration - 04/28/1976City 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 —
Building Address ���%% ���J�� New I I Demolish
Date of Application / ,�/ 19Z Alteration I I Repair
Name // /: r �'� ,/ r/ 6 n e S
Addition
I I
Move
3
Mail Address 9'- fAI-1b� nY
Use of Building —
O
City r �i0��'`jS Tel. NdW.,)L-7%J /
Size of Building Height
Name
No. Floors
No. Families
u
Address
Floor Type
Size of Basement
0
c
City
No. of Fireplaces
Size of Garage
ul
City License No. Tel. No.
—
No. Baths
Type of Heat
Lot
—SPECI FICATIONS—
Block
— — FOUNDATION — —
c
Subdivision
I Exterior I Interior or Piers
Material
o
Width & Thickness of Footing
Name of Planned Unit Dev:
Width of Foundation Wall
o
O
J
Depth below fin. grade
-- F R A M I N G --
Maximum
Size
Spacing
Span
(Circle Correct classification)
1. Type of Construction I, II, III, IV, V
Girders
2. Fire Resistivity 1 -Hr. 2-Hr. 3-Hr. 4-Hr.
Joist, 1st FI.
2nd FI.
3. Occupancy Group A, B, C, D, E, F, G, H, I, J
_Joist,
Joist, Ceiling
Division 1, 2, 3, 4
Exterior Studs
4. Use Zone R-E RA RLM R-M R-H R-P RMP M-L
M-M B-P B-L H-B B-G C I-L I-G
Interior Studs
5. Fire Zone 1, 2, 3
Roof Rafters
TOTAL VALUE
Includes all subcontracts; 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 laws regulating building con-
struction.
--R�a Signature of owner . ----- I---
d By------ 4-k 1
. ---------�------r�
Plan Check No. Dote Issued APR 2 8 1976
'^/ �- "(/�(►
6 Bldg. Fes S
VALUATION Other Fee: I
,per and Inspections
v Total
PLANNING AND ZONING INFORMATION
Type of Occupancy
Total Floor Area
No. of Stories Total Height
Plat File No. Area of Lot
Frontage
New Construction Alter
Change of Occupancy from
To
Off -Street Parking -------__------_--_---
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
0
0
�
v
y
>
+-
n
is
N
0
LL
Street----------------------------- —------------ ----------
Approved Variance Reference
ZBA Case No. Date
BBA Case No. Date
Approved: For the Uief Building Inspector