HomeMy WebLinkAbout501 N Impala Dr - Permits/Single Family New - 02/17/1972City of Fort Collins BUILD DI V SIONNG INSPECTION
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 .S O T/Yl G A L A pgz
I X II
I
New,
Demolish
Alteration I I
Repair
Date of Application /--�A 1 'Z 19 %
Name /? /,(/p, Jt 6 / A/C
Addition I
Move
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3
Mail Address 20 7<2,- W', {✓/ N e r{
Use of Building e
O
-
city Fo/T Co/Jr.d3Tel. No. # O/,} o
Size of Building 2/f_Z (S- Height I v
Name S q, IM E-
No. Floors J
No. Families
Address
Floor Type 410601
Size of Basement Ne,v e-
a
`cl
City
No. of Fireplaces ,t/ed e-
Size of Garage J/ Y y7J
o
U
City License No. j) G-1 7 - Tel. No.
No. Baths w
Type of Heat !='A
Lot
—SPECIFICATIONS—
Block -
— — FOUNDATION — —
o
'o
/ ^r1 ``
Subdivision Ae-Ye SrJ 6
Exterior Interior or Piers
< ✓ e IF ILt 5 a /✓/ s/.�A/
Material
- -
_
Width 6 Thickness of Footing
0
_
Width of Foundation Wall
o
o
�
Depth below fin, grade
-
— — FRAMING — —
Mamum
Size
I Spacing
I 'Spxian
I.
(Circle Correct classification)
Type of Construction . I, II, III, IV,
Girders
I GK I p
I
I /0 S"
Joist, Ist FI__
I 2-
2.
Occupancy Group A, B, C, D, E, F, G, 1-1,1 J
Joist, 2nd FI.
Division 1, 2. 3, 4
Joist, Ceiling i ✓us5
I Z x t{
I .i4c
I
3. Use Zone R-E R-L RLM R-M R-H R-P RMP M-L
M-M -B-P B-L -B-G C I-L I- FA
Exterior Studs
I 2Y.¢t
_
4.
Fire Zone 1, 2,
Interior Studs
TOTAL VALUE /DppQ,e�c`
Roof Raftersjy6155
2- Ar/
— — C O V E R 1 N G — —
Includes all subcontracts; excludes land value.
Valuation subject to approval of Building Inspector'
Exterior Walls S I d f X q
Roof Comp s17119/a
Interior Walls
Reroof
DESCRIPTION OF WORK
�✓M, /[U, r/ C� ✓
I hereby acknowledge that I have read this application
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and state that the above is correct and agree to comply with
all city ordinances and state lows regulating building con -
A
� 9eY VA�� %/t/
struetion.
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✓ Y hobo 151121<e/
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Signature of owner- _�_`__b7.._ We.%%l___-j A)-�----- _--------
- _- -
By_-Z_74_J--e�
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_____--------------_________
0.) A.
Plan Check No.
pate
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DEB 17ts76
Bldg. Fee
$
VALUATION
other Fees
_
and Inspections
Total
PLANNING AND ZONING
INFORMATION
Type of Occupancy �-I F/tM
e 3
Total Floor Arta z (p
No. of Stories 6_ s Total Height
Area of Lot {d O g $
Frontage (O.J Jp 3
New Construction %C Alter
Change of Occupancy from
To
Off -Street Parking -.-_-____
(No. Cars)
Interior Lot ❑
Corner Lot 0
Reversed Corner Lot ❑
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X
o
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U
✓�
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Street --- fin l ---- ZA11v4 <A_1) R I - ✓cam
Approved
Zoning Board of Appeals
By---------------------------- —______-_
proved: Chief Buildin nspector
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