HomeMy WebLinkAbout3500 Lancaster Dr - Permits/Sprinkler - 04/07/1975City 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 TNIS SECTION ONLYI
—CLASS OF WORK—
^
Building Address LJ SOOiia-....e-a.a 0.t
_
New ! I Demolish
Date of Application G.� I9/`✓
Alteration I Repair
,f.�
Name it /���r-.---nee
Addition
I�
I I
Move
s,
—
Mail Address
Use of Building _
O
City Tel. No.
Size of Building Height
,,��.// �/77
Name �hsJ-it"aK.nl'Ja _.G-a.�.rA• P
No. Floors
No, Families
Address �.�_!-�[ 9 �, G r
floor Type
Size of Basemen!
oCity
����: ~�
No. of Fireplaces
Size of Garage
Uj
City License No. ' �J "i Tel. N.,I- - C, 01-'L
No. Baths
Type of Heat
Lot
—SPECIFICATIONS—
Block
— — FOUNDATION — —
a
°
Subdivision
Exterior Interior or Piers
Material
o
Width & Thickness of Footing
Name of Planned Unit Dev:
Width of Foundation Wall I
n
a
J
Depth below fin. grade I I
— — FRAMING — —
Maximum
Size
Spacing
Span
(Circle Correct classification)I
1.
Type of Construction I, II, III, IV, V
Girders
I
I
2.
Fire Resistivity I-Hr. 2-Hr. 3-Hr. 4-Hr.
Joist, Ist FI_
I
I I
Joist, 2nd Fl.
I
I
I
3.
Occupancy Group A, B, C, D, E, F, G, H, I, J
Joist, Ceiling
Division I, 2, 3, 4
Exterior Studs
I
I
I
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 14 I-G
interior Studs
I
I
I
5.
Fire Zone 1, 2, 3
Roof Rafters
TOTAL VALUE OU —
— —
— COVER 1 N G —
Includes all subcontracts; excludes land value.
Exterior Walls
Roof
Valuation subject to approval of Building Inspector.
Interior Walls
Reroof
DESCRIPTION OF WORK
rR..-�-cr� f�.�-f-t�-�--9
I hereby acknowledge that I have read this application
and state that the above is correct and agree to comply with
o
all city ordinances and state laws regulating building con-
struction.
Signature oowner__.-____ .- _'j _- __.___- __ .-__-______ _ .___
2Pi ®Fjgc5No. Date Issuad�Pq 7 1975
ee�� ��1 Bleg. Fw i
VALUATION Otter Fees
am Inspections
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
Off -Street Parking __---- --- __-______
(No, Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
�
8
vIT
~IY
�
i
N
ul
0
`V
Street-------- ------------------- ----------- -_---------
Approved Variance Reference
ZBA Case No. Date
BOA Case No. Date
7101C
For ihe.0 'ef ng Inspector
i�
By__ __ -t! ___—