HomeMy WebLinkAbout1512 Constitution Ave - Permits/Other - 04/28/1969City of Fort Collins BUILDING INSPECTION Plan Check No., 8W Date Issued rVR t d
DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY 12 2 750
Bldg. Fee t
TO BUILD, ALTER, REPAIR, ADD TO OR WRECK A BUILDING OR STRUCTURE
(APPLICANT FILL IN THIS SECTION ONLY)
Building Address L� j<, ,-
—CLASS OF WORK —
New I
Demolish
Date of Application 19 f-
Alteration I I
Addition I I
Repair
_Name i _- --r_-
Move
oMail
_
Address i� /� ! V
Use of Building
City Tel. No.
Size of Building Height
Name /
No. Floors
No. Families
uAddress
o
oCity
V
No. No. Rooms
_
Size of Basement
Size of Garage
No. of Fireplaces
City License No. Tel. No.
No. Baths
Type of Heat
Lot
— SPECIFICATIONS —
— — FOUNDATION — —
Block
c
Subdivision
Exterior Interior or Piers
n
Material
Width 6 Thickness of Footing
o
Width of Foundation Wall
o
O
J
Depth below fin. grade
— — FRAMING — —
Size
Spacing
Maximum
I Span
(Circle Correct classification)
1. Type of Construction I, II, 111, IV, V
2. Occupancy Group A, B, C, D, E, F, G, H, 1, J
Division 1, 2. 3, 4
3. Use Zone R-E R-L R-M R-H R-P M-L M-M,
B-P B-L B-G C I-L I-G
4. Fire Zone 1, 2, 3
Girders
Joist, 1st Fl.
Joist, 2nd F1.
Joist, Ceiling
Exterior Studs
Interior Studs
TOTAL VALUE
Includes all subcontracts; excludes land value.
Valuation subject to approval of Building Inspector.
DESCRIPTION OF WORK
Roof Rafters
— — C O V E R I N G — —
Exterior Walls
Roof
Interior Wells
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.
Signature of owner
By------- ----- ----------- - ----------
WALIJAMN Omer Fee
orb Inspections
Total —�
PLANNING AND ZONING INFORMATION
Type of Occupancy
Total Floor Area
No. of Stories Total Height
Area of Lot
Frontage
New Construction Alter
Change of Occupancy from
To
Off -Street Parking ---------- ___-_------_
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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Street ------ ��f%ssf '_ 4_T_is --�----
Approved
Zoning Board of Appeals
By ----
Approved: Chief Building Inspector
By--- --- - -------------