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HomeMy WebLinkAbout1400 Skyline Dr - Permits - 09/14/1976City 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) Building Address Date of Application. J19Z —CLASS OF WORK — New I I Demolish Alteration I Repair Name Addition I I Move a, Mail Address Use of Building O City Tel. No. Size of Building Height No. Floors No. Families Name Address f (� ty Floor Type Size of Basement 0 c City No. of Fireplaces Size of Garage o ul City License No. Tel. No. — No. Baths Type of Heat Lot —SPECIFICATIONS— — — FOUNDATION — — Block Subdivision I Exterior Interior or Piers Material I Width 6 Thickness of Footing o Name of Planned Unit Dev: Width of Foundation Wall e Depth below fin, grade — — FRAMING — — Size Spacing Maximum Span (Circle Correct classification) 1. Type of Construction I, II, III, IV, V 2. Fire Resistivity 1 -Hr. 2-Hr. 3-Hr. 4-Hr. 3. Occupancy Group A, B, C, D, E, F, G, H, 1, J Division 1, 2, 3, 4 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 5. Fire Zone 1, 2, 3 Girders I I Joist, 1st FI_ Joist, 2nd Fl. Joist, Ceiling Exterior Studs I Interior Studs I II I Roof Rafters TOTAL VALUE Includes all subcontracts; excludes land value. Valuation subject to approval of Building Inspector. DESCRIPTION OF WORK COVERING — — Exterior Walls Roof Interior Walls Reroof /ii�fi J��`l 1 2 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 k �Q(�-<uPr- - _ _ By- ---- - --------- ---------------------------- ---------------------- ------------ Plan Check No. SAP 1976 §' ,, _ Date Issued j#LISA ' ether Fee s ;�� �I � Other FeesIle I I onh Inspections 0 Total PLANNING AND ZONING INFORMATION Type of Occupancy 'Z ,, Tote) Flow 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 Q Reversed Corner Lot ❑ 0 6 Y o: �IV � v e `c 0 '"JLL Street--------------- --------------------- --- Variance Reference ZBA Case No. BBA Case No. Date Approved: For the Chief,Building Inspector