HomeMy WebLinkAbout116 2nd St - Permits/Addition or Alteration - 09/19/1976�Z
CO` lI1S BUILDING INSPECTION DIVISION CR37 of Foist
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
New I I Demolish I
Date of Applical.p— Iq 19 Alteration I I Repair I
Name
Addition
I (
Move
oMail
Address ��'(�.�
Use of Building
Cityti �r Tel. No.
Size of Building Height
Name
No. Floors
No. Families
/,� �,,-'''•
- -
Floor Type
Size of Basement
uAddress
o
c
City
No. of Fireplaces
Size of Garage
0
UI
City License No. Tel. No.
No. Baths
Type of Heat
Lot
—SPECIFICATIONS—
Block
— — FOUNDATION — —
Subdivision
I Exterior
Interior or Piers
Material
I
o
Width 3 Thickness of Footing
I
I
Name of Planned Unit Dev:
Width of Foundation Wall
I
I
0
Depth below fin. grade
I
I
— — FRAMING — —
Maximum
Size
Spacing
Span
(Circle Correct classification)
1. Type of Construction I, 11, 111, IV, O
Girders
2. Fire Resistivity 1 -Hr. 2-Hr. 3-Hr. 4-Hr.
Joist, 1st Fl. I
I
Joist, 2nd FI.
3. Occupancy Group A, B, C, D, E, F, G, H, I, 0
Joist, Ceiling
Division 1, 2, 3, 4
4. Use Zone R-E R-L RLM R-M R-H R-P RMP M-L
Exterior Studs
M-M B-P BA H-B B-G C I-L I-G
Interior Studs
5. Fire Zone 1, 2, 3
Roof Rafters
I
I
I
TOTAL VALUE
-- C O V E R I N G --
Includes all subcontracts; excludes land value.
Exterior Walls
Roof
Valuation subject to approval of Building Inspector.
Interior Walls
Reroof
DESCRIPTION OF WORK
/ 1 hereby acknowledge that I have read this application
J and state that the above is correct and agree to comply with
CAMA Z7Ad A & all city. ordinances and state laws regulating building con-
struction.
i
Signature of owner--- - ----- - ------ ---------------------------------------
By------------------------------------------- -
Plan Check No. Daft Issued y--1y— 71r,
Bldg. Fee ; _ --
VALUATION Omer Fees I I
and Impectioru I
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 Occuponcy from
To
Off -Street Parking ---------------------_----
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
Iv
0
E
ne
m ^ �
m v sr
> ..
N N
`c
0
_v,
Street----------------------------- ------------- ----------
Approved Variance Reference
ZBA Case No. Date
BBA Case No. Date
Approved: For the Chief Building Inspector
By �`_ = - -- ------