HomeMy WebLinkAbout619 W Lake St - Permits/Reroof - 12/30/1999City 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)
—CLASS OF WORK —
Building Address (9 7 (/J - {—A� Sf r
I I
New Demolish
Date of Application / 7 192Alteration I I Repair
Name �i 0
Addition I I
Move
L
Mail Address SGJ i�
Use of Building �i r° C� _
O,.�J�jo
City i ...e, - T.I. No. -OJO
Size of Building Height _
Name Sp-p /'sr5
No. Floors 2
No. Families 2
u
,�?
Address /OAS % Sf
Floor Type
Size of Basement
o
City �. CEO
No. of Fireplaces
Size of Gorage&'MV
UI
City License No. -j -2,- Tel. No. 45P 1.1 5-6
No. Baths
Type of Heat
Lot
—SPECIFICATIONS—
Block
— — FOUNDATION — —
I Exterior Interior or Piers
Subdivision
Material I I
Width 6 Thickness of Footing I I
Width of Foundation Wall
—
Name of Planned Unit Dev:
Depth below fin. grade I I
— — FRAMING — —
Maximum
Size
Spacing
Span
(Circle Correct classification)
1. Type of Construction I, II, III, IV, V
Girders
I
I
2. Fire Resistivity I-Hr. 2-Hr. 3-Hr. 4-Hr.
Joist, 1st FI.
I
I
I
Joist, 2nd FI-
I
I
I
3. Occupancy Group A, B, C, D, E, F, G, H, I, J
Joist, Ceiling
Division 1, 2, 3, 4
Exterior Studs
I
4. Use Zone R-E RA RLM R-M R-H R-P RMP MA
M-M B-P BA H-B B-G C I.I. I-G
Interior Studs
5. Fire Zone 1, 2, 3
Roof Rafters
I
I
I
TOTAL VALUE /n f 1/
-- COVERI N G --
Includes all sub n ac s; excludes land value.
Exterior Walls
Roof
Valuation subject to approval of Building Inspector.
DESCRIPTION OF WORK
Interior Walls
Reroof
I hereby acknowledge that 1 have read this application
and state that the above is correct and agree to comply with
'T r`,ny all city ordinances and state laws regulating bui di g con-
struction.
Signature of owner___q_-},-[-.P--.-.
By--- ----------------------------- ____--- _------- _______--.____-____
Plan Check No. Dote Issued MAY 17 1974
i�(� 2 r R" Bldg. Fm $
VALUATION Omer cs
arq Inspections
�—
rmat
PLANNING AND ZONING INFORMATION
Type of Occupancy
No, of Stories Total Height
Plat File No. Area of Lot
Frontage
New Construction Alter
Change of Occupancy from
To
Off -Street Parking
(No. Carat
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
0
`o
a
m ^ v
i
ul y
_JLL
Street__. ______
Approved Variance Reference
ZBA Case No. Date
BBA Case No. Date
Approved: /Fr Qrr the
Chief B ildin s e r
By--------