HomeMy WebLinkAbout1501 Brentwood Dr - Permits/Addition or Alteration - 12/30/1999FES 2 8 1959
DIVISION �
City of Fort Collins BUILDING INSPECTION Plan Check No.'�te Issued
3172
1 7
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY -Bldg. Fr s
VALUATION Other Fees
TO BUILD, ALTER, REPAIR, ADD TO OR WRECK A BUILDING OR STRUCTURE and Inspections
(APPLICANT FILL IN THIS SECTION ONLY) "- 'S i Total
`_ n
Building Address ho I d"rr&,4 1^.
Date of Application 19
—CLASS OF WORK —
New I
Demolish
Alteration I I
Repair
Name
Addition I I
Move
c
C
Mail Address .d
d
Use of Building
O
Ci Tel. No.
-
Size of Building Height
Nome /L g-��
No. Floors
_
No. Families
t
n
Address
No. Rooms
Size of Basement
2
No. of Fireplaces
Size of Garage
o
U
-
City License No. Tel. No.
No. Baths
Type of Heat
Lot I�
—SPEC IFICATIONS—
— — FOUNDATION — —
Bloc�
o
Subdivision (�
( Exterior I Interior or Piers
Material 1 1
n
B
Width & Thickness of Footing I 1
O
Width of Foundation Wall I I
o
J
Depth below fin. grade I i
— — FRAMING — —
Size
Spacing I
Maximum
Spon
(Circle Correct classification)
1. Type of Construction I, 11, III, IV, V
2. Occupancy Group A, B, C, D, E, F, G, H, I, 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
1
I
I
Joist, 1st Ff.
1
1
Joist, 2nd Fl.
1
1
1
Joist, Ceiling
Exterior Studs
1)
1
1
Interior Studs
I
I
I
�S
TOTAL VALUE o f-�-4�
Includes all subcontracts; excludes land value.
Valuation subject to approval of Building Inspector.
DESCRIPTION OF WORK
Roof Rafters
1
1
— — C O V E R I N G — —
Exterior Walls
Roof
Interior Walls
Reroof
_
I hereby acknowledge that I have read this application
state that the -Dove is correct and agree to comply with
G ll city ordinances and state laws regulating building con-
struction.
Signature of
�----------y. X- ------- vJ_
Bow t ' -------- 13L A
-------------------
I 0
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 _ -----
• N.
Can)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
a
s:
IV
d v m
N N
0
JLL
Street
Approved
Zoning Board of Appeals
By________._._____ ——____--
Approved: Chief Building Inspector
City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address
Name ,-id.•/.". 1 C�. %7:i?x% /:'! jj`
Mail Address x(-t! �,♦, /`fs.+-v-1/
0
_ ... • Phone
o
Name
�
Address
m
o
, 1
U
License No. Phone
Lot ill
Block ,;Z.
Filing Number
h
Subdivision
N
PLO
>T
Parcel If 97/.-�'`..��ry,
DESCRIPTION OF WORKJy
/
i el P14- 1WW, 1 (31' f'tt�.s
. I lr�
dram. / "-:-
r'J •y�
Stock Options
Plan No. Codes
Est. Total Cost t 'l,? , _:-�
(including labor, material, profit)
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 construction.
_ sicked x--�(^..•\ -date,_
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ 1A ❑ ❑
Plbg. McCh. Bec. Struct. Fire Prot.
Lam✓ n ❑
Occ. Gr. p -5 Type Const. Y4
i
Use Zone
Use of Building . ---a`
Floor Area 1+0
Height
No. Stories
Lot Area
Frontage,
Occ, load
Occ. Chang from / I /
Plat Fileafo'I � �`
ryo.'D U.
Gar ge- rea (a,F.if.Bsmt
area
Type heat
o Fireplaces or stoves
— RELEASES — Dates
Zoning mil_ t f
Engineering r
Fire Department
Electric Department
Water & Sewer
Plan Review -o/C /1r. 1`1&21Z_!%
Special Conditions: /
,+ n
Valuation / (% U U FEES
Plan Check^^'f/�".
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
`'T al,Fees
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot
Reversed Corner Lot ❑
�ry m
z_� 1
\lV m
U
d
�
m
o.
iAXPf9 i s7J=7
TOTL ^46.t"
Street �3f
JUL.W. 66
O
a
ZBA Case # Date
BBA Case# ) Date
Building Insp. Approval
bye/_)��� . ,{ date
�-Permit No.
� '+*tDate `--
Distribution-Orl Original IlcanL elpe-Office Ganar Sales Tax. Pink -A hcanp Te9-Fl .lnsa t �"R`
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