HomeMy WebLinkAbout417 N ROOSEVELT AVE - PERMITS - 5/6/1976City of Fort CollinS BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERWT 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
I (
New Demolish
/
Date of Application `��C^ / 1.6 19 Alteration I I Repair
Name �C
i
Addition I v I
Move
Mail Address n'r��
Use of Building
3
O
City Tel. No.
Size of Building % ?,do', Height___
No. Floors No. Families
Name
Address
Floor Type c,1/— Size of Basement
0
No. of Fireplaces Size of Garage
City
o
vl
City License No. Tel. No.
—
No. Baths
Type of Heat
Lot
— SPECIFICATIONS-
Block
— —FOUNDATION — —
c
Subdivision
—
Exterior J Interior or Piers
Material
—
Width 6 Thickness of Footing
O
Name of Planned Unit Dev:
Width of Foundation Wall I I
o
Depth below fin, grade I 30
J
— — FRAM I N G — —
- —�I
m
Maximum
Sae
$PaCinfl
Span
(Circle Correct classification)
(Circle
—
1. Type of Construction I, II, III, IV,
Girders
I
I
_
—I
__ --
2. Fire Resistivity 1-Hr. 2-Hr. 3-Hr. 4-Hr.
Joist, lst FI.
Joist, 2nd FI.
3. Occupancy Group A, B, C, D, E, F, G, H,J
Joist, Ceiling
Ision 1, 2, 3, 4
)
Exterior Studs
4. Use Zone R-F3R-L RLM R-M R-H R-P RMP M-L
M-M P H-B B-G C I-L I-G
/,3 r
Interior Studs
I�
5. Fire Zone 1, 2,
( ;I "
Roof Rafters
I
I
I
e
TOTAL VALUE Sy(�, 6-3
-- C O V E R I N G --
Includes all subcontracts; excludes land value.
Exterior Walls Roof
Valuation subject to approval of Building Inspector.
DESCRIPTION OF WORK
Interior Walls Reroof
I hereby acknowledge that I have read this application
and state that the above is correct and agree to comply with
a all city ordinances and state laws regulating building con-
_ struction. �%
r% J
Signature of ownerl�`'-ems
By- -- - ---- - ------------------------ ---------------------- - -
Ian Check No. Pr±Ei"
Dote bsued t 19
4V' 4 t• c
Bldg. Fes i
VALUATION ,� other Foes I
and Inspections
3_ Ji
Total
PLANNING AND ZONING INFORMATION
Type of Occupancy
Totol Floor 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 Q
Corner Lot Q
Reversed Corner Lot ❑
�J
7
S
V'v
d
d
^
v
d
w
o
c
O
V�1L
Street __ f - n --- C---i - r
Aaproved Variance Reference
ZBA Case No. Date
BBA Case No. Date
Approved: For) e Chi�f Building Inspector
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