HomeMy WebLinkAbout616 POWDERHORN DR - PERMITS - 10/4/19773o lA-P Ian
City of Fort S BUILDING INSP CTION DIVISION
�3a APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
TO BUILD, ALTER, REPAIR, ADD TO OR WRECK A BUILDING OR STRUT( RE /� n
(APPLICANT FILL IN THIS SECTION ONLY)
—CLASS OF WORK —
Building Address(0I I
_._KNew I / Demolish
Date Date of Application 19 Alteration - _ Repair
--
Name I _ Addition I I Move I
w
c
3r
Mail Address
of Building
r
City Tel. No.
Size of Buildin Hei ht �
Nome
_No. Floors No. Families
to
Address
Floor Type "y61 Size of Basement
oCity
No. of Fireplaces �__ Size of Garage r
L)
City License No. - r�tq Tel. NoicizA-�R1
No. Baths I
Type of HeatG
ILot�>
—SPECI FICATIONS—
^
Block
— — FOUNDATION — —
c
nSubdivision
— -
Exterior Interior or Piers
Material
Width d, Thickness of Footing t / M
1]
Name of Planned Unit Dev:
Width of Foundation Wall I n /r
o
J
Depth below fin. grade
— — FRAM 1 N G — —
Maximum
___.
Size
I Spacing
I Span
(Circle Correct classification)
Girders Joist, Ist Ff.
_
I _�
I _.-_
I III
11
_
1. Type of Construction I, II, III, IV, V
2. Fire Resistivity 1 -Hr. 2-Hr. 3-Hr.
3. Occupancy Group A, B, C, D, E, F, G, I, J
Joist, 2nd FI.
I //
1 J �
lsion 1, 2, 3, 4
Joist, Ceilin I
/1���(
4. Use Zone R-ERLM R-M R-H R-P RMP MA
®RLP
Exterior StudsM-M
BA H-B B-G C I-L I-G
Interior Studs
5. Fire Zone 1, 2, 3
Roof Rafters
----
TOTAL VALU V', �
— COVERING
Includes all sUbco►troc s; ex2tGdes land valuep�BA
——
Exterior
Roo
Valuation subject to approval of Building Inspector.
DESCRIPTION OF WORK
Interior Walls i --'0'
Reroof
I hereby acknowledge tat I have read this application
and state that the above is correct and agree to comply with
- - all city ordinances and state laws regulating -It AZLcon
struction. JWVing
'
h/� ,
Q Signature of ownel!: / vim^ O��GfC
By- - - -------------------- -
Plan Check No. Date Issued ;T.J['J 1IT
492 o
rr
Bldg. F«
VALUATION other Fees
anal Inspections
PLANNING AND ZONING INFORMATION
Type of Occupancy iXMBWc I S 1 *s us k tZ
Total Floor Area I f Z -z VTvz
57Z0V 1� W SiZ ii--A it+t
No. of Stories _ Total Height
Plat File No. Area of Lot
Frontage
New Construction Alter
Change of Occupancy from
To
Off -Street Parking --.- r
(No ars)
Interior Lot
Corner Lot ❑
Reversed Corner Lot ❑
Approved Variance Reference
ZBA Case No. Date
BBA Case No. Date
Ar17roved: o/he Ghief ui in Inspector
By i` - A(-'1-14- - -� 7-------------