HomeMy WebLinkAbout642 Smith St - Permits - 04/05/1968City of Fort Collins BUILDING INSPECTION
DIVISION r
APPLICATION FOR BUILDING PERAAIT AND CERTIFICATE OF OCCUPANCY
TO BUILD, ALTER, REPAIR, ADD TO OR WRECK A BUILDING OR STRUCTURE
(APPLICANT FILL IN THIS SECTION ONLY)
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—CLASS OF WORK —
New I I
Demolish
Building Address A I' -Z I)
aY1� -S
Date of A lication ' i .� 1
Alteration
ration
f
Name
Addition I I
Move
m
3
)�
Mail Address U' L}- rYl (
Use of Building
O
l
City /) _L (r, i IIY Tel. No l'll 4(J.a
Size of Building Height
No, Floors No. Families t
Name
L
°
5
Address 1 t_ " iw J !; ` ;< , E (
_
No. Rooms _
Size of Basement
City '"' '. ! I ':
Size of Garage
a
t
No. of Fireplaces
o_
V
City License No. .1� Tel. No + 1,
No. Baths
Type of Heat
Lot
—SPECIFICATIONS—
Block
— — FOUNDATION — —
Subdivision
Exterior Interior or Piers
I•„ Material
a
Width 6 Thickness of Footing
Width of Foundation Wall
c
01
,'
Depth below fin, grade
— — FRAMING — —
Maximum
Size
I Spacing J
Span
(Circle Correct classification)
1. Type of Construction I, II, III, IV, V
Girders
Joist, 1st FI.
2. Occupancy Group A, B, C, D, E, F, G, H, I, J
Joist, 2nd FI.
Division 1, 2. 3, 4
3. Use Zone R-E R-L R-M R-P M-L M-M,
Joist, Ceiling
B-P B-L B-G C I-L I-G
Exterior Studs
I
I
I
4. Fire Zone 1, 2, 3
Interior Studs
TOTAL VALUE 77/9%[j
Roof Rafters
— — C O V E R I N G — —
Includes all subcontracts; excludes land value.
Valuation subject to approval of Building Inspector.
Exterior Walls
Roof
_
Interior Walls
Reroof
DESCRIPTION OF WORK
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 con-
struction.
i Signature of owner. .:___a:; - -
By- -------------- --------------------- --------------------- ----------
MCheck No . Dote t
/j f¢k
Bldg. Fee S / -�-
VALUATION Other Fees
and Inspections
$ i % Total
PLANNING AND ZONING INFORMATION
Type of Occupancy
Total Floor Area
No. of Stories Total Height
Area of Lot
New Construction Alter
Change of Occupancy from
To
m
w
Off -Street Parking ..._.._-.____--_.
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
`o
r
tic. $
z
�IV
i
a
Street _------_
Approved
Zoning Board of
By------- ----------------- - ----- ------ ----- ---
Approved: ~ Building Inspector
By--- - - --