HomeMy WebLinkAbout642 SMITH ST - PERMITS - 6/14/1972City 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 7 r1G
I II
New Demolish
Iteration I
Repair
Date of Application 19
Name �i.._crr ��L/�
Addition I
Move
3
�-L^�!�
Mail Address �p .�-y�t,ti?/r{
Use of Building
City Tel. No.' - c)D 3
Size of Building Height
No. Floors No. Families
{'-+'f.�
Name ��...�
_
Address vl 0 b' ;-c
Floor Type
Size of Basement
°
ofGty
G L'� C`_Lf�� c�
No. of Fireplaces
Size of Garage
V
_ _
CityLicense No. C/ Tei. No. j- % S'y1'
No. Baths
Type of Heat
Lot
—SPECIFICATION$—
— — FOUNDATION — —
Block
o
-
Subdivision
Exterior Interior or Piers
- -
Material I I
a
m
Width R Thickness of Footing
Width of Foundation Wall
o
,j
Depth below fin, grade I I
-- F R A M I N G --
Maximum
Size
Spacing
Span
(Circle Correct classification)
_
1. Type of Construction I, Il, III, IV, V
Girders
Joist, 1st Fl.
2. Occupancy Group A, B, C, D, E, F, G, H, I, J
Joist, 2nd Fl.
Division 1, 2. 3, 4
Joist, -Ceiling
3. Use Zone R-E R-L RLM R-M R-H R-P RMP M-L
M-M B-P B-L B-G C I-L I-G
Exterior Studs
4. Fire Zone 1, 2, 3
Interior Studs
_
/
TOTAL VALUE / �,2
Roof Rafters
I
I
I
— — C O V E R I N G — —
Includes all subcontracts; excludes land value.
Valuation subject to approval of Building Inspector.
Exterior Walls
Roof
OF WORK
Interior Walls
Reroof
� c-'�/DESCRIPTION
, �� ��� I hereby acknowledge that I have read this application
and state that the above is correct and agree to comply with
U all city ordinances and state laws regulating building con-
; struction.
Signature of owner
By
-%l--- - -- -
Plan Check No . Date Issued 180•
JUN 14 1972 _
Bldg. Fea ;
VALUATION Other Facts I
ana Inspections
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
Off -Street Parking _ --- _.---__-_-
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
`o
a
`a
a
_V
a v d
`c
0
LL
Street-- -------- - ----- --------------
Approved
Zoning Board of Appeals
By- ---------
Approved: Chief Building Inspector
By-- ----- -- -