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HomeMy WebLinkAbout419 S IMPALA DR - PERMITS - 9/4/1979 (3)"T City 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) J Building Address' —CLASS OF W -1C— New I I D olish I Date of A licatio 19%g Alteration I I epoir y +� //— , Name &N—� �-C1 Addition I I Mo aAUG 2 3 f 9y9 v OMail f Address 131 6 r Use of Building Tel. No.;Z Size of Building 3a �r44, Height Name No. Floors _ No. Families IV u Address Floor Type� 'Size of Basement o o City No. of Fireplaces e)!1,._1%_g._ Size of Garage VI City License No. "Z/L7 Tel. No. No. Baths Type of Heat Lot I — SPECIFICATIONS — — — FOUNDATION — — Block c nSubdivision( Exterior �Interior or,Piers Material I I �"y►-Pi `-� Width & Thickness of Footing I �,If fLi I p 0 Name of Planned Unit Dev: Width of Foundation Wall '3 a J Depth below fin. grade I 3e> �t — — FRAMING — — Size Spacing I Maximum Span (Circle Correct classification) 1. Type of Construction I, 11, III, IV 2. Fire Resistivity 1-Hr. 2-Hr. 3-Hr. 4-Hr. 3. Occupancy Group A, B, B-4 E, H, � % M, ( 3, 4, 5 Division 21F`ARLIVI 4. Use Zone R-E, R-L, R-H, R-P, RMP, B-P, B-L, H-B B- , C, I-L, I-G, I-P 5. Fire Zone 1, 2,_�y Girders, Joist, 1st FI. Joist, 2nd FI. - 2 % U /� C) Joist, Ceiling Exterior Studs Interior Studs L1 I D Roof Rafters q"4Q ) I .2 p e/ TOTAL VALUE Includes all subcontracts; excludes land value. Valuation subject to approval of Building Inspector. DESCRIPTION OF WORK —— C O V E R I N G —— Exterior Walls Roof Interior Walls I Reroof I hereby acknowledge that I have read this application and state that the above is correct and agree to comply with [_/� © DO� "✓ all city ordinances on state I s regulating building con- struction. Signotu of own r (A By--------------- - ------------- --------------- PIi� i 'FJ [ 82 , Date Issued Bldg. Fee VALUATION other Fees O� S no (, Inspections lv se Total 3 9 % PLANNING AND ZONING INFORMATION Type of Occupancy g ^ / Total Floor Area Occupancy Load No. of Stories d Total Height J, Plat File No. :)q q _ / Area of Lot, ImokP Frontage / q Q, /C' _ New Construction Alter Change of Occupancy from 19 N.E.C., 19 UBC, UPC, & UMC Off -Street Parking ____-_-_5�a____M_LkAY- (No. Cols) Interior Lot [ Corner Lot Reversed Corner Lot �0 6 Q� °o � rr V m = a in r r_o V�LL Street__ Annrnved Vnrinnrp Rpfprpnrp ZBA Case No. Date BBA Case No. Date Approved: For the ChiefBuildingInspector By ° ---- Q- - — - ---=" ----- -- - " =-