HomeMy WebLinkAbout416 Mathews St - Permits/Accessory or Secondary Building - 07/10/19734 •1
City of Fort CiollinS 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 L.IZ
New I if I�
Demolish
.✓•'Q
Dote of Application 19
Alteration I I
Repair I
Name V I.
Addition I I I
Move
w
3
Mail Address qfqp
Use of Building f--
q
Cit ` Tel.
Size of Building/ Height t
i
�, } S
No. Floors
No. Families
_Name q
Address ,� [/ 1/'-t..
Floor Type
Size of Basement
a
`cl
Ciry�
_
No. of Fireplaces
Size of Garage
o
U
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City License No. c3-/O2 Tel. No,4b)-5I/4
No. Baths
Type of Heat
Lot
— SPEC I F ICATIONS—
Block
— — FOUNDATION — —
Subdivision
I Exterior I Interior or Piers
b
Material I I
Width 6 Thickness of Footing
Width of Foundation Wall I I
e
�a
Depth below fin. grade I I
— — FRAMING — —
Maximum
Size
Spacing
I Span
(Circle Correct classificotion) �
1. Type of Construction 1, II, III, IV, U
Girders
I
I
I
1st FI.
2. Occupancy Group A, B, C, D, E, F, G, H, I, ,Joist,
Joist, 2nd FI.
I
I
Division 1, 2. 3, 4
3. Use Zone R-E R-L RLM R-M R-H R-P RMP M-L
Joist, Ceiling
Exterior Studs
M-M B-P �B1 B-G I-L I-G
4. Fire Zone 1, 2, V3
l
Interior Studs
I
I
I
TOTAL VALUE
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
DESCRIPTION OF WORK
Interior Walls
Reroof
90 C I hereby acknowledge that I have read this application
�'_(1_ and state that the above is correct and agree to comply with
JAVI - %-_ all city ordinances and state a r g sting building con-
/•.
Yad-- strut 1 i SiluVK
g �atur of owner, ------------
Plan Check No. Date Issued
rl
Bldg. F. S
VALUATION Omer Fees I I
and Intpectlons I 1
(O/J Total
PLANNING AND ZONING INFOR�tdATION
Type of Occupancy o---• '
Total Floor Area
No. of Stories Total Height
Area of Lot
Frontage
New Construction \11� Alter
Change of Occupancy from
Off -Street Parking .___-_
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑`
I
a
o
Street44Yv—a',_C>,t_S__—___--__
Approved
\J -----Zoning Board of Appeals
/ BY --------_____—__
Approved: Chief Building Inspector
By------ -- - / ; rl, - --�------- --- --