HomeMy WebLinkAbout913 BOLTZ DR - PERMITS - 11/3/1974City 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)
Name _k
Mail Address
Name w;II,
Address `_C�> ,,
--17TL t
Name of Planned Unit Dev:
—CLASS OF WORK —
New 1 I Demolish I
Alteration I I Repair
Addition I I Move I
Use of Building S _
Size of Building �$t�--g Fj' 1H ght
No. Floors Z No. Families t
Floor Type �(. ���Size of Basement
No. of Fireplaces - Size of Garage'�'¢'xZ'
No. Baths / Type of. Heat- r r A-
' —SPECIFICATIONS —
FOUNDATION - —
— Width G Thickness of Footing
Width of Foundation Wall
Depth below fin. grade
— — FRAMING — —
or
(Circle Correct ciassificotion)
1. Type of Construction I, II, III, IV, ®
Girders
I
I
I
Joist, IsNFI_
_
2r Fire Resistivity 1 -Hr. 2-Hr. 3-Hr. 4-Hr.
Joist, 2nd FI.
,
3. Occupancy Group A, B, C, D, E, F, G, H, Q J
Joist, Ceiling
Division 1, 2, 3, 4
A. Use Zone R-Ei'�R�- RLM R-M R-H R-P RMP M-L
Exterior Studs
M-M B•P BA H-B B-G C I-L 1-G
5. Fire Zone 1, 2, a)
.Interior Studs
VALUE ��o
all subcontracts; excludes land value'Valuation subject to approval of Building Inspector
C O V E R I NGIncludes
rR�IRGIW�torsTOTAL
aits /y;�
Roof�DESCRIPTION
OF WORK
MII, )4 "
1 hereby ocknowledge that I have read this application
and state that. the above is correct and agree to comply with
oil city ordinances and state laws regulating building con-
struction.
Signature of ow-.*�/'�_.._o�..-.t
Plan Check No. Date:.
ft 6an a&
Bldg. F» s
VALUATION Other wo 1 I
ow Inspections I V
Total
PLANNING AND ZONIN% INFORMATION
Type of Occupancy / , / ,a
Total Floor Area
No. of Stories Total Height
Plat File No. ,'J� Area of Lot /p/�78'
Frontage
New Construction Alter
Change of Occupancy from
To
Off -Street Parking ---- ___ .._
(No.ny
Interior Lot
Corner Lot
Reversed Corner Lot O _
0
ip
d
�V
a
•I n
«
0
4rj3.--��
Approved Variance Reference
ZBA Case No. Date
BBA.Cose No. Date
Approve the Chie uilding�yjl4Sysp-�ector