HomeMy WebLinkAbout914 W LAKE ST - PERMITS - 6/22/1973City of Fort Collins BUILDING INSPECTION
DIVISION
APPLICATION FOR BUILDING PERAUT 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 �/�
I I
New Demolish I
Date of Application 19 Alteration I I Repair
Name Qa
Addition I I
Move
w
3
Mail Address
Use of Building
O
City Tel. No.
Size of Building Height _
Name
No. Floors
No. Families
°)
Address �{ �}ucQ�J
Floor Type
Size of Basement
f City
�p —__
No. of Fireplaces
Size of Garage
o
V
I City License No. �•� / _� Tel. No.
No. Baths
Type of Heat
Lot
—SPECIFICATIONS—
Block
-- F O U N D A T 10 N --
c
°
Subdivision
I Exterior I Interior or Piers
Material
a
-
Width 6 Thickness of Footing
�
Width of Foundation Wall
o
a,
J
Depth below fin, grade
— — FRAM I IN — —
Maximum
Size
Spacing
$pan
(Circle Correct closslfication)
1. Type of Construction I, 11, III, IV, V
Girders
Joist, 1st FI,
2. Occupancy Group A, B, C, D, E, F, G, H, I, J
Division 1, 2. 3, 4
Joist, 2nd FI.
Joist, Ceiling -
3. Use Zone R-E RA RLM R-M R-H R-P RMP M-L
M-M B-P BA B-G C I-L I-G
Exterior Studs
4. Fire Zone 1, 2, 3
Interior Studs
I
TOTAL VALUE ADD D c
Roof Rafters
— — C 0 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
1 hereby acknowledge that I have read this application
7r �� and state that the above is correct and agree to comply with
all city ordinances and Stu laws regu t buil ong con-
struction.
Signature of ner__ . __ _ _- _.__.'_____
By______ - ._ - - ------------- __----- _--_
Plan Check No. pate Iuued ®R 1 0'I
---y�s'� . Fp $ I ...
VRL7/�I iOfV'r 1 V her Fees
ana Intpechons
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 ------__________
C
(No. ars)
Interior Lot D
Corner Lot ❑
Reversed Corner Lot ❑
,A
0
T
O
—I9
L�
�
N
0
—JLL
Street------ ---------- ---- ----- _------ ----- ------ _.
Approved
Zoning Board of Appeals
By------------- ---___--
Approved: Chief Building Inspector