HomeMy WebLinkAbout928 W LAKE ST - PERMITS - 3/12/1976City 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 1'..? ,p- I,�I. L o- l<
I
New I I Demolish
h Dote of Application J — // 19016'
Alteration I Repair
Name
Addition I I
Move
a
OMail
Address %"7 f' LJ L Q /< t
Use of Building _
City rho r I' C o /I, „ s Tel. No. y g y. g 8 v a,
Size of Building Height
Nome PEASE NOME 1sADRO\(EMENTC INC
No. Floors
No. Families
rxr, _„�
Address 3848 So. College Ave.
Floor Type
Size of Basement
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city Fort Collins, Colorado 80521
No. of Fireplaces
Size of Garage
U
City License No. S /L Tel. No. ge_],5NR.3.
No. Baths
Type of Heat
Lot
—SPECI FICAT10NS--
Block
— — FOUNDATION — —
c
I Exterior I Interior or Piers
Subdivision
Material
o
Width 6 Thickness of Footing I '
—
Name of Planned Unit Dev:
Width of Foundation Wall '
!
Depth below fin. grade 1
— — FRAMING — —
Maximum
Size
Spacing
Span
(Circle Correct dassificotion)
1.
Type of Construction 1, II, III, IV, V
Girders
2.
Fire Resistivity 1 -Hr, 2-Hr. 3-Hr. 4-Hr.
Joist, Ist Ff.
'
Joist, 2nd FI.
'
3.
Occupancy Group A, B, C, D, E, F, G, H, I, J
Joist, Ceiling
I
Division 1, 2, 3, 4
Exterior Studs
_
4. Use Zone R-E RA RLM R-M R-H R-P RMP M-L
M-M B-P B-L H-B B.G C I-L I-G
Interior Studs
5.
Fire Zone 1, 2, 3
Roof Rafters
I
'
TOTAL VALUE 3 / a 0. o o
Includes all subcontracts; excludes land value.
— COVERING —
Exterior Walls
Roof
Valuation subject to approval of Building Inspector.
Interior Walls
I Reroof
DESCRIPTION OF WORK
(f W l / -f 4 JS fl
I hereby acknowledge that I have read this application
!P .� e e.�
and state that the above is correct and agree to comply with
s / --
all city ordinances and state laws regulating building con-
.p
struction.
Signature of owner-
%___.(/��_07._a_-y�_,(,2____-_,
_.____.__Jl__ ---_______..__.__
Plan Check No, oo» Issued {BAR 12 1976
9491]1
Blag. Fa i 7 e_o 0
VALUATION onar FasnspeI '
and Ictions
l d d. 0 0 Tatol o o
PLANNING AND ZONING INFORMATION
Type of Occuponcy
Total Floor Area
No. of Stories Total Height
Plat File No. Area of Lot
New Construction Alter
Change of Occupancy from
To
Otf-Street Parking __._..._._______-
(W. Can)
Interior Lot Cl
Corner Lot ❑
Reversed Corner Lot ❑
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8
N
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`ALL
Street _--- 1_n11-1—,)-_42e" ti:_4 �_.._..
Approved Variance Reference
ZBA Case No. Date
BBA Case No. Date
Approved: F r he Ch'f Building Inspector
By-------- __._ __.____.___-____.__._.__�___.—_