HomeMy WebLinkAbout1004 Meadowbrook Dr - Permits/Deck - 05/14/1980City of Fort CollinS BUILDING INSPECTION DIVISION
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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)
M�A�t,1J
—CLASS—OF VVORK—
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Building Address (O (u &<
New I I
Demolish
Date of n, Application tr 1' \\ f 19
Alterotion I I
Repair
Name
Addition
Move
m
0
Mail Address 1 %9DLAVV\ Pt CA�ua 1 2 y2 k 6 {Z
Use of Building
City
Tel. No.Lr)
Size of Building
Height _
Name 1
41
No. Floors
No. Families
2
Address j d' _3a")
Floor Type
Size of Basement
a
c
E
y
City"or'1 ct
•-Nt3
No. of Fireplaces
Size of Garage
U
�) �7
City License No. L �� Tel. No.gAL)-$?03L
No. Baths
Type of Heat
Lot
—SPEC I F ICATIONS—
Block
— — FOUNDATION — —
o
Subdivision
I Exterior llnterior or Piers
Material
—
Width 8 Thickness of Footing
Width of Foundation Wall
Name of Planned Unit Day:
a
c
Depth below fin. grade
-- F R A M I N G --
Maximum
Size
$pacing
Spar
(Circte Correct clossdimtion)
Girders
1.
Type of Construction I, 11, III, IV, V
2.
Fire Resistivity 1-Hr. 2-Hr. 3-Hr. 4-Hr.
Joist, Ist Fl.
Joist, 2nd FI.
3.
Occupancy Group A, B, B-4 E, H, I, M, R
Joist, Ceiling
Division 1, 2, 3, 4, 5
Exterior Studs
4. Use Zone R-E, R-L, RLP, FILM, R-M, R-H, R-P,
RMP, B-P, B-L, H-El, B-G, C, I-L, I-G, I-P
Interior Studs
5.
Fire Zone - _ 3
'
Roof Rafters
TOTAL VALUE
Includes all subcontracts; excludes land value.
— — COVERING
— —
Exterior Walls
Roof
Valuation subject to approval of Building Inspector.
DESCRIPTION OF
Interior Walls
Reroof
IWORK
I hereby acknowledge that I have read this application
C c e r� • `
a.�
Itp C)os
and state that the above is correct and agree to comply with
all city ordinances and state laws regulating building con-
struction.
Signotu o own r__ -------- -----
----� - _
By--- -- -- - - -- ---- -------
--- -- --------------------
VALUATION other fees F j
arb Inspections I
Totol
PLANNING AND ZONING INFORMATION
Type of Occupancy
Total Floor Area
Occupancy Load
No. of Stories Total Height
Plat File No. Area of Lot
New Construction Alter
Change of Occupancy from
19N.E.C., 19UBC, UPC, $ UMC
Oft -Street Parking ------- . _._. -----
(.._.__Ca rs)
No
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
0
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A
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Street— _--------------__-----_--___-----____
Approved Variance Reference
ZBA Case No. Date
BBA Case No. Date
Ap Fo a hief Bnq s ectorBy-------- —