HomeMy WebLinkAbout1204 Clark St - Permits/Single Family New - 11/02/1978City 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) I
—CLASS OF WO
�7 �y_,
Building Address ����-(-,� /J �" �i/ New I I Demo
Dateof Application 19 Alteration - I I Re air
Nome <-g I%%cz%-
Addition I I
M ve OCT 7 1918
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OMail
Address 4y- l'//,rP,t C/''
Use of Building
Tel. No. %
City / .I%//�As /�'�/C�
Size of Building � �
g ! CHeight
Nome
No. Floors �,
No. Families �jrJli/C
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Address
Floor Type
Size of Basement_- ZA,%O'
cCity
No. of Fireplaces
Size of GarageniGi6i'
0
1City
License No. Tel. No.
No. Baths _
Type of Heat 4
Lot
—SPECIFICATIONS—
Block
— — FOUNDATION — —
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Exterior Interior or lets
Material I CtC(!�- iI
Subdivision !;/�E-its//%L% a
o
o
Width & Thickness of Footing
Name of Planned Unit Dev: ,�,g„L -
a
Width of Foundation Wall
o
Depth below fin. grade I %' I
— — FRAMING — —
Maximum
Site I
Spocing
Span
(GIrCI! Correct classification)
_
1. Type of Construction I, II, III, IV, �yJ
Girders
_
2. Fire Resistivity CHr: 2-Hr. 3-Hr, 4-Hr.
Joist, 1st FI_
Joist, 2nd Fl.
if'r .•-2V(0
3, Occupancy Group A, B, C, D, E, F, G, H,�CJ
Joist, Ceiling
s I D
y�t `
l /& I ti�g
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4
Division 1, 2, 3, 4
4. Use Zone R-ERM R-M R-H R-P RMP ML
Exterior Studs
I'
M-M B-P B-L H-B B-G C I-L 1-G
Interior Studs
I.
I r-
5. Fire Zone 1, 2,
Roof Rofters
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TOTAL VALUE "�
Includes all subco zts; excludes land value.
— —
— C O V E R I N
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Exterior Walls i' Ka�-'I
rCoof-1`/.S/'/p,�'ei
Valuation subject to approval of Building Inspector.
Interior ALI " Q/,t u e/i
IReroof
DESCRIPTION OF WORK
I hereby acknowledge that I have read this application
and state that the above is correct and agree to comply with
all city ordinances and stP ws regulating building con-
STNCTIOn.
Signature of o ner.-_.- .__
By------ .. - - - ---'-- ----- �=-'—-------- ---"----
Plan Check No. Date Issued PN1V 2 1978
(][��
VY 2 V' 3 0 Bldg. I" It -
VALUATION Dtner Flan
3 am InlalChons I
Total 2 -
PLANNING AND ZONING INFORMATION
'Type of Occupancy
Total Floor Area Iv' 37 L1IZ' %Z O
f L3A�M'��r' S3lo�
No. of Stories Total Height
Plat File No. `3 `20 Area of Lot 13, ftY9
Frontage 4 0
New Construction Alter
Change of Occupancy from
To
r-/ o
Off -Street Parking ___-.
(No.
Cars)
Interior Lot
19
Corner Lot
❑
Reversed Corner Lot
❑
ti
I Y
16
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Street __.".'-=--`------^b
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Approved Variance Reference
ZBA Case No, Date
BBA Case No, Date
Approved: For the Chief Buildirlig Inspector
By-w-8-- -'---- --`- -------