HomeMy WebLinkAbout2104 Clearview Ave - Permits/Addition or Alteration - 05/01/1975City 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 —
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Building Address .� 1 C U If f. Fv Vris kr
New I Demolish
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M Date of Application ay _ f 19 %Y
II
Alteration I I Repair
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Nome k Nf 0 ) k<
Addition I
Move
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OMail
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Address '21 / a 1* e r s- uxer
Use of Building _
City C-e III -yt Tel. No.
Size of Building Height
Name pyl; 4A- :JS� 4�' /
No. Floors
No. Families
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Address fill er" •N
Floor Type
Size of Basement
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City - {. O r ( I i.w,( Or4
No. of Fireplaces
Size of Garage
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City License No. V il--? 2, Tel. No. 4 y)-f (7q`
No. Baths
Type of Heat
Lot
—SPECIFICAT10N5—
Block
— — FOUNDATION — —
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Subdivision
I Exterior Ilnterior or Piers
Material
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Width 6 Thickness of Footing I I
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Name of Planned Unit Dev:
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Width of Foundation Wall
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Depth below fin. grade I
— — FRAMING — —
Maximum
Spacing
Span
(Circle Correct cclassification)Size
1.
Type of Construction I, II, III, IV, V
Girders
2.
Fire Resistivity 1 -Hr. 2-Hr. 3-Hr. 4-Hr.
Joist, Ist FI_
3.
Occupancy Group A, B, C, D, E, F, G, H, I, J
Joist, 2nd FI.
Joist, Ceiling
Division 1, 2, 3, 4
Exterior Studs
4. Use Zone R-E R-L RLM R-M R-H R-P RMP MA
M-M B-P BA H-B B-G C I-L I-G
Interior Studs
5.
Fire Zone 1, 2, 3
Roof Rafters
TOTAL VALUE ;3cd `a
— — C O V E R I NlG — —
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Includes all subcontracts; excludes land value.
Exterior Wails
Roof
Valuation subject to approval of Building Inspector.
Interior Walls
Rercof
DESCRIPTION OF WORK
Steft 4 ptv`fr-M p f }%cure
I hereby acknowledge that I hove read this application
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and state that the above is correct and agree to comply with
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all city ordinances and state laws regulating building con-
struction. ,j��LL�,�.,{ � �pp
Signature of owner -_.'!S__-d:4!J----- _______.By
---- ------------------------- ------ ---- _____________________
Clap Check No. pate Issued PAY
1975
�`�'' Bldg. F« $
VALUATION other F«s
_ and Inspections
Total
PLANNING AND ZONING INFORMATION
Type of Occupancy
Total Floor Area
No. of Stories Total Height
Plat File No. Area of Lot
New Construction Alter
Change of Occupancy from
To
Off -Street Parking _ _ ._.-.---_--___--
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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Street----------------------------- _------------ _--- ----
Approved Variance Reference
ZBA Case No. Date
BBA Case No. Date
A �Jved: FFoorr/t5C ief uil in Inspector