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Cityof Fort.. Collins BUILDING INSPECTION DIVISION Plan Check No.Date Isamd
22497
BUILDIOCT 17 1974
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY Bldg. F« s
VALUATION other Fees
d
TO BUILD, ALTER, REPAIR, ADD TO OR WRECK A BUILDING OR STRUCTURE anInspections
(APPLICANT FILL IN THIS SECTION ONLY) �c/t/ �/ Total
/ —CLASS OF WORK —
' /�G r
�/S
Building
Address ���'11711 /t�f_,°/_�/
:�
New > Demolish
i
Date of ADDlication 1011/¢ 7� 19
Alteration I I Repair
Name .J I m '( w5 ry .� oil
Addition I
Move
3
Moil Address 1'3gj 6;4& ey :d7yJi9LG c�'
Use of Building
O
�
City <-�'.eE�2c _ Tel. NNo�/
Size of Building 4�,UHeight _
Name J/./r✓C%
No. Floors /
No. Families N /y-
��j%ZS
Address /)a �x �9,1
Floor Type �,uc -L'��
Size of Basement/1//f
0
�
/
City ,�%r �O�L/,c//S �L �f.
No. of Fireplaces —
Size of Garage X/�%
OI
City License No. ZAL /ICJ Tel. No. ,j -/ i 70
No. Baths Z
Type of Heat
Lot
—SPECIFICATIONS—
Block
— — FOUNDATION — —
C
°
I Exterior Interior or Piers
Subdivision
Material
u
Width 6 Thickness of Footing
Name of Planned Unit Dev: '
Width of Foundation Wall I I
c
3
Depth below fin. grade
-`'
— — FRAMING - —
Maximum
Size
Spacing
Span
(Circle Correct classification)
Girders
1.
Type of Construction, I, II, III, ly)
2.
_ �V
Fire Resistivity '1 i 2-Hr. 3-Hr. J i'r
Joist, Ist FI_ I
I
I
3.
Occupancy Groin B, C, D, E, G, H, I, J
Joist, 2nd FI.
Joist, Ceiling
777 Division 1, L; 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
s
I3�°"/gc�i�Gl
J
� %
I •� I
5.
Fire Zone 1, 2 U
Roof Rafters
TOTAL VALUE `-
Includes all subcon acts; exclu'des land value.
C'0 V E R I N G — —
Exterior Walls i-,,
//
Roof
Valuation subject to approval of Bu?}ding Inspector.
Interior WoI �S�FG �i'.-'6e/C.GG
Reroof
DESCRIPTION OF WORK.
�N/J� -
L hereby ledge,that I have eaee t is application
/ �_
. Dart( ��Lri AW
and state that t oboveiz correct and o9ree to Comply with
t t
all city ordina es and' state lows re toting building con-
struction.
Signature of r? ____ ---------__.------___---
By------------------------------------------------------ -------
PLANNING AND ZONING I JFO MAATION
Type of Occupancy/LQZr/-O�GO"u
Total Flobr Area e6
No. of Stories 0�
Total Height
Plat File No.
Area of Lot 1rJ/J
Frontage tiff
New Construction
,`Alter
Change of Occupancy from
To
Off -Street Parking ----_-__
(No. Cors)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
VI>
` n i`
� In
0
v`
Street--
Varinnce Reference
ZBA Case No. Date
BBA Case No. Date
Approved: For a Chief Building Inspector
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