HomeMy WebLinkAbout404 N Roosevelt Ave - Permits - 05/29/1973City 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)
�f� —CLASS OF WORK —
Building Address /_ � O / /✓y`O CjJ G c c' l
I I
- New Demolish
/� 1973 Alteration f �� ,I Repair
Date of ApplicationY'/2-!-I )-Ci
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2j,. Nome �(� h y� L�t k.Addition T I Move
3
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MailAddress Croy /��, goq'T�-ac_C-i
Use of Building
/1 City PO `- C h 3 Tel. No. 51Jc13,r-2,q)S
Size of Building- Height
No. Floors No. Families
Nome
___ _
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of Addre.IiI'l.�_.
u1
Floor Type
____ -
Size of Basement
__— __—T.— --___— _- —_
oI City
_._ _.__— ____ _—_..
No. of Fireplaces
—
Size of Garage
No. Baths
Type of Heat
VI City License No. Tel. No.
Lot
—SPECI FICATIONS—
— — FOUNDATION — —
_-
Block
g
Exterior Interior or Piers
n
Subdivision
_
Material
--
Width 3 Thickness of Footing
Width of Foundation Wall
o
„°J
Depth below fin. grade
-- F R A M I N G --
Maximum
Size
Spacing
I I
Span
(Circle Correct classification)
_
1. Type of Construction I, II, III, IV, V
Girders
Joist, 1st Fl.
2. Occupancy Group A, B, C, D, E, F, G, H, I, J
Division 1, 2. 3, 4
Joist, 2nd FI.
Joist, Ceiling
3. Use Zone R-E R-L RLM R-M R-H R-P RMP M-L
M-M B-P B-L B-G C I-L I-G
Exterior Studs
4. Fire Zone 1, 2, 3
Interior Studs
TOTAL VALUE ! % O Or 0 0
— _
Roof Rafters
— — C O V E R I N G — —
Includes all subcontracts; excludes land value,
Valuation subject to approval of Building Inspector.
Exterior Wails
Roof
DESCRIPTION OF WORK
Interior Walls
Reroof
i I hereby acknowledge that I have read this application
-O - and state that the above is correct and agree to comply with
e a a a or mantes a n st A ding con-
on.
struct
o-C ,
Signature o
g - - -- ------ - - --- -
c ,,r
B -
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Plan Check No. Date Iss,2 0 0 46
MAY Z91973
�PU� t4i%4 Bldg. Fee
S
RA 1 Other Fees
_ 01 ono Inspections
$ / �T� Total
PLANNING AND ZONING INFORMATION
Type of Occupancy
Total Floor Area
No, of Stories TotoI
Area of Lot
New Construction Alter
Change of Occupancy from
To
Off -Street Parking -. _..._
--.-____
INo. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
Cl
a
0
S
VV
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i
c
0
"J
Street
Approved
Zoning Board of Appeals
By_ -------
Approved: Chief Building Inspector
By/r T '----------- ------------ --