HomeMy WebLinkAbout425 10th St - Permits/Addition or Alteration - 04/22/1976City 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)
Building Address —! ��._�Utn� —CLASS OF WORK —
New I I Demolish
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Dote of Application 14 1976 Alteration I Repair I /Y
Nome T= M tiD ?. �( 0� Q T C�
"ition I
Move
{m
Mail Address / ��_ 0
Use of Building P S
O
City t' H 5 Tel. No.
Size of Building Height S D }
Name $ h
_
No. Floors
No. Families
Address oT0 ip^-4e
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City Lao 17
Floor Type
No. of Fireplaces
Size of Basement
Size of Garage
City, License No. _17Tel. No 891
No. Baths
Type of Heat
Lot
—SPECIFICATIONS—
— — FOUNDATION — —
Block
t
)!
Subdivision h Q'_ S O T} ✓) l L P
( Exterior I Interior or Piers
Material
Width 3 Thickness of Footing
Name of Planned Unit Dev;
Width of Foundation Wall I I
Depth below fin. grade
— — FRAMING — —
h
Size
Spacing
Maximum
Span
(Circle Correct classification)
I. Type of Construction I, 11, III, IV, a
2. Fire Resistivity I -Hr. 2-Hr. 3-Hr. 4-Hr,
3. Occupancy Group A, B, C, D, E, F, G, H,0 J
Division 1, 2, 3, 4
4. Use Zone R-E R-L RLM R-M R-H R-P RMP M-L
M-M P B-L H-B B-G C 14 I-G
5. Fire Zone 1, 2, 3
Girders
Joist, 1st FI_
Joist, 2nd Ff.
I
I
Joist, Ceiling
I
I
Exterior Studs
I
I
I
Interior Studs
Roof Rafters
TOTAL VALUE _ '3 �-00
Includes all subcon acts; excludes land value.
Valuation subject to approval of Building Inspector.
DESCRIPTION OF WORK
-- C O V E R I N G --
Exterior Walls Roof
Interior Walls Reroof
n 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 state laws regulating building con-
struction. 11�f
Signature of owner_ -J _�-."-"'___________
By --------a--, y�- -------
s
Plan Check No. Daft tnusd APR Z2 1978
25226 Blclq. Fee
VALUATION her Fees
3 _ov ano Inswtiom
Total
PLANNING AND ZONING INFORMATION
Type of Occupancy
Total Floor Area
No. of Stories Total Height
Plat File No. Area of Lot
Frontage
New Construction Alter
Change of Occoponcy from
To
Off -Street Parking __-___-..__.__._________
lPlo. Cora)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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a
a
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V1
in
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Street------------- --------------- -------------
Approved Variance Reference
ZBA Case No. _ .Date
BBA Case No. Date
Approved: For the Chi f Building Inspector
By-- _ ----------- ----- — --