HomeMy WebLinkAbout428 W Mountain Ave - Permits - 10/03/1977City 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)
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—CLASS OF WORK —
New I (
Demolish
Date of Application 3 197 %
Alteration I
Repair
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Name i� d v,, ��/gyf'iE{vl 9� � T L
Addition I '�
Move
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Mail Address L, 3 o t,ti Wo t[ -tI' ' i,^
Use of Building
O
Tel. No.yr7--�oe72
City irrII
Size of Building Height
o. Floors No. Families
1 ... �0-" i -
Fl Name ow a. -< L,2w-,!
Q-
0
Address 3 o 3 ZJ / to a the �n�
Floor Type
Size of Basement
o
—-
No. of Fireplaces
T
City r +_ t
Size of Garage
0
UI
City License No. 04 3 Tel. No.k!%2'5 3yq
No. Baths
Type of Heat
Lot
—SPECIFICATIONS—
Block
— —
— — FOUNDATIONla
Subdivision
ExteriorInterior or Piers
Material
e
Width 6 Thickness of Footing
O
Width of Foundation Wall
_
Name of Planned Unit Dev:
o
J
Depth below fin. grade
— — FRAMING — —
Maximum
Size
Spacing
Span
(Circle Correct classification)
1.
Type of Construction I, 11, III, IV, V
Girders
2.
Fire Resistivity 1 -Hr. 2-Hr. 3-Hr. 4-Hr.
Joist, 1st FI.
Joist, 2nd Fl.
3.
Occupancy Group A, B, C, D, E, F, G, H, I, J
Joist, Ceiling
Division 1, 2, 3, 4
Exterior Studs
4. Use Zone R-E RA RLM R-M R-H R-P RMP M-L
M-M B-P BA H-B B-G C I-L 1-G
Interior Studs
5.
Fire Zone 1, 2, 3
Roof Rafters
TOTAL VALUE ' yocJU y
-- C O V E R I N G --
Includes all subcontracts; excludes land value.
Exterior Walls Roof
Valuation subject to approval of Building Inspector.
DESCRIPTION OF WORK
Interior Walls Reroof
I hereby acknowledge that I have read this application
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and state that the above is correct and agree to comply with
all city ordinances state laws rFg building con-
struction.
Signal re of o
ByL D L9
--- - -- -- ---- --------- --- --- ---r-----
Plan Check No. Dare Issued N"-
4 9 2hgj+- BIGg. Fee f
VALUATION her Fees
- 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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S
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w
a w
o e
0
N
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0
v�LL
Street
Approved Variance Reference
ZBA Case No. Date
BBA Case No. Date
Aplyroved- For the Chief Building Inspector
By Y l�► � x-�- )- /--31-7—------------------