HomeMy WebLinkAbout501 10th St - Permits/Addition or Alteration - 05/10/1976City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR 4UILDING 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 ;5-/� - New I I Demolish
C 194- Alteration I I Repair
Date of Application
Name�i)C� Li��//ScY�I Addition I I Move
i
Mail Address 5C%
Use of Building
C)
City / CC ///"7�c' Tel. No. �)('�l�
Size of Building
Nome T 4t
No. Floors
No. Families —
Address /CeG cc/LZ) 416) �?5-
Floor Type
--- --
Size of Basement
City jo0e. C�CLLi/US
Size of Garage
0
c
No. of Fireplaces
V�City
q
License No. ��/5 Tel. No.�/q %/
No. Baths
Type of Heat
Lot
—SPECI F ICATIONS—
Block
— — FOUNDATION — —
n
Subdivision
Exterior Interior or Piers
Material
o
Width 6 Thickness of Footing
Name of Planned Unit Dev:
Width of Foundation Wall
a
�s
Depth below fin. grade
— — FRAM I N G — —
Maximum
Size I
Spacing I
Span
(Girds Correct dossificatlon)
_
1. Type of Construction I, II, 111, IV, V
Girders
2. Fire Resistivity 1 -Hr. 2-Hr. 3-Hr. 4-Hr.
Joist, 1st 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 RA RLM R-M Rr-H R-P RMP MA
Interior Studs
M-M B-P BA H-B B-G C I-L I-G
5. Fire Zone 1, 2, 3
Roof Rafters
TOTAL VALUE
-- C O V E R I N G --
Includes all subcontracts; excludes land value.
Valuation subject to approval of Building Inspector.
Exterior Walls
Roof
Interior Walls
Reroof
DESCRIPTION OF WORK
I 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.
L't, K Signature Ff ner __ _-_
By- /�F `---
f - ------------- - ----------- ------- - - --------
P`lyan Chec�kr No. Date IssuW
5 —Bldg. Fee f
VALUATION Omer Fees I I
and Inspections
Total -5 '—
PLANNING AND ZONING INFORMATION
Tl'
Type of Occupancy
Total Floor Area
No. of Stories Total Height
Plat File No. Area of Lot
Frontage
New Construction Alter
Change of Occupancy from
to
Off -Street Parking ---- -------
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
v
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Y
—Iv
o
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LL
Street_` ?- -r✓ li Z
Approved Variance Reference
ZBA Case No. Date
BBA Case No. Date
Approved: For t e hief B ding Inspector
By----- --------- ------- -----