HomeMy WebLinkAbout122 S Jackson Ave - Permits/Addition or Alteration - 09/05/1980City 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) S
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Building Address
Date of Application ( J'.�ClJ'" J[ / 19
—CLASS OF WORK —
New
Demolish
Alteration I I
Repair
Name /Typ V-1s^l �er
Addition I X I
Move
OMoil
Address l as I0. Glcso rn
Use of Building - 1J C
City Tel.. No.
_
Size of Buildingx Height 3r
No. Floors .2 No. Families f
Name -Sr•c7akUyozc r-T���CtIr-15%
Address �L2 Slg9t QK
Floor Type ri'T
Size of Basement
0
o
q- /�
Cityy�j (,oCC jam' %eee O,
No. of Fireplaces
Size of GarageLP
City License No. L -76) Tel. No.
No. Baths
Type of Heat
Lot S, 1`M' off' L+.9
—SPECIFICATIONS—
FOUNDATION — —
Black
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q
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rt
Subdivision JC-o "f(- SLC.wooGQ �ofr�e'1•�atn
Exterior I Interior or Piers
Material
—
Width & Thickness of Footing 'f
c
Name of Planned Unit Dev:
Width of Foundation Wall
7
Depth below fin, grade I J✓y/y
— — FRAM 1 N G — —
Size
Spacing
Maximum
SPan
1.
2.
3.
4.
5.
(Circle Correct classification)
Type of Construction I, II, III, IV, V
Fire Resistivity 1-Hr. 2-Hr. 3-Hr. 4-Hr.
Occupancy Group A, B, B-4 /E�, H, I, M, ®
Division 1, 2, lJ 4, 5
Use Zone R-E, R-ORLP, FILM, R-M, R-H, R-P,
RMP, B-P, B-L, H-B, B-G, C, I-L, I-G, I-P
Fire Zone 3
-
Girders
1
f
Joist, Isr Fl
Joist, 2ndFl.
-'� ,µFI
1(00C
1 9'
Joist, Ceiling
Exterior Studs
Interior Studs
Roof Rafters
I
I
TOTAL VALUE fzDOC�
Includes all subco tracts; excludes land value.
Valuation subject to approval of Building Inspector.
DESCRIPTION OF WOR�K
— — COVERING — —
Exterior Walls 90"r1C-!5�-It C O
v pwR
Interior Walls nT�•Itit�-Ql
IRoof
Reroof `-
�1Cf
2'l�tC CSC- �E�,�C70YVf p rf%77C%
1 hereby acknowledge that I have read this application
and state that the above is correct and Wwpee to comply with
all city ordinances a t a i building con-
struction.
Signor a of owner__ 4
By --- u -- - --- -- -- -`-- ---------
4 J'D/ �C
—
Plan Check,'NO. Date Issued SEP 5 1880
��(
Q R 4 F. 1' S J BWg. Fee $
VALUATION Other Fen
orw Inspections
O Total
PLANNING AND ZONING INFORMATION
Type of Occupancy ,— %YpC� -
Total Floor Area 5 X
Occupancy Load `A —
No. of Stories Total Height
Plat File No. n(d Ca Lea of Lot I? y-0U
Frontage 3 D
New. Construction Alter
Change of Occupancy from
19— N.E.C., 19_ UBC, UPC, & UMC
Off -Street
Parking T�___.___..
(No. Cara)
Interior Lot ❑
,01
Corner Lot
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n
Reversed Corner Lot ❑
s
V
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y v
N
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Street----
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Approved Variance Reference
ZBA Case No. Date
BBA Case No. Date
Approve
- For the
Chief Build* g laspector