HomeMy WebLinkAbout211 Jefferson St - Permits/Reroof - 04/15/1975of 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)
—CLASS OF WORK—
ram' 'Ya`+'�-s II
Building Address O'
New I I Demolish
'7
Z f
I I
Date of Application /"P -' 14 Alteration Repair
Name
"
Addition I I
Move
e
c
Mail Address O it,GrrjYf f•r
Use o4 Building _
O
��JJ'
City �J/ (1�t,%' I. Now _
Size of Building Height _
Nome �C+C^'�
No. Floors
No. Families
Address 7i� J �''s *.r cu-
Floor Type
Size of Basement
cityajU'7y%=� r�;,s f�
No. of Fireplaces
Size -of Garage
a
0
p
CityLicense No. r�/L � I Tel. No. )- ?ot %
No. Baths
Type of Heat
,
Lot
— SPECIFICATIONS —.
Black
— — FOUNDATION — —
c
Exterior I Interior or Piers
Subdivision
Material
-
a
Width 8 Thickness of Footing
Width of Foundation Wall
Name of Planned Unit Dev:
a
O
Depth below fin, grade
— — FRAMING — —
Maximum
Size
Spacing
I I
Spon
(Circle Correct dossification)
1. Type of Construction I, f, III, IV, V
Girders
2. Fire Resistivity 1 -Hr. - r. 3-Hr. 4-Hr.
Joist, 1st FI_
Joist, 2nd FI.
3. Occupancy Group A, B, D, E, F, G, H, I, 1
Joist, Ceiling
Divisi n 1, 2, 3, 4
Exterior Studs
4. Use Zone R-E R-L R R-M R-H R-P RMP MA
M-M B-P B-L H-B B-G C 14 I-G
Interior Studs
5. Fire Zone 1 2, 3
i
Roof Rafters
TOTAL VALUE " _-
— — COVERING — —
Includes bH �b racts; excludes land value.
Valuation subject to approval of Building Inspector.
Exterior Walls
Roof
Interior Walls
Reroof
DESCRIPTION OF WORK
I hereby acknowledge that I have read this application
r - and state that the above is correct and agree to comply with
-' all city ordinances and state laws regulating building con-
Ar- /� 1!A/ - Agar S
straatian. -
�)
//C Signature of owner.
F-, �iL-------- __---- _
�____________'___
000777""""'crccr�"- By_._.__..___i----------
_--- _
Plan Check No. 12.31 6
Dote Issued
APR irlVs el,,. F„ :
VALUATIQW other Fern
one Inspe<hons
Totol
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
Off -Street Parking
Wo. Cots)
Interior Lot ❑
Corner Lot ❑�
❑
Reversed Corner LotIV
rc
VIv
5
�
N
0
.JLL
Street----------------------------- _________--------
Approved
Variance Reference
ZBA Case No. Date
BBA Case No. Date
Approved: For the Chief B Ins c
By---- _______ _ _ _ _ _ __ __ _ ------