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1212 Green St - Permits/Reroof - 06/16/1980
City 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) c —CLASS OF WORK — Building Address J.21 Y �P�'y) c]� pp New I I Demolish Date of Application C TC4 h P_ G 140 Alteration I ✓ I Repair I Name F r K Y r e Addition I I Move oMail Address % of r e fi S-t' Use of Building City E-} Inc An �O Tel. No.'Cj���-�/% - Size of Building 0 �_ Height Name r- Y- 3» zt� / r r (° ! No. Floors No. Families a c UI Address / oZl ,% G r t`- S t Floor Type l Size of BasementJ- City L {-, z ' I 1 h , " No. of Fireplaces Size of Garage City License No. .L �.�- Tel. No �ai-//%� No. Baths r' Type of Heat — Lot —SPECI FICATIONS— — — FOUNDATION — — Block c a Subdivision Exterior Interior or Piers Material -.� Width & Thickness of Footing 4 Name of Planned Unit Dev: Width of Foundation Wall Depth below fin, grade — — FRAMING — — Size Spacing Maximum I Span (Circle Correct classification) 1. Type of Construction I, 11, III, IV, V 2. Fire Resistivity 1-Hr. 2-Hr. 3-Hr. 4-Hr. 3. Occupancy Group A, B, B-4 E, H, I, © R Division 1, 2, 3, 4, 5 4. Use Zone R-E, R-L, RLP, FILM, R-M, R-H, R-P, RMP, B-P, B-L, H-B, B-G, C, I-L, I-G, I-P 5. Fire Zone 1, 2, Q2/ Girders Joist, 1st Fl_ Joist, 2nd FI. Joist, Ceiling Exterior Studs Interior Studs Roof Rafters , TOTAL VALUE 0 0 Includes all su clontracts; excludes land value. Valuation subject to approval of Building Inspector, DESCRIPTIONOF WORK — C O V — — Exterior Walls Roof Interior Walls Reroof ✓ I hereby acknowledge that I have read this application `� and state that the above is correct and agree to comply with y �� �� �) �� all city ordinances and state laws regulating building con- Q jo X� struction. Signature of owner - By---------------------------------------------------- - - ------------ -------- ------------ Pla�c�No. 021 Dore Issued !! IN ��� C,?9f3t► VALUATION Other Fees and -Inspections �; I� Total ""�� VJ PLANNING AND ZONING INFORMATION Type of Occupancy Total Floor Area3d Occupancy Load No. of Stories Total Height Plat File No. Area of Lot Frontage New Construction Alter Change of Occupancy from 19 N.E.C., 19 UBC, UPC, & UMC Otf-Street Parking --------- _ - ---------------- (No. Cars) Interior Lot ❑ Corner Lot ❑ Reversed Corner Lot ❑ 0 / v `IV / _^c } r vv, Street---------------------------- ----------- Approved Variance Reference ZBA Case No. Date BBA Case No. Date proved: For the Chief Buil ing Inspector By--- - 1