HomeMy WebLinkAbout1415 W Mountain Ave - Permits/Reroof - 08/28/1974City 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)
—CLASS OF WORK—
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Building Address /y�-S� %tj
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I w I I' Demolish
Alteration I II
Repair
Date of lication 19
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Name _.`..
Addition I I
Move
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Address _) '
Use of Building
City Tel. No. I -
e of
izBuilding Height
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No. Floors No. Families— -
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uAddress
Floor Type
Size of Basement
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No. of Fireplaces
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Size of Garage
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City License No. Tel. No
No. Baths
Type of Heat
Lot
—SPEC I FICATIONS—
Block
— — FOUNDATION — —
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Subdivision
I Exterior I Interior or Piers
Material
Width & Thickness of Footing
Name of Planned Unit Dev:
Width of Foundation Wall
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Depth below fin. grade I `
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— — FRAMING — —
Maximum
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Spacing I
Span
(Circle Correct classification)
Girders
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1.
Type of Construction I, 11, 111, IV, V
Joist, 1st FI.
2.
Fire Resistivity 1 -Hr. 2-Hr. 3-Hr. 4-Hr.
Joist, 2nd FI.
3.
Occupancy Group A, B, C, D, E, F, G, H, 1, J
Joist, Ceiling
Division 1, 2, 3, 4
4.
Use Zone R-E RA RLM R-M R-H R-P RMP MA
Exterior Studs
M-M B-P B-L H-B B-G C I-L I-G
Interior Studs
5.
Fire Zone 1, 2, 3
Roof Rafters
TOTAL VALUE
Includes all subcontracts; excludes land value.
— — C O V E R I N G — —
Exterior Walls
Roof
Valuation subject to approval of Building Inspector.
ESCRIPTION OF WORK
Interior Walls
Reroof
I hereby acknowledge that I have read this application
rend state that the above is correct and agree to comply with
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all city ordinances and state lows 'ng bui ing on-
siruction.
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Signature of o er -R.: fa.-f7
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Garage Fireproofing
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Fireplace
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Wallboard
Garage Footings
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Garage Foundation
Final
5
WRA
Rough
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Temp.
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Final
Sewer
°
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Water
Rough In
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Water Test
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Gas
Final
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Underground
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Rough
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Energize
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Final
Correction Order Left
Stop Order Issued
Stop Order Released
Certificate of Occupancy
Sidewalk, Curb, Gutter & Street
Plan Check No. Date Issued
slag. Fee s
VACILIATIONUF Other Fees I
dQ orb 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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Street ------- ------- -----------------
Approved Variance Reference
ZBA Case No. Date
BBA Case No. Date
4— Approved: For he C}�ie B ilding Inspector
By-----' <- r?�Q `� /- ------------------
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