HomeMy WebLinkAbout1103 S Shields St - Permits - 08/15/1968City 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 —
Building Address /(iv r off !t L �C New I I Demolish
Date of Application llzf �. 190V Alteration I Xil Repair
Name CL L�LLtr[ �_ • Addition I I Move
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Mail Address 410 %�j �-t+ , sit/ C- Lb $
Use of Build ng , JFWf.4-,L
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City gra7" ds b!n/ S Tel. No.ttP4' j)/3
Size of Building _ _ Height
No. Floors No. Families
Name
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Address
No. Rooms
Size of Basement
No, of Fireplaces
City
Size of Garage
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Ciry License No. Tel. No.
No. Baths
Type of Heat
Lot 1 2.3a.9tth&Al ze=/
—5PECIFICATI0N5 —
Block /p P if+g- hye.. lei -s t,*,v D Fs-
— — FOUNDATION — —
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nSubdivision
A TY C �6 r_,i e ,c 1-t4 C
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1 Exterior I Interior or Piers
Material
1,4 1= Sc
Width & Thickness of Footing
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Lt1 is % L LV t 1/, %T, L"T
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Width of Foundation Wolf
0
Depth below fin, grade
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In L-n/ .. 1 /n- F7- no _pOr3
-- — FRAMING — —
Maximum
_ __
Size
Spacing I
Span
(Circle Correct clossifitation)
). Type of Construction I, 11, 111, IV, V
Girders
Joist, 1st
_
2. Occupancy Group A, B, C, D, E, F, G, H, I, J
Division 1, 2. 3, 4
2nd Fl.
3. Use Zone R-E R-L R-M�R-P M-L M-M,
_Joist,
Joist, Ceiling_
B-P B-L B-G C I-L I-G
Exterior Studs
I
4
4. Fire Zone 1, 2, 3
Interior Studs
TOTAL VALUE,*,,C,
_
Roof Rafters
`
— — C O V E R I N G — —
Includes all subcontracts; excludes land value.
Exterior Walls
Roof
Valuation subject to approval of Building Inspector,
Interior Wells
I Reroof
DESCRIPTION OF WORK
I hereby acknowledge that I have read this application
d state that the above is correct and agree to comply with
all city ordinances and state laws regulating building con-
` struction.
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• . •-ct Signature of owner. L'�- A-^ itiL/l,-C_r ft--_ __ ------ ---
By- -� ..�7a Lq-cry ----------------------------- - --------
Plan Check No. Date Issued
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_� 6 y 15 Bldg. Fes
VALUATION other Fees Il
7r�-� ona Inspections I -
3 1 U Total f
PLANNING AND ZONING INFORMATION
Type of Occupancy
Total Floor Area
No, of Stories Total
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
Zoning Board of Appeals
By-------------------------------- -- --- —
Approved:�ief Building Inspector
By- -= . &-'��----------------------- ---