HomeMy WebLinkAbout120 Peterson St - Permits/Reroof - 10/22/1976City 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)
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— CLASS OF WORK —
New I I
Demolish
Building Address / �, p r �
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IDate of Application l�IC-T-t >�� {� z Z 19%4yl-Alteration
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Repair I I-
Name 7' I r, + I "' ( i Q ' &W
Addition I I
Move
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Mail Address f -
Use of Building
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City L. 1 U c-, e Y--i C) ' E_ Tel. No. Ll '(} % $
Size of Building Height
Name r U l O-
No. Floors
No. Families
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Address j .� Z O I ,L! / o )< f
Floor Type
Size of Basement
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No. of Fireplaces
Size of Garage
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City License No. 5 f 1 5 Tel. No. -Aft
No. Baths
Type of Heat
Lot
—SPECIFICATIONS—
Block
— — FOUNDATION — —
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Exterior Interior or Piers
Subdivision
Material
Width 6 Thickness of Footing
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Width of Foundation Wail
Name of Planned Unit Dev:
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Depth below fin. grade
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— — FRAMING — —
Maximum
Size
Spacing
Span
(Circle Correct classification)
1. Type of Construction I, 11, III, IV, V
Girders
2. Fire Resistivity 1 -Hr. 2-Hr. 3-Hr. 4-Hr.
Joist, 1st Fl.
Joist, 2nd Fl.
3. Occupancy Group A, B, C, D, E, F, G, H, I, J
Joist, Ceiling
Division 1, 2, 3, 4
Exterior Studs
4. Use Zone R-E R-L RLM R-M R-H R-P RMP M-L
M-M B-P BA H-B B-G C 14 I-G
Interior Studs
5. Fire Zone 1, 2, 3
Roof Rafters
TOTAL VALUE '�
Includes all subcorifrac s; excludes land value.
— — COVERING — —
Exterior Walls Roof
Valuation subject to approval of Building Inspector.
Interior Walls Reroof
DESCRIPTION OF WORK
I hereby acknowledge that I have read 1<s'heplication
and state that the above is correct and agree to co ply with
all city ordinances and state laws regulating building con-
struction.
1 • Signature of own _. _. - - _-------------------___--
ByL,— -- --- -- -------------------- - -
Plan Check No. Date I,nued
Bldg. Fa $
VALUATION other Fees
_ and 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
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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
7�/W/ted: For a Chi Bu' Ii nspector
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