HomeMy WebLinkAbout412 TEDMON DR - PERMITS - 8/5/1976City 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)
I_ —CLASS OF WORK— _
I
Building Address 4 I �- l &-D i� C)YlJ
New I II Demolish
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Date of Application — S "- 19/ ([ Alteration I I Repair I /�
Name
Addition I I
Move
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3
Mail Address "f
Use of Building �rSlOt-wG _
O
City ,�-7T �JGC nJ S Tel. No.
Size of Building Height
No. Floors No. Families
Name C4)e CI)C N'(- U/C,5-
Z
Address 4 el L /tIC C_ A/L,6-
Floor Type
Size of Basement
City /- f C0Lc;A)S
Size of Garage
t
No. of Fireplaces
—
o
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City License No. $ - / 1 5 Tel. No.
No. Baths
Type of Heat
Lot
—SPECI F ICATIONS—
Block
— — FOUNDATION — —
Exterior Interior or Piers
Subdivision
Material
o
Width 6 Thickness of Footing
Name of Planned Unit Dev:
Width of Foundation Wall
c
Depth below fin. grade
— — FRAMING — —
Maximum
Size I
Spacing I
Span
(Circle Correct Flossification)
1. Type of Construction I, 11, 111, IV, V
Girders
2. Fire Resistivity 1 -Hr. 2-Hr. 3-Hr. 4-Hr.
Joist, 1st FL
3. Occupancy Group A, B, C, D, E, F, G, H, I, J
Joist, 2nd FI.
Joist, Ceiling
Division 1, 2, 3, 4
Exterior Studs
4. Use Zone R-E RA RLM R-M R-H R-P RMP M-L
M-M B-P B-L H-B B-G C IA I-G
Interior Studs
5. Fire Zone 1, 2, 3
Roof Rafters
TOTAL VALUE
— — COVERING — —
Includes all subcontracts; excludes land value.
Valuation subject to approval of Building Inspector.
Exterior Walls
Roof
Interior Walls
Reroof
DESCRIPTION OF WORK
�?S SEa� I hereby acknowledge that I have read this application�i,/���rS
� ,SEL.r and state that the above is correct and agree to comply with
all city ordinances and state laws regulating building con-
struction.
Signo rere)of owner_ _- --- - __ _-. -. -_. _ ____------ ___-_-
By �'1 Y v`- `'z` "'�c'--
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VtChecl,,
4
Date Issued
Bldg. FaI S Jy
VALUATION
Omer Fsas I
0 �:
aria Inspections I
$
Total A
PLANNING AND ZONING INFORMATION
Type of Occupancy
Total Flow Area
No. of Stories Total Height
Plat File No. Area of Lot
Frontage
New Construction Alter
Change of Occupancy from
To
Off -Street Parking __ _ _._
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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V1 V)
P
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Street-
Approvea Variance Keterence
ZBA Case No. Date
BBA Case No. Date
Approved: For the Chief Building Inspector
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