HomeMy WebLinkAbout420 W Mountain Ave - Permits/Other - 07/31/1972City 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)
Plan Check No. J. 31 197
Date ).sued
Bldg. fN $
VAJIUAFI Other Fees
and Inspections
Total
-CLASS OF WORK -
Building Address /�
New I II
Demolish
/
I I
Date of Application 19 ///��Z
iteration
Repair
Name -
Addition
Addition j j
j
�j / ( tiGti
Move
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I_ �I-Moil Address �7_ �_ �� J f� GG2�. /FgG(/GZ
I_Use of Building
City s zcz Tel.
)Si,, of Building Height
Name
No. Floors
No. Families
u!
Address
Floor Type
Size of Basement
a
- —
aCity
No. of Fireplaces
Size of Garage
UI
City License No. yj..� Tel. No. T!/ SZ-37 2-7
No. Baths
Type of Heat
Lot
— SPECIFICATIONS —
Block
— — FOUNDATION — —
c
Subdivision
—
I &t—eriorl Interior or Piers
n
Material
Width 6 Thickness of Footing
0
Width of Foundation 'Wall I I
-
-
o
Depth below fin. grade
— — FRAMING — —
Maximum
Size
I Spacing
I Span
(Circle Correct classification) -
Girders
1. Type of Construction 1, II, III, IV, V
Joist, 1st FI_
2. Occupancy Group A, B, C, D, E, F, G, H, I, J
Joist, 2nd Fl.
Division 1, 2. 3, 4
Joist, Ceiling
3. Use Zone R-E RA RLM R-M R-H R-P RMP M-L
. M-M B-P B-L B-G C I-L I-G
Exterior Studs
4. Fire Zone 1, 2, 3
Interior Studs
/`
TOTAL VALUE j
Roof Rafters
— — C O V E R 1 N G — —
Includes all subcontracts; excludes land value.
Valuation subject to approval of Building Inspector.
Exterior Walls
Roof
DESCRIPTION OF WORK
Interior Wolls
Reroof
I hereby acknowledge that I have read this application
' and state that the above is correct and agree to comply with
all city ordinances and state laws regulating building con-
struction.
Signature of er.._- --- - - ----.. _----- -----------------------
_-
By--L —
PLANNING AND ZONING INFORMATION
Type of Occupancy
Totol Floor Area
No. of Stories- Total- Height -
Area of Lot
Frontage
New Construction Alter
Change of Occupancy from
To
Off -Street Parking
-------------
(No.
Can)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
�o
`ss
V�
( l
)
m
�
d
N
N
`c
0
LL
VV
L
Street----------------------------------------------
---
Approved
Zoning Board of Appeals
By---------------------------- -- ---
Appro f Building Inspector
By`-----------------------------