HomeMy WebLinkAbout419 S IMPALA DR - PERMITS - 9/4/1979 (4)2
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of Fort Collins BUILDING INSPECTION DIVISION Plan Check No. pate Issued SEP 4 1979
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY 9) a g Bldg. Fm s2 oa
VALUATION - aner Fees
TO BUILD, ALTER, REPAIR, ADD TO OR WRECK A BUILDING OR STRUCTURE bb_ ono inspections I ISo
(APPLICANT FILL IN THIS SECTION ONLY) L� C S 2 22a 7otai 22 S6
—
CLASS O F W O R'K — BANNING AND ZONING INFORMATION
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Building Addres � ���---[--
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New II I Demoli K
Date of li tionl o i� 19
Alteration ( I Repai
to .„
Name
Addition I
( Move
a,
3
/
Moil Address[ ? / L' ��-
Use of Building
City l-41 At Tel. No.� 4410S
Size of Building �,�_�Gi Height
No. Floors 2— No. Families
_
Name
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Address ,,yf�.��"
Floor Type /j{f raL�MPi,
Size of Basement
0
City
No. of Fireplaces,�yspy�.
Size of Garage-�l�+s{L
o
O�
City License No. '2-1L / D % Tel. No.
No. Baths
Type of Heat
Lot %
—SPEC I F)CATIONS—
— — FOUNDATION — —
Block
c
Exterior Interior or Piers
a
Subdivision ( (j'Q- 1� '/I �, 7: 1� (}Q
"'I"" '�
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I I Code—
Si
/�r�
M"4 PQP� JU l!N_A" k_)
Material L,�n.c�, -
Width & Thickness of Footing I d I „r, �
o
Name of Planned Unit Dev:
rr
Width of Foundation wan I
Depth below fin. grade
-
— — FRAMING — —
Maximum
Size
Spacing
Span
(Circle Correct classification)
Girders
1.
Type of Construction I, II, III, IV,
2.
Fire Resistivity 1-Hr. 2-Hr. 3-Hr. 4-Hr.
Joist, Ist FI_
2nd FI.
I 1/0
I %6pC%�
/`%
3.
Occupancy Group A, B, B-4 H,� M,i
Joist,
Joist, Ceiling
Division 1, 2 � 4, 5
Exterior Studs
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I l O�I
4.
Use Zone R-E, R-L, RLP, RL R-H, R-P,
Interior Studs
I
I o Ii
RMP, B-P, B-L, H-B B- C, I-L, I-G, I-P
5.
Fire Zone 1, 2,
Roof Rafters
I zp lo�I
�$qi�
TOTAL VALUE
-- 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 Wolfs
Reroof
DESCRIPTION OF WORK
I hereby acknowledge that I have read this application
and state that the above is correct and agree to comply with
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all city ordinances on stat ows regulatin/ggbbuiljdiiiggg ccaan-
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struction. �-, '�. `G'/
Signature owner -/ice_, -__-__ _ - _
T
Load
Flo. of Stories 6) Total Height
Plat File No. 1qq - I Area of Lot
Frontage I go.Q,1
New Construction Alter
Change of Occupancy from
19_N.E.C., 19—UBC, UPC, & UMC
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Off -Street Parking -------
Interior Lot Li
Corner Lot ❑
Reversed Corner Lot ❑
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Approved Variance Reference
ZBA Case No. Date
BBA Case No. Date
^'Approved: For the Chhii'eeff Building Inspector
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Legal
Description
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