HomeMy WebLinkAbout615 MATHEWS ST - PERMITS - 10/13/1976City of Fort CiollinS 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 h/ATfiFlf/S
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Newh I
III
Date of Application /O 197
/
Alteration R_oli
Name LA �Addition
(IIDrR-
ove
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Mail Address lrL/li iyj.¢ %/� �'L[/
Use of Building _
City,.,- j- eOGG/A/S Tel. No.
Size of Building Height _
Name &c?,e1I4/4,
No. Floors
No. Families
Address �� v��/ty Gyr.G %
Floor Type
Size of Basement
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City ,-"—T eOGG/Aii
No. of Fireplaces
Size of Garage
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City License No. $ 9 Tel. No. /9 P1
No. Baths
Type of Heat
Lot
—SPECIFICATIONS—
Block
— — FOUNDAT ION — —
Subdivision
Exterior Interior or Piers,
Material
Width 6 Thickness of Footing
u
Name of Planned Unit Dev:
Width of foundation Wall
a
Depth below fin. grade
— — FRAMING — —
Maximum
Size
Spacing
Span
(Circle Correct clossification)
1.
Type of Construction I, II, III, IV, V
Girders
_
2.
Fire Resistivity 1 -Hr. 2-Hr. 3-Hr. 4-Hr.
Joist, Ist 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 R-L 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
-- 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 Walls
Reroof
DESCRIPTION OF WORK
I hereby acknowledge that 1 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 o er... ._...-. ..__ ___--
Plan Check No. pate Issued OOP ,
r
Bldg. Fee S
Omer Fee, 4 I
oQ ^ ona Inspechons
S d Total
PLANNING AND ZONING INFORMATION
Type of Occupancy
Total Floor Area
No. of Stories Total Height
Plot File No. Area of Lot
New Construction Alter
Change of Occupancy from
Off Street Porking ----
Interior Lot ❑
Corner Lot ❑
Reversed Comer Lot ❑
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Street_.-------------- ---------- ------------ _---____
Approved Variance Reference
ZBA Case No. Date
BBA Case No. Date
Approved: For the Chief Building Inspector
By— --