HomeMy WebLinkAbout913 BOLTZ DR - PERMITS - 3/26/1976City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMT 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 3 a / 7- Dd
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New
Demolish
Alteration I II
Repoir
Date of Application /wf =; i 19W
`e
Name „�id s `� _ _ _
Addition ( {
Move
0
Mail Address f2—
Use of Building _
City t Tel. No. 4lV -;7
Size of Building Height
No. Floors No. Families
Nome
to
c
Address
Floor Type
Size of Basement
o
t
City
No. of Fireplaces
Size of Garage
0
ul
City License No. Tel. No.
No. Baths
Type of Heat
Lot
—SPEC]F]CATIONS—
Block
— — FOUNDATION — —
0
] Exterior I Interior or Piers
c
Subdivision
Material
n
Width 6 Thickness of Footing
Name of Planned Unit Day:
Width of Foundation Wall
c
p
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Depth below fin, grade
— — FRAMING — —
Maximum
$ize
I $Dating
Span
(Circle Correct classification)
1.
Type of Construction I, 11, 111, IV, V
Girders
2.
Fire Resistivity 1 -Hr. 2-Hr. 3-Hr. 4-Hr.
Joist, 1st FL
I
I
( -
Joist, 2nd FI.
I
I
I
3.
Occupancy Group A, B, C, D, E, F, G, H, I, J
Joist, Ceiling
Division 1, 2, 3, 4
Exterior Studs
I
I
I
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 I-L I-G
Interior Studs
5.
Fire Zone 1, 2, 3
Roof Rafters
I
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
Rercof
DESCRIPTION OF WORK
--' t
I hereby acknowledge that 1 hove read this application
t a
and state that the above is correct and agree to comply with
all city ordinances and state laws regulating building con.
struction,
Signature owner___.__.
Or ti chi t�, /• ! �� / J
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'�lf- ]cc,C+C i i.426 %JPY d-�'J
By--- - - ------ -----'-- ----- ----------------- -
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Dote Issued
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VALUATION
Othet Fees
_
am inspections
Total
PLANNING AND ZONING INFORMATION
Type of Occupancy
Total Floor Area
No. of Stories Total Height
Plat File No. Area of Lot
Frontage
New Construction Alter
Change of Occupancy from
Off -Street Parking .____
INo.
Carsl
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
O
Y
c
( 1
(
7
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v
a
T
+
h
0
JLL
Street--- — ------------- — ------
-------'--
Approved Variance Reference
ZBA Case No. Date
BBA Case No. Date
Approved: For the Chief Building Inspector
BY-LiC /-- ----- --