HomeMy WebLinkAbout913 BOLTZ DR - PERMITS - 3/26/1976 (2)r
City 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)
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Building Address �{�3 !1n/7rZ rat
Date of Application Wly,r_y_.m26/' )974/,
—CLASS OF WORK —
New I I
Demolish
Alteration I
Repair
Name J-r& r r (7 �h f�
Addition I 'Move
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oMail
Address / l3e J/� %fir .
Use of Building _
City. FY• �n �'a, r Tel. No. y��/-%�Fj�
Size of Building Height _
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Name J n r r Sn4 'f l
No. Floors
No. Families
Address 9/3 /?0! IJr_
Floor Type
Size of Basement
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City �y �K &A r
No. of Fireplaces
Size of Garage
UI
City License No. Tel. No.
No. Baths
Type of Heat
Lot
—SPECIFICATIONS—
— — FOUNDATION — —
Black
Subdivision
I Exterior Inferior or Piers
Material
—
Width 6 Thickness of Footing
—
Name of Planned Unit Dev:
Width of Foundation Wall
Depth below fin. grade
— — FRAMING — —
Size
S pocing I
Maximum
Span
(Circle Correct classification)
1. Type of Construction I, II, III, IV, V
2. Fire Resistivity 1-Hr. 2-Hr. 3-Hr. 4, Hr.
3. Occupancy Group A, B, C, D, E, F, G, H, I, J
Division 1, 2, 3, 4
4. Use Zone R-E RA RLM R•M R-H R-P RMP M-L
M-M B-P RA H-B B-G C I-L I-G
5. Fire Zone 1, 2, 3
TOTAL VALUE
Includes all subcontracts; excludes fond value.
Valuation subject to approval of Building Inspector,
DESCRIPTION OF WORK
Girders
Joist, Ist FL
Joist, 2nd Fl.
Joist, Ceiling
Exterior Studs
Interior Studs
Roof Rafters
-- C O V E R I N G --
Exterior Walls
Roof
Interior Walls
Reroof
a�h
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I hereby acknowledge that 1 hove read this application
and state that the above is correct and agree to comply with
all city ordinances and state laws regulating building con-
structlon. -
Signature o owner-___ ._- _ _ . -.____ _._ _ _ _ _ _
er. 4 —__s.._C2_�e!2SQC__.__
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�P.I 5 ®elk Uo.
I.� e1
Date Issued
Bldg. I" f
VALUATION
other Feas
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' I
ora Impectiom
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Total
PLANNING AND ZONING INFORMATION
Type of Occupancy
Total Floor Arm
No. of Stories Total Height
Plat File No. Area of Lot
Frontage
New Construction Alter
Change of Occupancy from
To
Approved Variance Reference
ZBA Case No. Date
BBA Case No. Date
Ap9 ved: For the Chief Building Inspector