HomeMy WebLinkAbout212 E Lincoln Ave - Permits/Addition or Alteration - 06/14/1988City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form Only.
Press firmly using ball point pen.
Job Address 212 Lincoln Avenue
Name Ft. Collins Housing Corp.
M
Mail Address 1715 W. Mountain Avenue
o
Fort Collins, CO 80521
Phone 303/221-5484
Name James K. Kline
g
Address 17
A
c
u
License No. D-55
Phone303/221-5484
Contractor Sales Tax No.
0
n
Lot
Block
Filing Number
d
Subdivision
w
PUD
Parcel #
DESCRIPTION OF WORK
Rehab- And Ren't-Riel
Carpentry
Roofing
Electrical
Pltnflbin
Stock Options
Plan No. N/A Codes N/A
Est. Total Cost
(including labor, material, profit)
I hereby acknowledge that I have read this application and
state that the above is correct and agree to comply with all city
ordinance nd state laws regulating building construction.
;ezl
signed ate
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. I Type Const.
Uone
use of Building S F
Floor Area
Height
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
Plat Fite No.
No. D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning iC7l`
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax
St, Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
at
It
NO c��s
-IV
1 I
1
d
�
m
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v`
Street
0
a
ZBA Case #
Date
BBA Case #
Date
Building Insp., /
AApproval
by Y�
Permit No.
Date
nlstnbution: Original - Applicant: Btu. - Oaic.. Canary - Sates Tax: Pink - Applicant-. Tag - Bldg. lnsp.