HomeMy WebLinkAbout3306 Camelot Dr - Applications/Demolition - 02/05/2018City of Planning, Development & Transportation
Fort CollinsFort N. College Ave P.O. Box 580
/ `..— Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
DEMOLITION PERMITS ONLY
This application is to be used to apply for the following permits only (check all that apply).
❑ Demolition -interior non-structural
❑ Partial Demolition of existing building
❑ Demolition of entire building or residence
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application # S l � 00 U uw
for office use only
Date a/SJao I R
Sob Site Address (required) Value of Construction (labor, materials, profit)
sw�p Ca� o.V 1J ive ��.�o« rs $05a'5 %V
Property Owner Name Address City/State Zip
Phone
��Co�J UV0.Z¢G� 33c)(, caw-Ad'O'elue- 1rk-CAlL_1Vi CO
Applicant Name Address City/State Zip
Phone
Contractor Address City/State Zip
S e��
Phone
Contractor City of Ft. Collins Sales Tax #
Sales tax number is required by an contractors Are you paying with your trust account? ❑ Yes
No
Is this a residential or commercial project? W Residential ❑ Commercial
Is the demolition of an upcoming DevelonmentRevlewprolect? ❑ Yes $ No
If residential, is it: 0 Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage: Square footage if detached
Number of dwelling units to be demolished:
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes Pli No
Type of New Building Planned: ❑ Single Family Detached ❑ Condo/townhome (single family attached)
❑ Multifamily (apartment) ❑ Duplex ❑ Detached Garage ❑ Commercial Mixed -Use Building
of work
Square footage to be
F.
30 L-F
Subcontractors: list the company name or Gty of Ft Collins license
Electnoan dA Plumber ^r A Mechanical N�A Roofer NJA Other
I hereby acknowledge that I have read this application and state that the above information is complete and correct. I agree to
comply with all requirements contained herein and city ordinances and state laws regulating building construction I know that a
permit is not valid until it has been paid and issued.
Applicant: tt __ ' \
Print Name:,-aC.o6 Signature
Date o" /'s- OZOI g