HomeMy WebLinkAbout1220 W Elizabeth St - Applications/Demolition - 02/01/2018Planning, Development & Transportation
City of = 281 N. College Ave P.O. Box 580
FortCollins Fort Collins, CO80524
� Phone 970-416-27402740 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
Itemolition of entire building or residence
Complete all applicable information on the application. Incomplete
applications will not be accepted.
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Application #, f J I ��� Date
For office use only
Job Site Address (required) Value of Constructi n (labor, materials, profit)
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Property Owner Name / Address / City/State Zip Phone
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Applicant Name Address City/State Zip Phone
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Contractor Address City/State Zip Phone
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Contractor City of Ft. Collins Sales Tax #
Sales fax number is required by allcontradors Are you paying with your trust account? ❑ Yes o
Is this a residential or commercial project? ❑ Residential Commercial
Is the demolition of an upcoming Dgv�/aament Reylew project? 0'Yes ❑ No
If residential, Is it: ❑ Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garaged re footage if detached
Number of dwelling units to be demolished: _����-
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office LSRetail
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes o
a of New Building Planned: ❑ Single Family Detached ❑ tondo/townhome (single family attached)
WMultifamily (apartment) ❑ Duplex 0 Detached Garage ❑ Commercial Mixed -Use Building
Description of work CoMAlM M4,c rnb v
Square footage to be demolished: 13 , 1 u e
Subcontractors: List bye company name or 0y of Ft Collins license
Electdclan Plumber Mechanical Roofer Other PO4le 01.4
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: l,r� WA
Print Name: U'� Signature Date _
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