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HomeMy WebLinkAbout828 W Prospect Rd - Applications/Demolition - 08/17/2018 (2)City of Planning, Development & Transportation 281 N. College Ave P.O. Box 580 Flirt oWns Fort Collins, CO 80524 Phone 470-416-2740 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 # N 01D 490101 Date For office use only Job Site addres (required) Value of Construction (labor, materials, profit) 07� !PeZ-' eTX , � o /low• ono Property Owner Name Address City/State Zip Phone Applicant Name Address City/State Zip Phone rf 20 ea'�e JO I - d .wt,E' -,227, 7 -oil/ - Contractor Address City/State Zip Phone Contractor City of Ft. Collins Sales Tax# .Sales tax number is required byaffrnntractws Are you paying with your trust account? ❑ Yes ❑ No Is this a residential or commercial project? ❑`Residential ❑ Commercial Is the demolition of an upcoming Development Review project? ❑ Yes ❑ No If residential, is it: ❑ 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 o Typg.qf New Building Planned: ❑ Single Family Detached ❑ Condo/townhome (single family attached) B'Multifamily (apartment) ❑ Duplex ❑ Detached Garage ❑ Commercial Mixed -Use Building Description of work Square footage to be demolished: 00 Subcontractors: List the company name or City of Ft Collins license # Electrician Plumber Mechanical Roofer Other - 1/ 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: `�� /J / ,/ Print Name: (37�r',ttyf Signatu Date �/?