HomeMy WebLinkAbout828 W Prospect Rd - Applications/Demolition - 08/16/2018 (4)City of Planning, Development & Transportation
281 N. College Ave P.O. Box 580
F®rtCoWns 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
emolition of entire building or residence
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application # b 1 o i 00L4 Date
For office use only
Job Site Addrg4s (required) Value of Construction (labor, materials, profit)
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 tax number isrequired byall con actors 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 0-IT
Typ�p�of New Building Planned: ❑ Single Family Detached ❑ Condo/townhome (single family attached)
O'Matifamily (apartment) ❑ Duplex ❑ Detached Garage ❑ Commercial Mixed -Use Building
Description of work
Square footage to be demolished: /dW—
Subcontractors: list tfre company name or City of Ft Collins license #
Electrician Plumber Mechanical Roofer Other All—ay-f-Y
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:��fr
Date r9 /