HomeMy WebLinkAbout825 Laporte Ave - Applications/Demolition - 09/06/2018City of Planning, Development & Transportation
F _ __1 For N. College Ave P.O. Box580
/w�—`(��'�'-i Collins! 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 # bj�6 6 75-G io Date �-
For office use only
Sob Site Address (required) Value of Construction (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
Contractor Address "1e5 City/State Zip
Phone
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Contractor City of Ft. Collins Sales Tax # 12144 pv--
sates tax number is �byal tractors L, 1 -aa Are you paying with your trust account? ❑ Yes
)EI:No
Is this a residential or commercial project? /Eg-Residential ❑ Commercial
Is the demolition of an upcoming DeveioumentReviewproject?,,UYes ❑ No
If residential, is iV-t3-5ingle 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 ❑ No
Type of New Building Planned: Single Family Detached ❑ Condo/townhome (single family attached)
❑ Multifamily (apartment) ❑ Duplex ❑ Detached Garage ❑,Commercial Mixed -Use Building
Description of work-
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Square footage o be demolished:
Su bcontractors: List the company name or (7ty of F4 Collins license
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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.
Pint Name: Signature Date
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