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HomeMy WebLinkAbout2430 S Overland Trl - Applications/Demolition - 09/19/2018Planning, Development & Transportation City of 281 N. College Ave P.O. Box 580 ��rt Collins Fort 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 XDemolition of entire building or residence Complete all applicable information on the application. Incomplete applications will not be accepted. Application # 18 0 8 9(-) Date For office use only Job Site Address (required) Value of Construction (labor, materials, profit) Lo ti bw tom, Wo i &6"oo2i.(tIiKs (0 8o646 719- 35-3160 Property Owner Name Address City/State Zip Phone c, .w (,A hvE 5TE301 101.o 'i(a- 635-3ao Applicant Name Address City/State Zip Phone 780 G Wlytow. co 055 a70-674-0q o Contractor Address City/State Zip Phone GLN Co„sTfyclY ��. 780 E, GAeerw Ik V ,psoc, co 80550 00-614'04`0 Contractor City of Ft. Collins Sales Tax # Sales tax number is required by all contractors. Are you paying with your trust account? ❑ Yes )(No Is this a residential or commercial project? Residential ❑ Commercial Is the demolition of an upcoming DeveloomentReinewproieet?'( Yes O No If residential, is it: dsingle Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex ❑ Multifamily (apartment) ❑ Garage: Square footage if detached Number of dwelling units to be demolished: T 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: WSingle Family Detached'Condo/townhome (single family attached) ❑ Multifamily (apartment) O Duplex ❑ Detached Garage ❑ Commercial Mixed -Use Building Description of work Square footage to be demolished: 7 2. -(he- NEW \NW1%%R Sion Subcontractors: List the company name orGty of Ft Collins license # Electrician Plumber Mechanical Roofer 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: Q Print Name: V 41RK�ga I lr Signature Date 1 VOC J Kn Ast( ki C ti On. C0Pn