HomeMy WebLinkAbout429 E Magnolia St - Applications/Demolition - 12/05/2018City of Planning, Development & Transportation
F6r}L Collins Fort N. College Ave P.O. Box 580
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).
ale 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 # 5 �1 0Sv5 Date /ZZO /11
For office use only
Sob Site Address (required Vaju� of Construction (labor, materials, profit)
Z 9 � a i o , ,
Property Owner Name Address City/State Zip
Phone
1q 2-, E/ i 303 ?9 92
Applicant Name Address City/State Zip
Phone
Ze 105 �'' 8
9� s 3 3'0
14,14 9379 Z t✓r z e e
Contr ctor Address City//SS•ftate Zip
oone
97
t�rr - 9 4tz- W lJ G
✓ B Z
Contractor City of Ft. Collins Sales Tax
Sales tax number is required by all conhactors Are you paying with your trust account? ❑ Yes ^No
Is this a residential or commercial project? 0 Residential ❑ Commercial
Is the demolition of an upcoming Development Reviewproject? ❑ Yes JWNO
If residential, is It: WSingle 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? PtYes ❑ 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 ge_�—my1&4 F 0A1(s
Square footage to be demolished: S®O
Subcontractors: List the company name orG'ty of Ft Collins license
Electrician Plumber Mechanical Roofer Other
1 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: Print Name: A e- S Signature Gj" x/L� Date g
City of
F6rt Collins
Community Development &
Neighborhood Services
281 N. College Ave.
PO Box 580
Fort Collins, CO 80522
970.224.6046
970.224.6134 FAX
www.fcgov.com
Commercial and Residential Demolition Permit Requirements
INTERIOR NON-STRUCTURAL DEMOLITION ONLY-,
Initial
Required at the time of permit submittal
Demolition Permit Application
Building Owner Authorization Form or Homeowner Affidavit
Demolition Construction Waste Management Plan
Asbestos Awareness Form
$50.00 building permit fee
PARTIAL DEMOLITION OF EXISTING BUILDING
Initial
Required at the time of permit submittal
Demolition Permit Application
Building Owner Authorization Form or Homeowner Affidavit
State of Colorado Demolition Approval Notice
Demolition Construction Waste Management Plan
Asbestos Awareness Form
$50.00 building permit fee
DEMOLITION OF ENTIRE BUILDING OR RESIDENCE
Initial
Required at the time of permit submittal
Demolition Permit Application
Building Owner Authorization Form or Homeowner Affidavit
State of Colorado Demolition Approval Notice
Demolition Construction Waste Management Plan
Asbestos Awareness Form
$50.00 building permit fee
Sign -offs may be required from the following departments:
1. Development Review Engineering
2. Historic Preservation - required if building is over 50 years old
3. Stormwater Erosion
4. Stormwater Floodplain
5. Zoning Department
Rev 12-20-2017