HomeMy WebLinkAbout1307 W Plum St - Applications/Demolition - 03/01/2017Cit of Planning, Development & Transportation
FY 281 N. College Ave P.O. Box 580
ort Collins Fort Collins, CO 80524
�.- Phone 970416-2740 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 # b i-7-oi
For oA%e use only
Date 3III ►—i
]ob Site Address (required) &ue of Construction (labor, materials, profit)
Property Owner Name Address City/State Zip gok Phone 0
'%
Applicant Name Address City/State Zip Phone
Contractor Address City/State Zip Phone
-
Con ctor City of Ft. Collins Sales Tax #
Sa/estax number&requimdbyall mnbadom Are you paying with your trust account? ❑ Yes EN-0
Is this a residential or commercial project? BlQdential ❑ Commercial
Is the demolition of an upcoming Development Revlewproject? ❑ Yes ❑ No
If residential, is it: Ingle Family Detached ❑ Condo/townhome (single family attaki�e' Duex
❑ Multifamily (apartment) ❑ Garage: Square footage if detached 1
Number of dwelling units to be demolished: /_kejj_g
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 O Condo/townhome (single family attached)
❑ Multifamily (apartment) O Duplex ❑ Detached Garage ❑ Commercial Mixed -Use Building LAlJIKNpW KA
Description of work
Square footage to be demolished:
Su bcontractors: List Me company name or Gty of Ft Collins license 0
Eledrldan 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: fin
Print Name: gki %4VL Mnrl;n Signature LZNI.Mc. Date All 11