HomeMy WebLinkAbout3663 S College Ave - Applications/Demolition - 03/28/2017Fort Collins
Planning, Development & Transportation
281 N. College Ave P.O. Box 580
Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
OVER-THE-COUNTER PERMITS ONLY
This application is to be used to apply for the following permits only (check all that apply). ❑ Air Conditioning
Demolition (interior non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater ❑ Water Line ❑ Wood/Pellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application # I �LO) J
For office use only
Date 3/28/2017
Job Site Address (required)
Value of Construction (labor, materials, profit)
3663 S College Ave, 13
10500
Property Owner Name
Address
City/State Zip
Phone
NMC Cottonwood LLC
5850 Canoga Ave STE 650,Woodland Hills CA 91367
8187106100
Applicant Name
Address
City/State Zip
Phone
Thunderpup Construction, Inc.
737 S.
Lemay Ave STE 134 PMB166 FTC, CO 80524
9702249200
Contractor
Address
City/State Zip
Phone
Thunderpup Construction, Inc.
737 S.
Lemay Ave STE B4 PMB166 FTC, CO 80524
9702249200
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or by report?
❑ Here 0 Report
Sales tax number is required by all contractors.
Are you paying with your trust account?
O Yes 0 No
45711
Is this a residential or commercial project?
If residential, is it:
If commercial, is it:
13 Residential 0 Commercial
0 Single Family Detached D Condo/townhome (single family attached)
13 Multifamily (apartment) O Garage
Bank 0 Bar 0 Church O Hotel/Motel O Medical office 0 Office
O Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes 1M No If yes, you may need to contact Historic Preservation
If this is for a demolition permit, what year was the building constructed?1981
If prior to 1975, you will need an asbestos assessment to submit with this application.
0 Duplex
0 Retail
Description of work Demo of interior non-structural partition walls and misc. finishes. Minor electricO
plumbing and hvac demo as needed. (3233 sf)
*If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: List the company name or City of Ft Collins license #
Electrician Coleman Plumber PPH Mechanical PVA 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: c
Print Name: Gt / lU �1 1 YVI (Cl l Signature
Date is 6e5il n