HomeMy WebLinkAbout1415 Blue Spruce Dr - Applications/Demolition - 03/15/2018Ci
F®rt Collins
Planning, Development & Transportation
281 N. College Ave P.O. Box 580
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
❑ Demolition of entire building or residence
Complete all applicable informat
ion on the application. Incomplete applications will not be accepted.
Application #J Date
For office use only
Job Site Address (requi Value of Construction (labor, materials, profit)
Property Owner Name Address City/State Zip
Phone
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Applicant Name Address City/State Zip
Phone
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Contractor Address City/State Zip
Phone
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? ❑ Residentlal 2�commercial
Is the demolition of an upcoming DeveiovmentReviewproject? ❑ Yes RNo
If residential, is it: ❑ Single 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 ALNo
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 Q�, N . _, Al +a. {► rw.iti.� l W,;, K ErT .L PL'- k4 r
Square footage to be demolished: /9uT ✓ _ O
Subcontractors: List the company name or City 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:
Print Name: J ' V�' ^ kl^ Signature
Date
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