HomeMy WebLinkAbout123 N College Ave - Applications/Demolition - 03/28/2019City Of Planning, Development & Transportation
F6y 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
❑ Demolition of entire building or residence
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application # �1 to l Date
For office use only
lob Site Address (required) Value of Constr ction (labor, materials, profit)
42.3 �l • Cd! v s0;,k )z 7 53'97. v6
Property Owner Name I ress City/State Zip Phone
?� iv. DL•'� 702/0 f:i o//%ys Cp �AS2y 97Q 3t i
Applicant Name Address City/State Zip Phone
5At4 WI' Irts06 elrz _ )13. /t,is cv Versay 7;*19yr3
Contractor Address City/State Zip Phone
Tf„&o CaniSpAcJJ'tw••t i/f s 6 k c,v. 1q. 61L co z Dv Y90 IV13
Contractor City of Ft. Collins Sales Tax #
Sales (axnumber isrequired byall cun&actofs Are you paying with your trust account? ❑ Yes XNo
Is this a residential or commercial project? ❑ Residential [•Commercial
Is the demolition of an upcoming Development Review project? ❑ Yes XNo
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 KDffice ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes SI No
Type of New Building Planned: ❑ Single Family Detached ❑ Condo/townhome (single family attached)
❑ Multifamily (apartment) ❑ Duplex ❑ Detached Garage ❑ Commercial Mixed -Use Building
T �
Description of work /M cr�.ar non—sTrvo�w+.G 1�Nv✓e9IL w,�rFc sr�9 : F,n/c8Aes 242_
Square footage to be demolished:
Subcontractors: List the company name or City of Ft Collins license #
Electrician/.4tw S Plumber Ace c 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: ' 1 t
Print Name• ✓� I &O " Signature Date ��