HomeMy WebLinkAbout640 PETERSON ST - APPLICATIONS - 7/17/2018Cit of Planning, Development & Transportation
Y 281 N. College Ave P.O. Box 580
Fort Collins Fort Collins, C680524
Phone 470-416-2740 Fax 22+6134
DEMOLITION PERMITS ONLY
This application is to be used to apply for the following, permits only (check all that apply).
0 Demolition -interior non-structural
D Partial Demolition of existing building
❑ Demolition of entire building or residence
Complete all applicable information on the application. Incomplete applications will not be accepted.
iJ i+go �) 02S Date
Application # ,
For office use only
Sob Site Add (qui)ed) Value of Construction (labor, materials, profit)
c,
% ✓s r^^ f ScrO
(D `{ U i
Prod jrty Owner Nam Address GtyiStiat—e {,Zip
Phone °l
Applicant Name Address city/State Zip
Phone
Sown e- ols P,n a V""n-e V22
Contractor 1 Address City/State Zip
4Ni1 4
Phone
lCt�st rl`-J
(93 2,92
Contractor City of Ft. Collins Sales Tax #
Saiesraxnumber arequired byall cantacrtvs - - Are you paying with your trust account? ❑ Yes
td'No
Is this a residential or commercial project? P4esidentiai ❑ Commercial
Is the demolition of, an upcoming oeveloomentKev/ewprojed? ❑ Yes 4PI40
m If residential, is it: ingle Family Detached 11 Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage: Square footage if detached
(dumber of dwelling units to be demolished: $
If commercial, is it: ❑ Bank [I Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ office ❑ Retail
❑ Restaurant ❑Other (explain)
Is this building 50 yea rs of age or more? b Yes j4po
Type of New Building Planned: ❑ Single Family Detached ❑ Condo/townhome (single family attached)
❑ Multifamily (apartment) ❑ Dupiex.�Detached Garage ❑ Commercial Mixed -Use Building
Description of work
Square footage to be demolished: cl io
S,
Subcontractors: List the company name or City of Ft Collins license #
Elecbidan 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 -dame: �� Y1^��P Signature
Date 7 ' t" ( 8-
L-13
bra b rwy*c)0 ha,-hyyk,