HomeMy WebLinkAbout455 N SHERWOOD ST - APPLICATIONS - 7/26/2018Cityof Planning, Development & Transportation
281 N. College Ave P.O. Box 580
FQr 1} . 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).
11 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.
Application X ' lei 6 N
For ofike use only
Date 7-0-16 -;—Dig
Job Site Address (required) Value of Construction (labor, materials, profit)
955 A 1 970- 6 -0
Property Owner Name Address City/State Zip Phone
1odn 4 C- Age 4BA 'AW A). &6'a 1 9 - 9
Applicant Name Adds City/State Zip Phone
Sc'V, 1?0-63 3S 9�i- 5 bG- 999
Contractor Address WState Zip Phone
Contractor City of Ft. Collins Sales Tax #
Safes tar numberIsragdiedbyaurnn&adb= Are you paying with your trust account? ❑ Yes No
Is this a residential or commercial project? Residential 0 Commercial
Is the demolition of an upcoming Deve%amentReviewpmject? O Yes A No
If residential, is its 0 Single Family Detached ❑ Condo/townhome (single family attached) O Duplex
0 Multifamily (apartment) ❑ Garage: Square footage if detached
Number of dwelling units to be demolished: 1
If commercial, is It: 0 Bank D Bar 0 Church O Hotel/Motel 0 Medical office O Office O Retail
O Restaurant ❑ Other (explain)
Is this building 50 yearn of age or more?)Q Yes 0 No
Type of New Building Planned: I Single Family Detached 0 Condo/townhome (single family attached)
0 Multifamily (apartment) 0 Duplex CI Detached Garage 0 Commercial Mixed -Use Building
ion of
Square foots je to be demolished:
Subcontractors: 10thecompany m or of Collins/icense�
pectridanGle 0t Plumber r Mechanical r r
I hereby acknowledge that I have read this application and state that the above Information Is comprete and correcE 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: J_('( �r1lilA g
Print Name: Ct'i f t� l IiC�i Signature
Date 7-J; 6 - Z018