Loading...
HomeMy WebLinkAbout6320 WESTCHASE RD - APPLICATIONS - 5/7/2018Cityof Planning, Development & Transportation 281 N. College Ave P.O. Box 580 FQr 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 info motion on the�plication. �N A lication # � For office use only Incomplete applications will not be accepted. Date `s/- /-201-a Sob Site Address (required) Value of Construction (labor, materials, profit) 63zo wu�--rcm-4 t 2b. 15vo" Property Owner Name Address City/State Zip Phone �t2t MgSI 63z� w�Tcctgil-iL© TTc- /to SJSZ$ t!47-) ou- /'993 Applicant Name Address City/State Zip Phone (>A_c" Q I c tctr-?,'J po go-c 39 9 w /nrOSo 2, Co &a SS- 970) 5-G7. 5-Z Contractor Address City/State Zip Phone (in,viNC� c4sTav�— 6u�cDE>C'r PU Bo`rc I7G wrlvo— ev- 80F.Vo C2-3 Contractor City of Ft. Collins Sales Tax # SaWtaxnumber isrequired byallmnbactors Are you paying with your trust account? ❑ Yes XNo Is this a residential or commercial project? Residential ❑ Commercial Is the demolition of an upcoming Deve%entReviewproject? ❑ Yes Xo If residential, is it)DI'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 No 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 yp oot - w, // rs, 4e' gf". Square footage to be demolished: &o si , F/- . List the company name or G'ty of Ft Collins license +f 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. SignatureDate oS17/z or8