HomeMy WebLinkAbout424 E STUART ST - APPLICATIONS - 5/13/2019}} Planning, Development & Transportation
Flirt of For N. College Ave P.O. Box 580
Fort Collins, CO 80524
Phone 970-41616-2740 Fax 224-6134
DEMOLITION PERMITS ONLY
This application is to be used to apply for the following permits only (check all that apply). a 0 �
❑ Demolition -interior non-structural l/n
❑ 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 # 51a63141 Date 5 ��'5 fig
For office use only
Job Site Address (required) Value of Construction (labor, materials, profit)
424 E. Stuart, Fort Collins CO 80525 $7,500.00
Property Owner Name Address City/State Zip Phone
Claris Serbousek 4488 Hannt ''Tay Windsor/CO 80550 303-419-6781
Applicant Name Address City/State Zip Phone
Greg Orr 201 Commerce Dr. Unit 1 FTC/ CO 80524 970-567-6841
Contractoy � }Addresp� City/State Zip ,Phone
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Commerce Dr. Unit 1 FTC/CO 80524 910-5,Ii-6841
Contractor City of Ft. Collins Sales Tax #
SWestax number isrequired byall mnbactors Are you paying with your trust account? ❑ Yes ❑ No
Is this a residential or commercial project? l9' Residential ❑ Commercial
Is the demolition of an upcoming Development Review project? ❑ Yes � No
If residential, is it: C1 Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage: Square footage if detached
Number of dwelling units to be demolished: 1
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: k26 Single Family Detached ❑ Condo/townhome (single family attached)
❑ Multifamily (apartment) ❑ Duplex ❑ Detached Garage ❑ Commercial Mixed -Use Building
Description of work Removal of ' )me from the floor deck up. Foundations and
existing joists -and deck to remain
Square footage to be demolished: 1. 369
Subcontractors: List bye 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: Greg Orr Signature
A�50� 0�
Date 3-27-2019