HomeMy WebLinkAbout3351 Eastbrook Dr - Applications/Demolition - 09/04/2020Fort Collins
Planning, Development & Transportation
281 N. College Ave P.O. Box 580
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
ER 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 # B2010077
For office use only
Date -9f3t26— 9/4/20
Job Site Address (required) Value of Construction (labor, materials, profit)
3351 Eastbrook Drive, #100 Fort Collins, CO 80525
Property Owner Name Address City/State Zip Phone
Hopebridge, LLC 3500 DePauw Blvd., Indianapolis, IN 46268 317-350-0381
Applicant Name Address City/State Zip Phone
Fulcrum Construction, Inc. 441 E 4th Street Long Beach, CA 90802 678-872-7330
Contractor Address City/State Zip Phone
00142056
Contractor City of Ft. Collins Sales Tax # ry
Sales tax number is required by allconbactom Are you paying with your trust account? ❑ Yes LR�NO
Is this a residential or commercial project? ❑ Residential ExCommercial
Is the demolition of an upcoming Development Review project? ❑ Yes l];kNo
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 ❑ 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
Square footage to be demolished: 2001 sq. ft.
Subcontractors: List the 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: ON40t-D
Print Name: Cal Patterson Signature Date 9/3/2020