102 Remington Street

Fort Collins, Colorado 80524

Phone: 970-416-2891 FAX: 970-221-6635

PLAN REVIEW APPLICATION

PLAN REVIEWS MUST BE PICKED UP BEFORE POUDRE FIRE AUTHORITY WILL SIGN OFF WITH THE REVIEWING AGENCY.NOTIFICATION TO PICK UP COMPLETED REVIEWS WILL BE MADE WHEN THEY ARE DONE. PRINT A COPY OF THIS APPLICATION FOR YOUR RECORDS, BY CLICKING ON 'FILE' AND 'PRINT' IN YOUR WEB BROWSER.

IF YOU HAVE PROVIDED AN EMAIL ADDRESS, YOU WILL RECEIVE A COPY OF THE INFORMATION SUBMITTED VIA E-MAIL.

To estimate fees, click on 'Fee Estimator' from the 'For Contractors' page under 'Getting Started' or click here Fee Estimator.

INSPECTION REQUESTS MUST BE SUBMITTED ONLINE

Application Date: *

Project Name: *

Location of Project: *

Poudre Fire Authority Application#:

City of Fort Collins Building Permit #: *

Enter N/A if not applicable.

Larimer County Building Permit #: *

Enter N/A if not applicable.

Town of Timnath Building Permit #: *

Enter N/A if not applicable.

Application Type: *

Application Agency: *

System Type: *

Job Site Street Address: *

Suite or Unit #: *

City: *

State: *

Zip Code: *

Job Valuation: *

Job valuation used for fee calculation.

FEES

To estimate Fire Prevention fees for your project, see the Building Plan Review Fee Estimator or the Fire Protection System Review Fee Estimator.

Plan Review Fee: $

Permit Fee: $

City Tax: $

Town of Timnath Tax: $

County Tax: $

Total Amount Due: $

CUSTOMER INFORMATION

Customer Name: *

Customer Address: *

City: *

Zip Code: *

State: *

Phone: * #

Cell Phone: #

Fax: * #

E-Mail Address:

CONTRACTOR INFORMATION

Name: *

Company Name: *

Address: *

City: *

State: *

Zip Code: *

Phone: * #

Cell Phone: #

Fax Number: *

E-Mail Address:

Project Description: *

Customer/Contractor Signature: *

Typed First and Last Name

Date Signed: *

Contact Phone Number for Pickup: *

STAFF USE ONLY

Reviewer:

Date Customer Notified:

Time Customer Notified:

Method:

Date Customer Pickup:

Time Customer Pickup:

Plan Review Application

PLAN REVIEW APPLICATION