HomeMy WebLinkAbout3925 Asbury Dr - Applications/Reroof - 08/14/201408/14/2014 22:53 FAX
10002
Cit of
oN Collins
(Planning, De relopment & Transportadon
281 N. College Ave P.O. Box 580
Fort Collins, CO 80524
Phone 970-416-2740 Fax 22+6134
OVER-THE-COUNTER PERMITS ONLY
This application is to be used to apply for the folknving permits only (check all that apply). 0 Air Conditioning
O Demolition (interior non-structural) 0 Electrical Alteration (not service change) ❑ Gas Lighter 0 Gas Log
❑ Healing Unit O Lawn Sprinkler 0 Mobile Home replacement 0 Roofing 0 Sewer Line 0 Photo-voltalc
0 Ventilation 0 Water Heater 0 Water Una 0 Wood/Pellet Stove (must be EPA Certified, provide make, model and
manufacturer).
Complete all applicable
�IInfon�nnallon on the application. incomplete applications will not be accepted.
Application # F^l (2 W '-3 11 Date 8/14/14
Awreft- we only
30b Site Address (required) Value Of Cong ucthm (labor, materials, profit)
3925 Asbury Dr, Fort Collins, CO 80528 $5517.00 ( U S L)
Property Owner Name Address City/State Zip phone
Suzanne Roscoe 3925 Asbury Dr. Fort Collins, CO 80528 970-391.9742
Applicant Name _ Address Gty/State _— Zip Phone
Craig Schultz 3864 Ash Ave Loveland, CO 80538 970-286-3014
Contractor Address City/State Zip -- phone
Schultz Roofing & Repairs, LLC SAME AS ABOVE
Contactor City of R. Collins Sales Tax # Are you paying taxes here or by report? Here ❑ Report
Selena+rnurlbw[simw.wdbyWmnavMm Are you paying with Your trust account? Yes No
53342 /
Is this a residential or commercial project? 0 Residential O Commercial
If mn identlal, is It: 11 Single Family Detached 0 Condo/bownhome (single family attached) O Duplex
0 Multifamily (apartrneltt) 0 Garage
If commercial, Is it: d Bank ❑ Bar 0 Church 0 HoW/Motel O Medical otike 0 Ofnee Ci Retell
0 Restaurant 0 Other (explain)
Is this building Sa (rears of ace or more? G Yes IX NO If yhes, you meyneed to cbnfactHls&k Ph asrmMbn
If this is fbr a demolition permit, what year was the building constructed?
Ifonlar to 1975.. mu bW1 need an w aiha # MM rhtc qroPA6,*► -w
work Reml
ss on eaves.
*If lawn apr r*Wb*&fI0w preventer, milk list llmrmd plumber. If Ural•-ww A/C, must On licensed eleMiclan.
Subeuntractoras Left mie eonVv ry rkwfre Gr CllyofRC*Un$11 enee #
saaridan Plumber woofer x
I hereby adahowledpe that I have read this application and state that the above Intonation Is complete and correct I agree 10
comply with all regwrements contained herein and city ordinances and state Saws regulating building eonstrurc on. I know that a
permit Is trot valid until It has been paid and issued.
n 14-.
prirrc�Name: Craig Schultz ftproprro l �n-�8/14/14