HomeMy WebLinkAbout936 Sandy Cove Ln - Applications/Reroof - 08/06/2014Schroeder Roofing Inc
FCiof
ort Collins
OVER-THE-COUNTER
This application is to be used to apply for the following permits
❑ Demolition (interior non-structural) ❑ Electrical Alteration (not ser
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement 0
❑ Ventilation ❑ Water Heater ❑ Water Line ❑ VVood/Pellet Stove
manufacturer).
Complete all applicable inf
ormation on the
application. Incompl
Application 1 �q// Dai
Foro niy� � L---,
970-669-3532 p.1
i
Development & Transportation
1ve P.O. Box 580
80524
2740 Fax 224-6134
RMITS ONLY
ly (check all that apply). ❑ Air Conditioning
e change) ❑ Gas Lighter ❑ Gas Log
oofing O Sewer Line ❑ Photo -voltaic
iusi be EPA certified, provide make, model and
r applications will not be accepted.
Sob Site Address (required) Valtie
of Construction
(labor, materials, profit)
936 Sandy Cove Ln 245D.00
Property Owner Name Address City)State
Zip Phone
Tamara Slagle 936 Sandy Cove Ln Ft Collins/CO
80526 223-8852
Applicant Name Address City
. tate
Zip Phone
Schroeder Roofing, Inc 1300 N Monroe Ave Loveland,
CO
I 80537 970-667-6M
Contractor Address City
State
Zip Phone
Schroeder Roofing, Inc 1300 N Monroe Ave Lovela
_ d, CO
80537 970-667-6777
Contractor City of Ft Collins Sales Tax # Are you paying
taxes here
or by report? 0 Here ❑ Report
Saiesraxnumber ®irrdbyaamntracza—, Are you payi
with your
trust account? 0 Yes ❑ No
41047
Is this a residential or commercial project? 0 Residential ❑ Commi
If residential, is it: 0 Single Family Detached ❑ Condoitownhome
❑ Multifamily (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ N
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes ❑ No Ifyes, you
If thts is for a demolition permit, what year was the building construct
Ifprior to 1975, you wi/l need an asbestos arse_,& a t to submit with th,
Description of work Remove existing roof, install all
*If lawn sprfnkleribackfiow preventer, must list licensed plumber. If fir.
Subcontractors: List the company name or City of Ft Collins liceirse .r
Electrician Plumber
ngle family attached) ❑ Duplex
i
ical office ❑ Office ❑ Retail
ay need to contact Historric Preservation
I?
applicabvn.
Ffil
A/C, must list licensed electrician.
Roofer R-1408 Other
I hereby acknowledge that I have read this application and state that the abare information is complete and correct. I agree to
comply with all requirements contained herein and city ordinances and state laws
permit is not valid until it has been regulating building construction. I know that a
paid and issued.
Applicant: j
Print Name: Jennifer Aldrich Signature Date8-6-14
s