HomeMy WebLinkAbout3924 Benthaven St - Applications/Reroof - 08/20/2014Planning, Development & Transportation
City of 281 N. College Ave P.O. Box 580
Fort Collins Fort 805COollins, 24
Phone gins, CO 274Fax 224 6134
OVER-THE-COUNTER PERMITS ONLY
This application is to be used to apply for the following permits only (check all that apply). ❑ Air Conditioning
❑ Demolition (interior non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ® Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation. ❑ Water Heater ❑ Water Line ❑ Wood/Pellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable information on the application. incomplete applications will not be accepted.
Application # !�? 147m n?-3 • Date
For office use only
Job Site Address (required)
3924 Benthaven st
Property Owner Name
James Hardy
Applicant Name
Schroeder Roofing, Inc
Address
3924 Benthaven st
Address
1300 N Monroe Ave
Contractor Address
Schroeder Roofing, Inc 1300 N Monroe Ave
Contractor City of Ft. Collins Sales Tax #
Sales tax number is required by all contractors.
Value of Construction (labor, materials, profit)
2900.00
City/State
Zip
Phone
Ft Collins/CO
80526
970-266-1514
City/State
Zip
Phone
Loveland, CO
80537
970-667-6777
City/State
Zip
Phone
Loveland, CO
80537
970-667-6777
Are you paying taxes here or by report? 0 Here ❑ Report
Are you paying with your trust account? 0 Yes ❑ No
Is this a residential or commercial project? 0 Residential ❑ Commercial
If residential, is it: ® Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
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 If yes, you may need to contact Historic Preservation
If this is for a demolition permit, what year was the building constructed?
If prior to 1975, you will need an asbestos assessment to submit with this application.
Description of work Remove existing roof, install all needed flashings felt shingles. 1 Story Joel Gomez
*If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: L& the company name or City of Ft Collins license #
Electrician
Plumber Mechanical Roofer R-1408 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 apppd state laws regulating building construction. I know that a
permit is not valid until it has been paid and issued.
Applicant: /� Date 8-20-14
Print Name: Beth Hill Signature