HomeMy WebLinkAbout530 Larkbunting Dr - Applications/Reroof - 08/12/2014Schroeder Roofing Inc
970-669-3532
p.2
of
FOr't Collins
OVER-THE-COU
This application is to be used to apply for the following
❑ Demolition (interior non-structural) ❑ Electrical Alteratioi
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Horne replacE
❑ Ventilation ❑ Water Heater ❑ Water Line ❑ Wood/Pe
manufacturer).
Complete all applicable information on the application.
Application #��05��
For office use only
N. College,
Collins, CO
'y (check al
change)
ofing ❑ S
ust be EPA
rient & Transportation
P.O. Box 580
Fax 224-6134
ONLY
that apply). ❑ Air Conditioning
I Gas Lighter ❑ Gas Log
wer Line ❑ Photo -voltaic
ertified, provide make, model and
will not be accepted.
Job Site Address (required)
Vali
ie of Constru
n (labor, materials, profit)
530 Larkbunting
1865.00
Property Owner Name, Address
Gty,State
Zip Phone
Jonathan Davenport 530 Larkbunting
Ft Col
ins/CO
80526 227-8445
Applicant Name Address
City
tate
Zip Phone
Schroeder Roofing, Inc 1300 N Monroe Ave
Lovela
id, CO
80537 970-667-6777
Contractor Address
I City
State
Zip Phone
Schroeder Roofing, Inc 1300 N Monroe Ave
hovel
d, CO
80537 970-667-6777
Contractor City of Ft. Collins Sales Tax # Are
yo
pay
ig taxes here or
by report? 0 Here ❑ Report
SaiesAwnumver&requkedbya#ca7&actws Are
yo
pay i
g with your tr
ist acoount? 0 Yes ❑ No
41047
Is this a residential or commercial project? 0 Residential Comm oal
If residential, is it: 0 Single Family Detached ❑ CondOlt] n ome
'ngle family a dhed) ❑ Duplex
❑ Multifamily (apartment) ❑.Garage
If commercial, is it: El Bank ❑ Bar ❑ Church ❑ Hotel/Mo I ❑ M kal office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is ibis building 50 year: of age or more? ❑ Yes ❑ No lfyesliyou4wyrxw to Car, tact Historic Preser✓abon
If this is for a demolition permit, what year was the building nstrud
If prior to 1975, you w111 need an asbestos assessment to suhm with th4 annifrahnn_
Description of work Remove existing roof, install all needed
flbshinc
B,felt shin le
. 1 Story Barcenas Roofing
*If lawn sprintder/backflow preventer, must list licensed plumber, If
Subcontractors: List the company name or Gty of Ft collins %rcen
Electrician Plumber Mechanical
ft
L.ail
mf
I
A/C, must list li
Roofer
3ensed electrician.
-1408 Other.
I hereby acknowledge that I have read this application and state ttr t the ale information is
comply with all requirements contained herein and city ordinances d statews regulating to
permit is not valid until it has been paid and issued.
Applicant:
Print Name: Jennifer Aldrich Signature
ete and correct. I agree to
construction. I know that a
Date 8-12-14