HomeMy WebLinkAbout1219 Twinberry Ct - Applications/Reroof - 08/12/2014Schroeder Roofing Inc 970-669-3532 p.2
Fort Collins
OVER-TH
Pla rng, Development & Transportation
281 .College Ave 1 P.O. Box 580
Fort Ilins, CO 80524
This application is to be used to apply for the following pennifts ly (check all
❑ Demolition (interior non-structural) ❑ Electrical Alteration �n t se a change) I
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replace me t 0 tooling ❑ Se
❑ Ventilation ❑ Water Heater ❑ Water Line ❑ Wood/Pell i t Stove ust be EPA i
manufacturer).
Complete all applicable information on the application. Inc mpl a applicatiof
Application # Cs ��
ofllce use only
Fax 224-6134
ONLY
hat apply). ❑ Air Conditioning
Gas Lighter ❑ Gas Log
rer Line ❑ Photo -voltaic
rrtified, provide make, model and
will not be accepted.
Sob Site Address (required)
Vail
a of Construction (labor, materials, profit)
1219 Twinber y Ct
3861.00
Property Owner Name Address
CityState
Zip Phone
Michael Schubert 1219 Twinberry Ct
Ft Cal
hs/CO 80525 485-3219
Applicant Name Address
City
State Zip Phone
Schroeder Roofing, Inc 130.0 N Monroe Ave
ovel
d, CO 80537 970-667-6777
Contractor Address
City
State Zip Phone
Schroeder Roofing, Inc 1300 N Monroe Ave
ovel
d, CO 80537 970-667-6777
Contractor City of Ft. Collins Sales Tax # Are
Se/esmornumberisnequhedby7#contrxiors Arey
y
u pa
u pa
taxes here or by report? ® Here ❑ Report
gwith your trust account? ® Yes ❑ No
41047
Is this a residential or commercial project? ® Residential El omm rcial I
If residential, is it: m Single Family Detached ❑Condo/tow home single family attached) ❑Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ ical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain) I
Is this building 50 years of age or more? ❑ Yes ❑ No I , you ay need to CORta& Historic Preservation
If this is for a demolition permit, what year was the buildingcoi istructpd7
If prior to 1975, you will need an asbestos assessment to submit applxation.
Description Of work Remove existin roof, install all neededI
felt, shin les. 2 Sto Barcenas Roofin*If
ra5lins,
lawn sprinlder/badcflow preventer, must list licensed plumber. If
Subcontractors: List the company name or City of Ft Col%ms dcense
Electrioan Plumber Mechanical
1
a A/C, must list licensed electrician.
RooferR-1408 Other
I hereby acknowledge that I have read this application and state
comply with all requirements contained herein and city ordinanar
permit is not valid until it has been paid and issued.
Information is complete and correct. I agree to
s regulating building construction. I know that a
Applicant:
Print Name: Jennifer Aldrich Signature Date 8-12-14