HomeMy WebLinkAbout718 E Elizabeth St - Applications/Reroof - 06/01/2012 (2)May 29 12 11:43a Schroeder Roofing
970-669-3532 p.2
Fort Collins
Planning, Development &Transportation
281 N. College Ave P.O. Box 580
Fort Collins, CO 80524
Phone 970-416-2740 Fax 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 (notservice change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement 0 Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater ❑ Water Line ❑ WoodiPellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application # f) I 4� 0 3R Date
For office use only
Sob Site Address (required)
Value of Construction (labor, materials, profit)
718 E Elizabeth St
39
Property Owner Name Address
City/State Zip
Phone
Jason Quinn 718 E Elizabeth St
Ft Collins 80524
581-7992
Applicant Name Address
City/State Zip
Phone
Schroeder Roofing, Inc 1300 N Monroe Ave
Loveland, CO 80537
970-667-6777
Contractor Address
City/State Zip
Phone
Schroeder Roofing, Inc 1300 N Monroe Ave
Loveland, CO 80537
970-667-6777
Contractor City of R. Collins Sales Tax #
Are you paying taxes here or by report?
0 Here ❑ Report
Sales tax numtexureouireartya#co"cmts.
Are you paying with your trust account?
0 Yes ❑ No
41047
1
Is this a residential or commercial project? m
If residential, is it: ❑ Single Family Detached
❑ Multifamily (apartment)
Residential ❑ Commercial
❑ Condo/townhome (single family attached) ❑ Duplex
❑ 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 Ifyes, youmayneed to contact HistoricPreservabon
If this is for a demolition permit, what year was the.building mnstructed?
If prior to 1975, you will need an asbestois assessment to submit with this application.
Description of work Remove existing roof install ail needed flashings, felt, shingles.
*If lawn sprinlder/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: List the company name or Oty 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 and state laws regulating building construction. i know that a
permit is not valid until it has been paid and issued.
Digilaly signed by Brian HI
Applicant �t -, ' '. !` c „ Daca:2ou 03.22oS118:49
Print Name: Brian Hill Signature -08W pate 05/29112