HomeMy WebLinkAbout4128 Sumter Sq - Applications/Reroof - 09/19/2014Schroeder Roofing Inc
970-669-3532 a PA
Ci of Planning, Development & Transportation
C am.} 231 N. College Ave P.O. Box 580
■ 01 l Cotti s Fort Collins, CO 80524
Phone 97D-416-2740 Fax 224-6134
OVER-THE-COUNTER PERMITS ONLY 1
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 la 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 # IJ� 4 1)9 1 is Date
For office un.- only
lob Site Address (required) Value of Construction (labor, materials, profit)
4128 Sumter Square 3000.00
Property Owner Name Address City/State Zip Phone
Ken Fantone 4128 Sumter Square Ft Collins/CO 80525 970-219-9249
Applicant Name Address City/Stag 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
safes tmnumber isrequired byail rontracro s. Are you paying with your trust account? 0 Yes ❑ No
41047
Is this a residential or commercial project? 0 Residential ❑ Commercial
If residential, is it: 0 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? 17 Yes []No If yes, you may need to contact Historic Pnservalion
If this is for a demolition permit, what year was the building constructed?
If prior to 1975, you wiff need an asbestos assessment to submit wlh`, this appGcaffon.
Description of work Remove existing roof, install all needed flashin s felt shingles. 2- Story Joel Gomez
-it lawn sprinkler/badcfiow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: Llstthe companynarne or 62y of Ft Collins license +
Electrician Plumber Mechanimt 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.
Applicant:
Print Name: CandiceBrumit Signature ZLrrtA< Date9-19-14