HomeMy WebLinkAbout4579 Seaboard Ln - Applications/Reroof - 10/10/201410/10/2014 09:51 FA%
Q 001
�of
t Collins
Planning, Development & Transportation
281 N. College Ave P.D. Wx 500
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 Afteretfon (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.
AppliCatlon # B H Oq e)1 S Date 10/10/14
For ottlae use only
Job Site Address (requbed)
Value of Construction (labor, materials, profit)
4579 Seaboard Ln.
$13742.00 30sq
Property Owner Name Address
City/State Zip
Phone
Luls & Norma Lopez 5569 N. HWY 1
Fort Collins, CO 80525
(970) 402-8124
Applicant Name Address
City/State Zip
Phone
Craig Schultz 3864 Ash Ave.
Loveland, 00 80538
970 286.3014
Contractor Address
City/State Zip
Phone
Schultz Roofing & Repairs, LLC.
same as above
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or by report?
0 Here ❑ Report
Sales tax number /srequlmd by all conbaciw;
Are you paying with your trust account?
0 Yes ❑ No
53342
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 ip Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? 0 Yes 0 No Sf yeg you may need to contactH/stvr/c Preservation
If this Is for a demolition permit, what year was the building constructed?
ffjontor to 1975, you will need an asbestos assessment to subm/t w/bb th/s aAvlicabon.
Description of work Remoyg 1 lever of gephalt shingles. 130 Ice n water shield on eaves. and
c1do edges. Fle-shinals with Tamko Vintage 50 yr shingles,
*If lawn sprinkler/baddlow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: Ust the mmpeny name or Gty ofFt Collins license 0
Flecirldan Plumber Mechanical _ Roofer x Other
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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 tainted,
Applieanti —�p— p�r p,
Print Name: C� Signature ' A.bate 10/10/14