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HomeMy WebLinkAbout3400 Justice Ct - Applications/Reroof - 11/01/2014Schroeder Roofing Inc 970-6693532 P.1 rt Collin Planning, Development & Transportation 281 N. College Ave P.O. Box 5s0 Fort Collins, OD 80524 Phone 970416-2740 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 (not service change) ❑ Gas Lighter ❑ Gas Log ❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement 0 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 #_bk`A� l � h Date For office use only lob Site Address (required) Value of Construction (labor, materials, profit) 3400 Justice Ct 1866.00 Property Owner Name Address City/State Zip Phone John Martin 3400 Justice Ct Ft Collins/CO 80524 970-219-5544 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 S?/ stax nrm hersregwredbyaumw&aa,&& 41047 Are you paying with your trust account? ® Yes ❑ No Is this a residential or commercial project? ® Residential ❑ Commercial If residential, is it: m Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex ❑ Multifamily (apartment) ❑ Garage If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotd/Motel ❑ Medical office ❑ Office ❑ Retail ❑ Restaurant ❑ Other Cexplain) Is this building 50 years of age or more? ❑ Yes ❑ No Ifyes, you may need to conta&H/storfcpresswtron If this is for a demolition permit, what year was the building constructed? Ifpnof to 1975, you W//need an asbestos assessment to submit with this appliradon. Description of work Remove existing roof, install all needed flashin s felt shingles 2 Story Joel Gomez 1 -vi ojmuri as uw preventer, must list licensed plumber. If first-time A/C, must list licensed electrician. Subcontractors: List the company name or City of Collins license Electrician Number 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 slate laws regulating building construction. I know that a permit is not valid until it has been paid and issued. MPilcant: /�,+ / ` PrttlName: Candice Brumit Signature [/Ltl2�/.rDate 11/112014