HomeMy WebLinkAbout3001 Parkview Ct - Applications/Reroof - 04/10/2015Apr 09 15 03:06p Schroeder Roofing Inc
970-669-3532 p.1
City Of i
wort Collins
i ..
OVER-THE-COU
This application is to be used to apply for the foil,
❑ Demolition (interior non-structural) ❑ Electrical All
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Hpme
❑ Ventilation ❑ Water Heater ❑ Water Line ❑ We
manufacturer).
Complete all applicable information
]o�ndthe applic
Application # b 115 ®a `"I"8
For office use only
Planning, Development & Transportation
281 N. College Ave P.O. Box 580
Fort Collins, CO 8D524
Phone 970-416-2740 Fax 224-6134
PERMITS ONLY
permits only (check all that apply). ❑ Air Conditioning
(not service change) ❑ Gas Lighter ❑ Gas Log
ment 0 Roofing ❑ Sewer Line ❑ Photo -voltaic
let Stove (must be EPA certified, provide make, model and
Incomplete applications will not be accepted.
Date U . / ®,
Job Site Address (required)
Value of Construction (labor, materials, profit)
3001 Parkview Ct
2800
Property Owner Name Addre�s
City/State Zip
Phone
Bob Winans 3D01 Parkview Ct
Ft Collins/CO 80525
970-481-4523
Applicant Name Address
City/State Zip
Phone
Schroeder Roofing, Inc 1300 N Monroe Ave
Loveland, CO 80537
970-667-6777
Contractor Address
Schroeder Roofing, Inc 1300 N Monroe Ave
City/State Zip
Loveland, CO 80537
Phone
970-667-6777
Contractor City of Ft. Collins. Sales Tax # I
Are you paying taxes here or by report?
m Here ❑ Report
Sales tax number isrequiredbyall, contractors.
Are you paying with your trust account?
0 Yes ❑ No
41047 I
,
Is this a residential or commercial project? to Ffeside ial ❑ Commercial
If residential, is it: 0 Single Family Detached ❑ Cc indo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ H tel/Motel ❑ Medical office Cl Office ❑ Retail
❑ Restaurant ❑ Other (explai )
Is this building 50 years of age or more? ❑ Yes ❑ lo If yes, you may need to contact Historic Preservation
rf this is for a demolition permit, what year was the b ilding constructed?
If prior to 1975, you will need an asbestos assessment tt submit with this application.
Description of work Remove existing roof
*If lawn sprinkleribackfiow preventer, must list liceni sed
Subcontractors: List the corripany name or City ofiFt t
Electrician
needed
If first-time A/C, must list licensed electrician.
license 9
Roofer R-1408 Other
I hereby acknowledge that I have read this application and 3tate that the above information is complete and correct. I agree to
comply with all requirements contained herein and city ordi iances and state laws regulating building construction. I know that a
permit is not valid until it has been paid and issued.
i
Applicant: rff)] j
Print Name: Kelli Highman ; Sigpatur (•� t/0 ` Date 4/9/2015