HomeMy WebLinkAbout309 Alpert Ave - Applications/Reroof - 07/25/2016Jul 21 2016 11,31AM HP Fax 970-669-3532
page 1
Ciity. of
Fort Collins
OVER-TH
Planning, Development & Transportation
281 N. College Ave P.O. Box 580
Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
PERMITS ONLY
This application Is to be used to appl for the following permits only (check all that apply). ❑ Air Conditioning
❑ Demolition (interior non-structural) ❑ for
Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprinkler ❑ M bile 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 oh the application
Application
For ofce use only
Incomplete applications will not be accepted.
Date
]ob Site Address (required)
Value of Construction (labor, materials, profit)
309 Alpert Ave
1900
Property Owner Name
'Address
City/State Zap
Phone
Sharmini Gingras 309 Alpert
ve
Ft Collins/CO 80526
303-678-1435
Applicant Name !Address
City/State Zap
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 Ft. Collins Sales Tax
Are you paying taxes here or by report?
0 Here ❑ Report
Saks tax number is required by all contradors
41047
j
Are you paying with your trust account?
® Yes ❑ No
Is this a residential or commercial project?
If residential, is it:. 0 Single Family Det
❑ Multifamily (aparti
If commercial, is it: ❑ Bank ❑ Bar ❑
❑ Restaurant ❑
Is this building 50 years of age or more?
If this is for a demolition permit, what y
If prior to 1975, you will need an asbestos
Description of work Remove
*If lawn sprinkler/backilow preventer, must
0 Residential ❑ Commercial .
hed ❑ Cando/townhome (single family attached) ❑ Duplex
mt) ❑ Garage
hurch ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
ther (explain)
17 Yes ❑ No If yes, you may need to contact Historic Preservation
it was the building constructed? '
ssessment to submit with this application.
install
licensed plumber. If
felt. shl
AX, must list licensed
Joel Gomez
Subcontractors: Ust b9e company name o i City of Ft Collins !!dense ,#
Electrician Plumber ! Mechanical Roofer R-1408 Other
I hereby acknowledge that 1 have read this a pllcation and state that the above information is complete and correct. I agree to
comply with all requirements contained hereitiand city ordinances and state laws regulating building construction. I know that a
permit is not valid until It has been paidl and issued.
Applicant:`�
Print Name: Kelli Highman Signature f �f/9' /l Date _7/21116