HomeMy WebLinkAbout2820 County Fair Ln - Applications/Reroof - 08/22/2016Aug 19 2016 10:17AM HP Fax 970-669-3532
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Planning, Development $ Transportation
281 N. College Ave P.O. Box 580
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 Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit 13 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 # b f � ( N J
Date V -f �p
For ofi9te use only
Job Site Address (required)
Value of Construction (labor, materials, profit)
2820 County Fair Lane
2600.00
Property Owner Name Address
Clty/State Zip
Phone
Tom Gorman 2820 County Fair Lane
Ft CollinsfCO 80628
970-304-1344
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 Ft Collins Sales Tax #
Are you paying taxes here or by report?
0 Here ❑ Report
Sales tax number &requkedbyaffcnntractom
Are you paying with your trust acoount?
la 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 Cl Hotel/Motet ❑ Medical office ❑ Office ❑ Retail ;.
❑ Restaurant ❑ Other (explain)
Is this building 50 years of aye or more? ❑ Yes ❑ No If yes, you may need to contact Historic Preservation
If this is for a demolition permit, what year was the building constructed?
Ifprfor to 1975, you will need an asbestos assessment to submit with this application.
Description of work Remove existing roof, install all needed flashinas felt shingles. 2 Story Joel Gomez
*If lawn sprinkler/backfiow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: Ust the company name or Qty of Ft Collins Ikense 0
Electrician Plumber 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 state laws regulating building construction. I know that a
permit is not valid until it has been paid and Issued.
Applicant:
Print Name: Tai Hinojosa
Date 08/19/2016