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HomeMy WebLinkAbout3009 Parkview Ct - Applications/Reroof - 09/06/2017Fiof t Colons Planning, Development rf Transportation 281 N. College Ave P 0. 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 —O;Demolitiori (interior non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log O 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 applica e Informfattlon�n tih@ 711 ation. Incomplete applications will not beaccepted Application # U 7 Date = (d / r-u L %Far office use only Job 5'rte d"-dress (required) Value of Construction (labor, materials, profit) 3009 Parkview Court Fort Collins, CO 80525 $1,600 FropeR C?vjier Name Address Gty/State Zip Phone Teg rryjLFafllor 3009 Parkview Court Ft Collins/CO 80525 970-218-0988 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 Clty.ofFt Collins Sales Tax # Are you paying taxes here or by report? 0 Here ❑ Report sales`axnamb r-,s4egwredby0cono-actom Are you paying with your trust account? 0 Yes ❑ No :4:1047' -- .Iddress i 10i1i rnliew L,Cn Is ails a resiAential or commercial project? 0 Residential ❑ Commercial if• ba"11, isrit: 0 Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex l Errl7'iI: ❑ Multifamily (apartment) ❑ Garage If commercal, is it, ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail ❑ Restaurant ❑ Other (explain) Is this building 50 years of age or morel ❑ Yes ❑ No If yes, you may need to contact Historic Preservation If this is for a demolition permit, what year was the building constructed? If pnor to 1975, you wilt need an asbestos assessment to submit with this application 'work preventer, must list licensed plumbd If first-time A7C, must list List the company name or pry of ftCollins license # 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^ry. �AA !/lip//._ PrinYName: Ale>'id'ndna Barleen Signature !1 � l�i�Date 09106117 rif hr„„ snrnkre-a 6urcuMrti~furs