HomeMy WebLinkAbout1422 N COLLEGE AVE - APPLICATIONS - 3/13/2014Mar 05 14 12:49p Schroeder Roofing Inc 970-669-3532 PA
City of Planning, Development & Transportation
Fram} r1 281 N. College Ave P.O. Box 580
Collins Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
1
This application is toOVER THE -COUNTER PERMITS 9iNLY
apply be used to 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 10 Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater ❑ Water Line ❑ WoodlPellet Stove (must be EPA certifietl, provide make, model and
manufacturer).
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application # � Z l Date 5113111
Fnrofllce use only
Job Site Address (required)
Value of Construction (labor, materials, profit)
1422 N College
2752.00
Property Owner Name Address
City/State Zip
Phone
Fahima Kamandy 1710 Linden Way
Ft Collins/CO 80524
970-980-4005
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 805,37
970-667-6777
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or by report?
0 Here ❑ Report
�tax number & required byall contractors
Are you paying with your trust account'
0 Yes ❑ No
4
Is this a residential or commercial project? ❑ Residential 0 Commercial
If residential, is it. ❑ Single Family Detached ❑ Condoltownhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office i ❑ Retail
W Restaurant ❑ Other (explain) j
Is this building 50 years of age or more? ❑ Yes ❑ No If yes, you may need to contact Historic Preselvabon
If this is for a demolition permit, what year was the building constructed? I
If prior to 1975, you will need an asbestos assessment to submit with this application.
I
Description of work Remove existing roof, install Duro-Last roofing system 2 9
i
*If lawn sprinkler/backfiow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: List the company name orG'ty offt Collins Abense 0 �
Elan r an Plumber Mechanical Roofer R-1408: ether
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 rued.
Applkan t;
Print Name: Jennifer Aldrich Signature rym w''te 3-5-14