HomeMy WebLinkAbout1320 ROBERTSON ST - APPLICATIONS - 1/27/2012 (6)Jan 2712 03:07p Schroeder Roofing
970-669-3532 p.1
Planning, Development & Transportation
L(:• r 281 N. College Ave P.O.
Flirt COtlins Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6I31;
OILER -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 ❑ 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
,1 infoor mmatiioon� opn the application.
in
Application # �1 �'""L`"`
For office use only
Incomplete applications will not be accepted,
Date
Job Site Address (required)
Value of Construction (labor, materials, profit)
1320 Robertson St
2700
Property Owner Name Address
City/State Zip
Phone
Robert Rollin 2101 E CR30
Ft Collins 80525
226-3355
Applicant Name Address
City/State Zip
Phone
Schroeder Roofing, Inc 1300 N Monroe Ave
Loveland, CO 80537
970-567-6777
Contractor Address
City/State Zip
Phone
Schroeder Roofing, Inc 1300 N Monroe Ave
Loveland, CO 80537
970-667-6777
Contractor City of R. Collins Sales Tax #
Are you paying taxes here or by report?
0 Here ❑ Report
Sales tax number isrequired byall CxVaceirs•
Are you paying with your trust account?
0 Yes ❑ No
41047
Is this a residential or commercial project? 0
If residential, is it: 0 Single Family Detached
Residential ❑ Commercial
❑ Condo/townimme (single family attached)
❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, is it: O Bank 0 Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
0 Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes ❑ No dyes, you may need to contact H6toric Preservation
If this is for a demolition permit, what year was the building constructed?
Ifpnor to 1975, you will need an asbestos assessment to submit with this application.
Description of work Remove existing roof, install all needed flashings felt shingles.
*If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors, List the companyname or City of Ft Collins license #
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: Brian Hill
j,( Dig@altl; signed by Brian Hilt
,.-,r„� (.''•'' Dale: 2012.01.2710:49:21
Signature -07*09 Date 1127112