HomeMy WebLinkAbout818 WHALERS WAY - APPLICATIONS - 10/21/2014Schroeder Roofing Inc 970-669-3532 p.10
Fart Collins
.
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 lobe 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 ® Roofing ❑ Sewer Line 13 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 # 1b14 P gi.Qj Date 155.23
For office use only
Job Site Address (required)
Value of Construction (labor, materials, profit)
818 Whalers Way
3100.00
Property Owner Name Address
City/State Zip
Phone
William Pickering 818 Whalers Way
Ft Collins/CO 80526
970 301 0104
Applicant Name Address
City/State Zip
Phone
Schroeder Roofing, Inc 1300 N Monroe Ave
Loveland, CO 60537
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?
21 Here ❑ Report
Sales tar number esrequiredbyarl mntr ams.
Are you paying with your trust account?
® Yes ❑ No
41047
Is this a residential or commercial project? ® Residential ❑ Commercial
If residential, is it: m Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this bullding 50 years of age 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?
IfpHar to 1975, you M11 need an asbestos assessment to submit wide this application:
Description of work Remove existing roof, install all needed flashi _ s, felt, shingles. 1 Story Joel Gomez
*If lawn sprinkler/backfiow preventer,, must list licensed plumber. If first-time A/C, must list licensed electrician.
Su bcontractors: List the company name or Co of Ft Comns //tense f
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: Tat Hinojosa Signatur Date 10/2112014