HomeMy WebLinkAbout7433 Stonington Ct - Applications/Reroof - 10/05/2011Oct 06 11 03:15p Schroeder Roofing
970-669-3532 p.1
City of
Fit Collins-
Planning, Development & Transportation
281 N. College Ave P.O. Box 580
Fort Collins, CO B0524
Phone 970-416-2740 Fax 224-6134
OVER-THE-COUNTER PERMITS ONLY
This application- is to be used to apply forthe 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 ❑ WoodlPellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable inforimaation on the application. Incomplete applications will not be accepted.
Application # I I V 0 �2 �J� Date
For office use only
Job Site Address (required)
Value of Construction (labor, materials, profit)
7433 Stonington Ct
3200
Property Owner Name Address
City/State Zip
Phone
Ray Saulter 7433 Stonington Ct
Ft Collins 80525
223-1468
Applicant Name Address
City/State Zip
Phone
Schroeder Roofing, Inc 1300 N Monroe Ave
Loveland, CO 80537
970-667-6777
Contractor Address
Ctty/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
salestax number isra9quhedbyaft con&adors.
Are you paying with your trust account?
0 Yes ❑ No
41047
Is this a residential or commercial project? 0 Residential ❑ Commercial
If residential, is it: m Single Family Detached ❑ Condo/townhome (single family attached)
❑ Multifamily (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office
❑ Duplex
❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes ❑ No Ifyes, youmayneed to contact HrstoricPreservaNan
If this is for a demolition permit, what year was the building constructed?
Ffpfior to 1975, you wV need an asbestos assessment to submit with this appfication.
Description of work Remove existing roof, install all needed flashings, felt shingles.
*If lawn sprinkler/backfiow preventer, must list licensed plumber. If first-time A/c, must list licensed electrician.
Subcontractors: List the company name of Oty 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 Signature
•': �LC�i DgllaDj signed by 6dan HW
Date: 2011.10.05 M30:05
-0sna
Date 10/5111