HomeMy WebLinkAbout1474 Front Nine Dr - Applications/Reroof - 08/19/2011Aug 23 11 03:37p Schroeder Roofing
970-669-3532 p.4
City of
F„ rt 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 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 information on the applicatio_n_-19cginplete applications will not be accepted.
Application # dce.August 19, 2011
For o ire use only
Job Site Address (required)
Value of Construction (labor, materials, profit)
1474 Front Nine Drive
2800.00
Property Owner Name Address
City/State Zip
Phone
Matheson, Alex 1474 Front Nine Drive
Fort Collins, CO 80525
970-226-3079
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 City of Ft. Collins Sales Tax #
Are you paying taxes here or by report?
m Here ❑ Report
Sales tax number ismquiredbyall contactom
Are you paying with your trust account?
0 Yes ❑ No
41047
Is this a residential or commercial project?
If residential, is it: m Single Family Detached
❑ Multifamily (apartment)
Residential ❑ Commercial
❑ Condo/townhome (single family attached) ❑ Duplex
❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building SO 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?
If prior to 1975, you coil/ need an asbestos assessment to submit with this application.
Description of work Remove existing roof, install all needed flashings, felt, shingles.
*If lawn sprinkler/back(low preventer, must list licensed plumber. if first-time A/C, must list licensed electrician.
Subcontractors: Listthe 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 allrequirements 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
Date 08.19.2011