HomeMy WebLinkAbout7045 Sedgwick Dr - Applications/Reroof - 08/09/2011Qug 09 11 03:04p Schroeder Roofing
1.
970-669-3532 p.1
Fort Cottins
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 Cl Lawn Sprinkler Cl 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 application. Incomplete applications will not be accepted.
Application # N 10 9105
For office use only
Date
LIH . 3 0
Job Site Address (required)
Value of Construction (labor, materials, profit)
7045 Sedgwick Dr
2400
Property Owner Name Address
City/State Zip
Phone
Bokovitz, Chris 7045 Sedgwick Dr
Ft Collins 80525
631-8046
Applicant Name Address
city/State Zip
Phone
Schroeder Roofing, Inc 1300 N Monroe Ave
Loveland, CO B0537
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?
0 Here ❑ Report
Sales tax number is required bya#mntractars.
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: 0 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 building 50 years of age or more? ❑ Yes ❑ No If yes, you may need to contact Histonc Preservation
If this is for a demolition permit, what year was the building constructed?
if prior to 1975, you wX 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 d7e campany name 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: _«:,':..;- / D9oioi1oeosu!ziin
Print Name: Brian Hill Signature -wool Date 8/9111