HomeMy WebLinkAbout1472 Front Nine Dr - Applications/Reroof - 09/20/2011Sep 16 11 04:33p Schroeder Roofing
970-669-3532 p.3
Cif Q f Planning, Development & Transportation
281 N. College Ave P.O. Box 580
FOIr # Collins`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 O 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 # B I 10 T 3sy Date
For office use only
Job Site Address (required)
Value of Construction (labor, materials, profit)
1472 Front Nine Dr
2700
Property Owner Name Address
City/State Zip
Phone
Wieber, Claire 1472 Front Nine Dr
Ft Collins B0525
207-9231
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?
0 Here ❑ Report
Sales ax number is required by aff contracaus.
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 Cl Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes ❑ No If yes, you mayneed to contact Historic Preservation
If this is for a demolition permit, what year was the building constructed?
If pr1or 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 company name or City of Ft Collins license #
Electrician
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.
Digitally signed by Briar Hill
Applicant v' c Date. 2DII.09.'615ASIJ5
Brian Hill Si nature -0s.3D.
Print Name: g
Date 9116111