HomeMy WebLinkAbout4506 Maxwell Dr - Applications/Reroof - 07/18/2014Jul 16 14 09:44a Schroeder Roofing Inc 970-669-3532 PA
Fort 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) O Gas Lighter ❑ Gas Log
0 Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement m 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 # %-t b`4 O l �J Date —7 [[A 1 `1
For oft a use only
Sob Site Address (rerlukad)
Value of Construction (labor, materials, profit)
4506 Maxwell. Dr
2186.00
Property Owner Name Address
City/State Zip
Phone
Jon Ludwig 4506 Maxwell Or
Ft CollinsIGO 80525
204-0138
Applicant Name Address
City/State Zip
Phone
Schroeder Roofing, Inc 1300 N Monroe Ave
Loveland, CO 80537
970-667-6777
Contractor Address
Gty/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
Saks tax number is required by a# ronrrarmrs.
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, yew may need to contact Historic Preservation
If this is for a demolition permit, what year was the building constructed?
If prior to 1975, you wi11 need an asbestos assessment to submit with this application
Description of work Remove existing roof, install all needed flashings, felt, shingles. Barcenas
*If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: List the company name or G71y of Collins IKense 0
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
mmpty 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: Jennifer Aldrich Sigriar ire
Date 7-16-14