HomeMy WebLinkAbout937 Kremmling Ln - Applications/Reroof - 08/09/201408/09/2014 13:01 FAX
0001
FortCollins
Planning, Development & Transpdrldtion
281 N. College Ave P.O. Box 580
Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
OVERmTHE-COUNTER PERMITS ONLY
This application is to be used to apply for the following permits only (check all that apply). Cl Air Conditioning
O Demolition (Interior non-structureq O Electrical Alteration (not service change) 0 Gas Lighter 0 Gas Log
❑ Heating Unit 0 Lawn Sprinkler 0 Mobile Home replacement E3 RooMg 0 Sewer Line 0 Photo -voltaic
0 Ventilation 0 Water Heater 0 Water Line ❑ Wood/Pellet Stove (must be EPA certified, provide make, model and 0.��Q
manufacturer).
complete all applicable Information on the application. Incomplete applications will not be accepted.
Application * UADS (Al Date 8MI14
For offm Lm any
lob Ske Addraaa (IwLd )
Value of Construction (labor, materials, profit)
937 Krammling Ln. Fort Collins, CO 8052E
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Property Owner Name Address
City/state Zip Phone
Bill tit Gloria Vigor 3213 Ceatie Rldge PI Fort Collin, GO 8092E 9T0.223-W92
Applicant Name Address
City/State Zip Phone
Craig Schultz 3WA Ash Ave
Loveland, CO 80538 970-286-3014
cunu'muir AULhtrrJ
Oty/31dw zip Pliuic
Schultz Roofing & Repairs, LLC
SAME AS ABOVE
Contracbw city of Ft Colima Salea Tax 0
Are you Paying taxaa hero or by report? tsi Here O peport
s 3br�r ertrnrg1AWby4aawrbaCt4M
Are you paying with your trust account? 0 Yes 18 No
Is this a Resdentlal or commercial project? 0 Residential 0 Commercial
If recldentiel, In ao M Single Family Detached G Cende/Eownhomo (tingle family ad aahad) O Duplax
17 Multifamiy (apartir►enq ❑ Garage
If commercial, Is It: 0 Bank 0 Bar 13 Church 0 Hotel/Motel 0 Medical office 0 Office 0 Retail
G Restaurant C3 Other (explain)
Is this building 50 years of age or more? O Yca L9 No If yeas, ynu nwy need to c»nt a Hk%W a Fresw obron
if this is for a denrolltlon permit, what year was the building constructed?
ffp Yhr to IM you W11 nmd an asMokw aimem7wnt to submit Wth dW appIkebhn.
of Work Remove 1 layer of asphalt shingles, Install 30# felt, Ice n water shield on eaves, and
*If lawn sprirkler/bacldlow preventer, must Bat licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: List the cov pleny name or 0?y of Ft C1:illnr ffmw 0
I hereby acknowledge that I have read tibia application and state that the above kiformetion Is complete and correct. I agree to
comply with all requirements eontakhed herein and city ordinances and state laws regulating bulkWg aonslnrctlon. I know that a
permit is not valkl until It has been paid and Issued.
Appllcanb
Craig Schultz
Print Name: Signature
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8/9/14
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