HomeMy WebLinkAbout5125 Sawgrass Ct - Applications/Reroof - 08/12/2014Schroeder Roofing Inc
970-669-3532 p.4
of
Fort Collins
OVER-TH
Plan rnJ, i3evelo
2811. College Ave
Fort Collins, CO 80!
This application is to be used to apply for the following perr Ots; o ily (check all
❑ Demolition (interior non-structural) ❑ Electrical Alteration 11no servi z change) C
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacem, 0 Rocifing ❑ Se
❑ Ventilation ❑ Water Heater ❑ Water Line ❑ Wood/Pel iS.ove (i nust be EPA r
manufacturer).
Complete all applicable information on the application. locc mple a application
Application # e,5-1 'aS SGt,U7,o�S
For oftke use only
tent 8r Transportation
P.O. Box 580
Fax 224-6134
ONLY
at apply). 0 Air Conditioning
;as Lighter ❑ Gas Log
it Line ❑ Photo -voltaic
tified, provide make, model and
will not be accepted.
Sob Site Address (required)
Valu
3 of Constnu�on
(labor, materials, profit)
5125 Sawgrass Ct
j
470(.00
Property Owner Name Address
City/State
Zip Phone
Tom Adams 5125 Sawgrass Ct
t Coll
s/CO
80525 566-2309
Applicant Name Address
City/State
Zip Phone
Schroeder Roofing, Inc 1300 N Monroe Ave
elar
d, CO
80537 970-667-6777
Contractor Address
City/
a
Zip Phone
Schroeder Roofing, Inc 1300 N Monroe Ave
velar
d. CO
80537 970-667-6777
Contractor City of Ft Collins Sales Tax # Are
YYYY,,1 o
pay'
taxes here a
by report? 0 Here ❑ Report
Sales tax number is required byaBwntracOm Areyo
41047
payi
g with your trust
account? 0 Yes ❑ No
Is this a residential or commercial project? 0 Residential ❑
If residential, is it: 0 Single Family Detached ❑ Condo/town
❑ Multifamily (apartment) ❑ Garage
0
immei'al
me
'ngle family at
ed) ❑ Duplex
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/MogeI
❑
ical office ❑
Office ❑ Retail
❑ Restaurant ❑ Other (explain)
I
you
u
chi
ay need to co)76ct
?
app/icad'on.
Is this building 50 years of age or more? ❑ Yes ❑ No IfNes
If this is for a demolition permit, what year was the building
Ifpvior to 1975, you will need an asbestos assessment to submit
Historic Preservaban
Description of work Remove existing roof, install all needed
fl
his
, felt, shingles'.
2 Story Barcenas Roofing
*If lawn sprinkler/backfiow preventer, must list licensed plumber.
Subcontractors: List tie company name or Qy of Ft ColUns /iaensr
Electrician Plumber Mechanicall
fi
-tim
A/c, must list Iloensed
lifer R-1408
I
electrician.
Der
I
I hereby acknowledge that I have read this application and state that
tie
aticy
le information islcomplete and correct. I agree to
comply with all requirements contained herein and city ordinances and
state k
ws regulating building construction. I know that a
permit is not valid until it has been paid and issued.
Applicanr.
Print Name: Jennifer Aldrichgrraiture
I
I r
�.
(/� . I Date 8-12-14
v;