HomeMy WebLinkAbout906 Marble Dr - Applications/Reroof - 09/22/201409/22/2014 08:27 9703539774 INDEPEDENT ROOFING I PAGE 01
C281 C City 0 f Planning, Development & Transportation
1, (AhnS Fort Collins, 00 80524 O. Box 580
�"o
/10 1 Phone 970-416-2740 Fax 224.6134 r I 0110
OVER-THE-COUNTER PERMITS ONLY l
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 13 Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater ❑ Water Line ❑ Wood/Pallet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable Information on the application. Incomplete applications will not be accepted.
Application # 7>IL �� �� Date 9-22-2014
For office use only
Job Site Address (required)
Value of Construction (labor, materials, profit)
906 Marble Drive
$7,000.00 24 scls.
2 sto
Property Owner Name Address
city/State zip
Phone
Scott Fry Same
Ft. Collins 80625
970-213-2000
Applicant Name Address
City/State Zip
Phone
Tim Kramer 405 22nd St., Greeley, CO 80631
970-396-1389
Contractor Address .
City/State Zip
Phone
Inde a dent Roofing Inc. Same
970-353-1389
Contractor City of Ft Collins Sales Tax #
Are you paying taxes here or by report?
M Here ❑ Report
Salestaxnumberi5rpairedbyallcvnbactms.
Are you paying w1b) your trust account?
® Yes ❑ No
Is this a residential or commercial project? ® Residential 13 Commercial
If residential, is it: It 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 5o years of age or more? ❑ Yes ERNo If yes, you may need to Contact Hh&rlc Preservation
If this is for a demolition permit, what year was the building constructed?
0pnor to 1975, you will need an asbestos assessment to submit with this aAaAwHan.
Description of work Tear off to deck, install drip edge, ice guard at eaves, 30 lb, felt, valley tin,
IiRe.jacks_ reef vents. and OCF Dur:)j Qn Storm shinalgA
FRoa i+� G'xeae: 8'aXeo �aa�ieg - --
*If lawn sprinkler/baddlow preventer, must list licensed plumber. If first-dme A/C, must list licensed electrician.
Subcontractors: Cirt the company name or City off t Collins license #
Bectician Plumber Mechanical Roarer R-294 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 orclmances and state laws regulating building construction. I know that a
permit Is nat valid until It has been paid and issued.
Applicant: 8 TGm.Krufyi�,s-
Print Name: Tim Kramer signature Date 8/27/2014