HomeMy WebLinkAbout6903 RANGER DR - APPLICATIONS - 8/31/2011Aug 23 11 05:57p Schroeder Roofing .�
970-669-3532 p.3
City of
Fort Collins
OVER-THE-COUNTER
Planning, Development &Transportation
281 N. College Ave P.O. Box 590
Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-5,34
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 0 Mobile Home replacement 0 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 an the application. Incomplete applications will
not
'b�e1 accepted.
Application # f IO G� /� Date F5131 ZGuv/
For office use only
Job Site Address (rewired)
Value of Construction (labor, materials, profit)
6903 Ranger Or
3500
Property Owner Name Address
City/State Zip
Phone
Chris Lewis 6903 Ranger Or
Ft Collins 80526
9BB-1550
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 tax number is required by all contractors.
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 Ifyes, youmayneed to contact N&toricPreservation
If this is for a demolition permit, what year was the building constructed?
If prior to 1975, you will need an asbestos assessment to submit with dus application.
Description of work Remove existing roof, install all needed flashings, felt, shingles.
*if lawn sprinkler/baddlow 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 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
comply with all requirements contained herein and city ordinances and state laws regulating building construction. I know that a
permit is not valid until iti has been paid and issued.
Applicant:
Print Name: Brian Hill
Signature
-y.: � is Oigb ly signed by Bdw Hill
Dale: 2011.062317:52:57
as•oo Date 8/23111