HomeMy WebLinkAbout6933 SEDGWICK DR - APPLICATIONS - 8/31/2011Aug 31 11 03:37p Schroeder Roofing
970-669-3532 1 p.9
f Planning, Development & Transportation
E6rtY281 N. College Ave P.O. Box S80
etCollins,Fbrt Collins, 00 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). 0 Air Conditioning
❑ Demolition (interior non-structural) O Eiedrical Alteration (not service change) ❑ Gas Lighter 0 Gas Log
O Heating Unit E3 Lawn Sprinkler 17 Mobile Home replacement 0 Roofing 0 Sewer Line ❑ Phoftwoltaic
❑ Ventilation ❑ Water Heater "D water Line E3 Wood/Pellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicabile informa "on on it application. Incomplete applications will not be accepted.
Application
For ofTice use only _ _-
Date August 30; 2011 -
Sob Site Address (requirPdJ
Value of Construction (labor, materials, profit)
6933 Sedgewidc
3200.00
Property Owner Name Address
City/State Zip
Phone
Kross., Barbara 6933 Sedgewick
Fort Collins, CO 80525
970-231-2816
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 R. Collins Sales Tax #
Are you paying taxes here or by report?
0 Here O Report
Safes rariwmaerisreq#mdbya#wn&acftm
Are you paying with your trust account?
0 Yes 13 No
41647
Is this a residential or commercial project? 0 Residential Q Commercial
If residential, is it: 0 Single Family Detached 0 Condo/tpwnhome (single family attached) 13 Duplex
0 Multifamily (apartment) 0 Garage -
If commercial, is it: 0 Hank 0 Bar 0 Church 0 Hotel/Motel 0 Medical office 13 Office 0 Retail
13 Restaurant 0 Other (explain)
Is this building 50 years of age or more? O Yes 17 No If yes,,you may need to cw&ct Historic Preseriedo ,
If this is for a demolition permit, what year was the building constructed?
Ifpnvr to 3975, ,you wY need an asbestos assessment to submit witlr this applicabm
DescriNon of work Remove existing roof, install all needed flashings, felt, shingles.
*If lawn sprinkferlbaddiow eventer, must fist licensed plumber. U first-time A/C, must fist licensed electrician..
Subcontractors: List Me canpany name or Qy ofFt CoMw 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 mrrect I agree to
comply with all requirements contained herein and city ordinances and state laws regulating building constnxtion. I know that a
perutit is not valid until it has been paid and issued
Apprxznt: ,��uyi _�C , � — j I %1
print Name Brian Hill Signature. . Date