HomeMy WebLinkAbout625 S WHITCOMB ST - APPLICATIONS - 1/11/2012Jan 11 12 03:18p Schroeder Roofing
970-669-3532 p.1
of
FOrt't Collins
Planning, Development & Transportation
281 N. College Ave P.O. Sox 58^
Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
OVER-THE-COUNTER PERMITS ONLY
This application is to be used to apply forthe 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 0 Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater O Water Line ❑ WoodlPellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application # L51200 I WL Date
For office use only
Sob Site Address (required)
Value of Construction (labor, materials, profit)
625 S Whitcomb St
700
Property Owner Name Address
City/State Zip
Phone
Wolff Fund Mgmt 1823 Linden Lake Rd
Ft Collins 80521
970-481-4449
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 a#conVaL'tom
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: ❑ Single Family Detached ❑ Condo/tiownhome (single family attached) ❑ Duplex
0 Multifamily (apartment) ;4 Garage
If commercial, is it: 0 Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes O No ifyes, you may need to contact Historic Preservation
If this is for a demolition permit, what year was the budding constructed?
If priar to 1975, you will need an asbestos assessment to submit with this application.
Description of work Remove existing roof, install all needed flashings felt shingles. - Garage only
*If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: List Me company name or 0ty of ft Collins license 9
Electrician Plumber Mechanical Roofer R-1408 Other
I hereby acknowledge that 1 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 it has been paid and issued.
Applicant:
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101.1114:06: Bill
-070D
Print Name: Brian Hill Signature pate 1i11/12