HomeMy WebLinkAbout614 QUAKING ASPEN DR - APPLICATIONS - 1/31/2019City of Planning, Development,, T rt ion Services
Fort Collins Community Developm eig orhood Services
281 North College Avenue
Fort Collins, CO 80524 Main: 970.416.2740 Fax: 970.224.6134
OVER-THE-COUNTER 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 ❑ Mobile Home replacement a 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 on the application. Incomplete applications will not be accepted.
Application #�2'JgC0153 Date 1/31/19
For office use only
Job Site Address (required) Value of Construction (labor, materials, profit)
614 Quaking Aspen Dr $13,600.00
Property Owner Name Address City/State Zip Phone
Provincetowne Green LLLP/Care Housing 1303 W Swallow Rd -Bldg 11 Ft Collins, CO 80526 (970)829-1606
Applicant Name Address City/State Zip Phone
Contractor Address City/State Zip Phone
Special T Services, LLC PO Box 740626 Arvada, CO 80006-6626 (303)229-3946
Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? ❑ Here ❑ Report
Sales tax number is required by all contractors. Are you paying with your trust account? ❑ Yes ❑ No
45798
Is this a residential or commercial project? ❑ Residential ❑ Commercial
If residential, is 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 50 years of age or more? ❑ Yes a No Ifyes, you may need to contact Historic Preservation
If this is for a demolition permit, what year was the building constructed?
Description Of Work Remove the existing layer of TPO & densdeck. Install 1/4" per it taper cricket to ensure water drains properly with 1/2" dens
fastened properly. Install Mulehide 60 mil TPO mechanically fastened properly. Install fully adhered wall flashings, through wall scuppers, accessories,
& needed metal. Total = 13.6 SQ
*If lawn sprinkler/backflow 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 #
Electrician Plumber Mechanical Roofer 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 it has been paid and issued.
Applicant: Eat
Print Name: Bart Talmadge Signature Date 1/31/19
Revision date 282017