HomeMy WebLinkAbout4913 DELANY DR - APPLICATIONS - 8/21/2019Community Development and Neighborhood Services
261 N College
Foft Collins, CO 80524 970-416-2740
Job Site Acid; ess
Address `1�l%3 1�Gtyt vl Dr
Property Oviner information
Address
Phone N
O1 0p'' t Single Family Detached
Application # 1
Date Received
City/State2p r-1_ eol)l/t; ('o 0� Z9
City/State/zip rQ& COI%IRS / a 1805 8
OTownhome (attached) ODuplex Apartment)
iS,j OBank OBar OChurch OHotel/Motel OMedicalOffice
Value of Censtructinn
Residential value will be calculated per square (1 sq =100 sf). COMMERCIAL: Labor and
Materials
Y� �tr RftL b C i7'`—QYess No
Q Roof Repair 49% of roof area max. Class 4 shingle is not
0 Roof Repair 50% or more of roof area. Class 4 shingle
COMMERCIAL STRUCTURES
Are you going to be tearing off or keeping existing layers? If keeping existing lai
What kind of material are they? What new roofing materials
Is there existing insulation? p Yes Q No If there is existing insulation, is it staying or will
Contractor InfommaJon
Name :t12,;f,0_ W W-2. rN,i `s Pas-6 c"%ea t L L
Address 32)0 'IS �oILeA e A\)p <sha 22(j
Phone Number q Z23 2y S�� Email 6A-L Cz ,S2uer
Homeowner -- -- ------ — ----- --
Q Payroll Employees i Exempt Roof(
a Company Nai
License: S Z Certificate: 3l Z
Print Name
— ----- � Si n turn l���ay
g es i
OGarage/Other^-_
ORetall ORestaurant `
$ 2-s ro
Q Yes -__PNo
how many layers are there?
you using?
be removed?
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r (1099): EX- 25' lk) -
re: rn $ &4'm� Sarv. Q3s
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