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Home My WebLink About4954 DELANY DR - PERMITS - 5/19/2021City of k tColli~ Si te Address: 4954 DELANY DR Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.6760 970.224.6134 -fax Building Pe rmit#: Is sued Full: 82103838 05/19/2021 Permit Type: Re sidential Roofing J o b V a luation: $15,325.70 Category: Res ide ntial Owne r: CONSOLE ALEXANDER D/MICHELLE C 4954 DELANY DR FOR-COLLINS, CO 80528-6306 Phone: 619-261-9116 Zoning: Front setback Rear setback: Rig ht setback : Left setback : ----- Minor Amend# ______ Plat File# ZBA Case#: Zoning district RL -LOW DENSITY RESIDENTIAL DISTRICT Lega l : Subdivision/PUD: _________________ Filing#: Lot#: Block#: Code: Res sq ft: ---'--Com sq ft: # of s:ories: 2 0cc Group : Ind sq ft: Cons t Type: Basement sq f t: --------- Fire S::irklr _____ Stock plan #: ___ _ ----------------------Stock plan options: -------------------Contractor: LION HOME SERVICE OBA DENALI ROOFING L600 Innovation Dr., Ste. 102 License#: R-4123 Su pervisor cert# FORT COLLINS , CO 80525 Subcontractor(s) Roofing: LION HOME SERVICE OBA DENA Phone: 970-939-0033 Phone 970-939-0033 License Number R-4 123 Work Description : Tear off existing shingles and re-roof 25 squares with GAF Class 4 impact resistant asphalt shing les. Provide requ ired attic ve ntilation. Install required ice and water shield. Install sh ingles per manufacturer's high-wind specifications. 2 Stories. GTO Roofing to d:i the work. Construction waste management plans are required to comp lete roofing permits . Construction waste management plans can be submitted electrc-nical l y or emailed to environmentalcompliance@fcgov.com. *NOTE If you are in receipt of a Letter of Completio n, all requirements listed above have been completed* SCHEDULE INSPECTIONS : ** v ia Text Message: 888-406-6394 ** By Phone: 970-221 -6769 ** Online Portal : fcgov.com /CitizenAccess ** Online Portal via Mobile Device: fcgov.com /C itizenAccess/mobile Possible Inspections Required: 410 409 TOTAL FE ES PAID AS OF 0 5/1 9/2 1 : $441.32 ** Fee Detail Displayed on Next Page Payme nt method: Credit Card 7652 Ni a cond ition fo r the issuance of a permit, I hereby declare that I am the owner or owner's agent, authorized to perform the proposed work on the property described he rein . I agree to comply with all the requirements contained herein, and City ordinances , and State laws associated with such work. I understand that such permit may be revoked in the event that issuance was based on incorrect information. This permit shall become null and void if the wo rk authorized by such permit is not comme nced , suspended, abandoned or not inspected within 180 days from the date of such permit. Carbon Monox de Alarm required withi n 15 feet of each bedroom entrance . Signature: Print Name: Date: -------------------------------------- Form Revised Oct 2010 City of ,ktColli~ Site Address: 4954 DELANY DR Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.6760 970.224.6134 -fax Building Permit#: 82103838 Issued Full: 05/19/2021 Permit Type: Residential Roofing Job Valuation: $15,325.70 Category: Residential Transactions Method Ch~ck Number Date Paid Credit Card CK# 7652 05/19/2021 Receipt issued : 05/19/2021 Total Paid to Date: Fee Descri~tion A cco unt Code City Sales/Use Tax 251.122030 County Sales/Use Tax 100.217030 Permit Flat Fee -$85 1000.4220 10 TOTAL FEES: Amount Pi:!id Comments $441.32 $441.32 Fee Amount Amount P aid Date Pa id $295.02 $295.02 05/19/2021 $6 1.30 $61.30 05/19/2021 $85 .00 $85.00 05/19/2021 $441.32 $441.32 TOT AL BALANCE DUE AS OF 05/19/2021: Amount Due $0.00 $0.00 $0.00 $0 .00 Fee Amounts are val id for date of this document only. Fees s ubject to change without notice. Form Revised Oct 2010 Building Permit Over the Counter Application 2 . 1. Job site address: 4954 Delany Drive 2. Property owner name: Alex Console 3. Property owner address: Street Address: : 4954 Delany Drive City: : Fort Collins State:: CO Zip :: 80528 4. Property owner phone number: 619-261-9116 5 . Project type: Residential 6. What type of residential? Singl e Family Detached 7. Value of work (Labor and Materials)($): 15325.70 8. Type of permit: Roofing Please note : each individual lot requires a separate application and permit. 9. Manufacturer of materials: GAF 10. Number of squares: 25 11. Number of stories: 2 12. ls it a flat roof (less than 2:12 pitch)? No 13.Checkone: Roof Repair 50% or more of roof area. C l ass 4 shing le is required. 14. Contractor company name: Lion Home Service OBA Denali Roofing 15. Contractor company address: 4600 Inn ovation Drive , Suite 102 16. Contractor phone number: 97(·-660-4417 17. Contractor company email: swilliams@li onhomes ervice.com 18. License number: R-4123 19. Certificate number: 4970-R 20. Work performed by: Exempt Roofe r (1099) 21. Exempt roofer name : GTO Roofing 22 . Exempt Roofer License EX __ : 218,:R) 23 . Additional Information if applicable: 3. Review 24.1 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. Signature of: Sa m Willi a ms Date Signed: 0E /12/202 1 25. Please include an email address to receive a confirmation and a copy of your answers. swilliams@lionhome service .com 4. Thank You! Thank you for submitting your application for processing. To submit another over the counter application, click here.