HomeMy WebLinkAboutAPPLICATION Vacation Home Life Safety Inspection 550 Promontory DrTownofEstesParkRECEIVEDVacationHomeLifeSafetyInspectionApplicationDE172021VacationHomePhysicalAddress:550PromontoryDr,EstesPark,CO80517OwnerName:David&AshleyMillerMailingAddress:3416WindsorCtLovelandCO80517(Street)(City)(State)(ZipCode)EmailAddress:davidmilleralibelmtg.com(pleasewritelegibly)Phone:970-556-7340PropertyManager/LocalRepresentative:JonathanBennettEmailAddress:hike2fish.jbgmail.com(pleasewritelegibly)Phone:970-290-5721NumberofBedrooms(perLarimerCountyAssessorDataandVacationHomeLicenseApplication)3IdentifySleepingAreasotherthanBedrooms(den,office,familyroom,etc)2livingroomsDescriptionofWork:2015IRCAMENDMENTSection327LIFESAFETYSURVEYIthehomeowner,orPropertyManageractingonbehalfofthehomeowner,certifytheinformationonthisapplicationistrueandcorrect.Iunderstandbysigningandsubmittingthisapplication,IagreetohavetheabovepropertyinspectedbytheBuildingOfficialtoensurecompliancewithlocalordinances,stateandfederallawsaswellasbuildingcodes.Additionally,IunderstandthatIamresponsibleforanyfeesassociatedwiththisapplication.Signature:L__.-_iPrintNameDavidMillerDate:12/16/21(Homeowner/PropertyManager)***OFFICEUSEONLY***PermitFee:$200.00CountyTax:$0.00BuildingOfficial:Date:Total:t_l7,5JfI1_tt1frLcJZ_ZLJAj$200.00LSIChecklistInitials:Date:Issuepermitnumber:VHLS:EXPIRES:Emailhandouts/permitnumbertoOwner/PropMgr/TownClerkInspectionScheduled(Calendar/Laserfiche/TownClerk/CD-VHLSDatabase)______________InspectionfollowuptoOwner/PropMgr!TownClerk(viaLaserfiche)FinalInspectionScheduled(Calendar/Laserfiche/TownClerk!CD-VHLSDatabase)ResultsofFinalInspectionenteredinLaserficheIssueCOtoOwner/PropMgrlTownClerk/PropertyFileFieldApprovedforCertificateofOccupancyby:Date:RETURNTO:towncIerkiestes.org,TownClerk’sOffice,P.O.Box1200,EstesPark,CO80517Updated07/2021