HomeMy WebLinkAboutPERMIT 501 Big Horn Dr Demo 2015-02-23 (now 450 Big Boulder)Town of Estes Park
Permit Number D. (906— / 4"1,
Received .By Demo Application / Permit Application Expfrcs
Department of Building Safety 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517
General Information & Inspection Line (970) 577-.3731 * FAX (970) 586-0249 * www.estesiteLcont. Permit Expires
0
Joh Address: — 4 Parcel #:
Owner Name: J:::4!' /nfl fl A)
Address: 147. /1/07i'v 19(1
Contractor: / )
Address: tij
(Street)
(Street)
X1 6. 114"
Long-term Residentiat (> 30 days)
Phone: /4,'" .31'3 6',
(State) (Zip Code)
Town License if:,
(City) (State) (Zip ('ocie)
0 Short-term Residential (< 30 days), 0 Commercial
Note: A Demo Permit does not authorize any work in or on public right-of-ways, wetlands, floodplains, or other
properties - separate additional permits are required.
Note: Separate permits required for each address, each lot, or each owner.
Descption of Work
c/Z7A--/
,rs 57'
1"-1' •
Valuation (Total Cost of Material & Labor): $
6Q,
4(..
Inspection Checklist / Signoffs
0 Sanitation District — abandon / vacate sewer
0 Health Department abandon / vacate septic
0 Water Department — abandon / vacate water
0 Light & Power — abandon / vacate electric
Xcel — abandon / vacate gas
0 Building Department — Final Inspection
0 State Demolition Permit/Owner's Acknowledgement 1.;'orin
ecnify this apphicathm is true and correct iind iu2ree to perform the work descrihed itccordinp„. to piansfspecifications submitted, reviMed rind approved. and cc impy with
iarordinances, shue and fedetiA lao as well as huildiq codes., certify that have the [)riperty owner's imthority itnd permission lo imply Iiir this perinit. ddicionally. I
UNDERSTAND THAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES I N(.A.IR.RED FOR PLAN REVIEW, PERMITS, INSPECTIONS AND OTHER
FEES ASSOCIATED WITH THIS APPLI(ATION.
Contractor 0 Owner
Staff Comments:
***
Date
flw
ID Owner's Asent El Tenant
Print Name
.jse Only *
Application Information
Permit, Fee:
$50/building
Total
75" "Z4
go.
Fee
t> 42 0,CD
ISSUE OF THIS PERMIT DOES NOT.,4UTHORIZE A.NY NEVil CONSTRUCTION
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Department of Buildingafet
VNER'S ACKNOWLEDGEMENT F
Permit Number 0C , """' (f7•.>
If a commercial or residential project includes demolition . or renovation N.Nrork.., the property
owner(s) must contact the Colorado Departrnent of Public 'Health and "Environment to, obtain
either a State Demolition Permit or a State Asbestos Abatement"Notification/Permit.
'Hie Colorado Dept. of Public Health and Environment
4300 Cherry C'see.k, Drive South.
Denver, CO 80246-1530
'Phone: 303-692.-3100
Fax: 303-782-0278
www.cdpliestate.conrjs.
This [brut must also be completed and signed by the owner prior to issuance of a Town of Estes
Park Building Permit.
1 m rn _ (owner) agree to contact the Colorado Department
of Public: Health and Envirtuinent to determine the state requirements for any v rk on my
property located at (address):
L tai
7 7
I understand that I am accepting full legal responsibility for all Crilorado Site requirements and
liability associated with the project.
Address
City
State
Zip
.f)are„
R'6 ,L7L2L-.2_4?
7elephone
(970) 577-3726 LI) P.O. Box 1200 11 170 MacGregor Avenue Estcs P41 r ki CO 80517
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