HomeMy WebLinkAboutAPPLICATION Vacation Home Life Safety Inspection 2758 Kiowa TrTown of Estes Park RECEIVED
Vacation Home Life Safety Inspection ppIicjp
BY:TIME:
2758 Kiowa Trail,Estes Park,Co 80517
Vacation Home Physical Address:
______________________________________________________________________________
Ryan HoldemanOwnerName:
Mailing Address:2758 Kiowa Trail Estes Park CO 80517
(Street)(Cfty)(State)(Zip Code)
ryanholdemangmail.com ..970-227-1 522
Email Address:
________________________________________________
(please write legibly)Phone:__________________
Ryan HoldemanPropertyManager/Local Representative:
________________________________________________________________________
ryanholdeman@gmail.com ..970-227-1522
Email Address:
________________________________________________
(please write legibly)Phone:__________________
Number of Bedrooms (per Larimer County Assessor Data and Vacation Home License Application)
_______________
No other sleeping areas
Identify Sleeping Areas other than Bedrooms (den,office,family room,etc)
_____________________________________
Description of Work:2015 IRC AMENDMENT Section 327 LIFE SAFETY SURVEY
I the homeowner,or Property Manager acting on behalf of the homeowner,certify the information on this application
is true and correct.I understand by signing and submitting this application,I agree to have the above property
inspected by the Building Official to ensure compliance with local ordinances,state and federal laws as well as
building codes.Additionally,I understand that I am responsible for any fees associated with this application.
Signature:‘ta4’Print Name Ryan T Holdeman Date:6-28-22
(meowner/Property Manager)
***OFFICE USE ONLY***
Permit Fee:$200.00
County Tax:$0.00
Building Official:Date:Total:Uf.7jfr’L..e,wEjD3 $200.00
LSI Checklist
Initials:Date:Issue permit number:VHLS:EXPIRES:
Email handouts/permit number to Owner!PropMgr/Town Clerk
Inspection Schedu led (Calendar/LaserNche!Town Clerk/CD-VHLS Database)
Inspection follow up to Owner/PropMgr/Town Clerk (via Laserfiche)
Final Inspection Scheduled (Calendar/Laserfiche/Town ClecklCD-VHLS Database)
Results of Final Inspection entered in Laserfiche
Issue CO to Owner/PropMgr/Town Clerk/Property File
Field Approved for Certificate of Occupancy by:Date:
RETURN TO:towncIerkcestes.org,Town Clerk’s Office,P.O.Box 1200,Estes Park,CO 80517
Updated 07/2021