HomeMy WebLinkAboutPERMIT M-069-19 335 E Elkhorn, Library, RTUs 2019-04-30Rec ived aft 0 2I Town of Estes Park CO Yermit Number -
Rye 04112 plication for Miscellaneous Permit Application Expires IVO
Department of Building Safety 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517
General Information & Inspection Line (970)577-3726 FAX
Job Address. -3
I Owner Name: 4-714 5 04-1/C1
Address: 33-r Zet Aoc e
(street)
Contractor/Applicant: 1
Address: 2116A464 6i.
(street
nvti..extes.nrg Permit Expires
Town License #: Phone: ?7,9 6.
wit
e4c. tos'az
State)
El Lon -term Residential (?... 30 do s) CI Short-term Residential (<30 da s) r Commercial
itor.0
ARephice-Futnuee-
0 Replace Boiler
0 Replace Hot Water Heater
0 Minor Plumbing
CI Minor Remodel
0 Gas Line ( ft.)
0 Replace Windows
0 Install Air Conditioning
0 Temporary Structure Use
Time Period
0 Fireplace Insert - circle one: Gas, Wood, Pellet; 0 Other
Description of Work:
Pc, etr 41-0S
(Zi Code)
Valuation (Total Cost of Material & Labor) $ 0
cetti 6f this application is true and correct and agree to perfomi the work described according to plans/Specifications submined, reviewed and approved, and comply with
ocal ordinance, state and federal laws as well as building codes I cenify that I have the propeny owner's authority and permission to apply for this permit Additionally I
'UNDERSTAND THAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW, PERMITS, INSPECI`IONS AND OTIIER
FEES ASSOC! D WITH THIS A3PtiTION. Note: The work authorized by this permit requires the building be provided with smoke alarms complying
Is
, with munkipa
Signature
Inspection Checklist:
O Address Posted
O Contractors Licensed
0 Permit Packet Available
I 0 Safe Access
Commenb:
Building Official
Date oZr Print Name
voimaiwit
,i!.!,!,',',',.',.'6.',11111111111111111111111111111111111111:1111111111:0',5'illIljoiiiii:f pwrro
*** Office Use Only ***
0 Equipment Access
0 Equipment Listed
O Equipment Clearances
0 Pan and Drain
Construction Type:
Date
Li
OT&P
0 Gas Pipe
0 Vent
0 Combustion Air
Occupancy:
O Smoke Detectors
O Rough Inspection
0 Final Inspection
County Tax:
1 otal :
UI2J5
**SMOKE ALARMS ARE REQUIRED**
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ountr Page I of I
Revised 3/29/2012 - CB