HomeMy WebLinkAboutAPPLICATION Vacation Home Life Safety Inspection 2844 Fall River Rd Bldg 2Vacation Home Life afety Inspection
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Vacation
Vacation Home Physical Address: g 4 (+ fa Ve. r 12A asks Park -co----g7-6ei"-T
Owner Name:
c..‘n.acx-cA ut we,
Mailing Address: rext ve-r Rc4 Esie,s Pc-Ar k () 1-7
(Street) (City) (State) (Zip Code)
Email Address: Lox Iliee roaj I C6K11 (please write legibly) Phone: ig.4? - (, —7
Property Manager/Local Representative: R( d'art( 4 La rc
Email Address: 1.4 HLO9rnev • (-61 (please write legibly) Phone:
Number of Bedrooms (per Larimer County Assessor Data and Vacation Home License Application)
Identify Sleeping Areas other than Bedrooms (den, office, family room, etc)
Li vt‘Kg Rod
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 : ilding Official to ensure compliance with local ordinances, state and federal laws as well as
abuilding codes. A nall , nderst- d that I am responsible for any fees associated with this application.
Signature:
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anager)
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Print Name La ra. L///Date: /02
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Building Official:
LSI Checklist
Date:
Permit Fee:
County Tax:
Total:
$200.00
$0.00
$200.00
Initials:
Date:
Issue permit number: VHLS: 0 1 EXPIRES:
Email handouts/permit number to Owner/PropMgr/Town Clerk
Inspection Scheduled (Calendar/Laserfiche/Town Clerk/CD-VHLS Database)
Inspection follow up to Owner/PropMgr/Town Clerk (via Laserfiche)
Final Inspection Scheduled (Calendar/Laserfiche/Town Clerk/CD-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:
R.ETURN TO:• t )este r rtown Clierk's ,DitfetE, P 0 „ Box 1200„ Estes Park., C() 8)517'
Updated 07/2021