HomeMy WebLinkAboutPERMIT Fireplace 341 Davis St 2019Town of Estes ParkMAY172019
t(i%tong-rerm Residential Application/Building Permit
Division ci &d Stay 120 MacGreg Avenue P.0.Dox 1200 Estes Park,CO 80517
General biformatia.(970)517-3726 FAX (970)586-0249 •www.estes.org
NOfl:Use this Form for Long-temi Residences 30 days or mote.
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PermltNumber I I i/v ‘/
ApØeationExpêes 1/1)31/9
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Email address (REQUIRED)’hra4 Ø C.Aua,Ssajr wwe,Jic..is-’I -u S
The F.A,Appfl.cto New Wwk -Vn.L4.that appfr 0 New 0 Alteration U M’E”--.hbsa Pbiit
&‘ówner I Residence I]Rental —30 days or more 0 Aixessorc Dwelhng
Existing .me:Proposed use:#of New DweWngs:;Not New KltdietsSCIEstesParkSanitation0tIpperThompsonSaidtatonCPrivateSeptic—Requires Applicant In fin gn In the Health Department.ta bniota I]No I]Yes —State and Ti Inses RequWed;Pkmthing Fimne Ww*sheetReq.Eed.
Fkhza 0 Add 0 Relocate 0 ReplaceD Demoish Water Snba 0 Existing S New -Not Metert
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-Meter Size:
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indiesr1elavelvedSNo0Yes—State &Tovni License Requfred.State &nnit mid hispeclion Requked.Tn Man:0 No Lives
Stiv CI Edstfrig 0 New 0 Overhead S Undergro.zid lot Metert Meter Size amps;Phase Voltage
Type of Ilea tas S Furnace [1 No DYes —(*iahfications and System Sizing Required.0 Electric [3ider Type:&iiatwal Gas 01.26 #øt Gas ApØaricn /Oi*lets I
Binithig Height Nfloors Basanent (si)flow (sf)td Floor (st)Garages’Carport (sf)Porch wI Roof Deck wi a f
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Unf In Unfit Linfin Detached
Jab Denflpdon:I Total Vaftjtons (labor &Matecbi)J!?Y I -z,Rq-?,(Sit)
I certify this application Is true aid caned and agree to perkam the work desa*ed according to plans/specifications n,itted.reviewed and apwoved,and comply with
local ordinances state and fedoral laws 9e1 as bcfrgcodns.I certify that I have the pioporty owner’s authority and permission to apply far this permit.Additionally,I
iJINIrAJM)ThAT I AM nPQN1 FOR ANY F OR WKIfl FOR PlAN REVEW,FI5 WIWECflONS *110 0tH -ASSOOAIEDWIIHWfl
nnicAnosL,l Ø’G,.draicto.Ci Owner 0 Owner’s Agent 0 Tenant
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Corthactor 4sc r4qwt 5,tc
Addres&4Th55 L4vckk14 CC,
(Sfreet)
(State)(Zip Code)
Town license t (57 S’Phone:9o-fl C.?ti ‘1
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