HomeMy WebLinkAboutPERMIT 1230 Big Thompson Ave Window 2011-01-05Received Date lOi i Town of Estes Park COPY
Permit Number M-0I (a
Received By —“Application for 1vIiscellaneous Permit Application Expires
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 ‘‘v.ww.estesnet.com Permit Expires EzE.
Job Address:I 11°3 I7 O’4”(’4 74 Q
Owner Name:IL/I)(
“Phone:5 7 7
Address:11-30
(Street)U (City)(State)(Zip Code)
Contractor/Applicant:ci /rl€’l l/d,?.4-13L4 1/I)Town License #:/1 Phone:f jt//
Address://t f2ticb Ii 9I&1C O377
(StreetY (City)(State)(Zip Code)
Li Long-term Residential (30 days)Li Short-term Residential (<30 days)ILDommercial
Li Replace Furnace Li Gas Line (ft.)
C Replace Boiler 8-Replace Windows
Li Replace Hot Water Heater Li Install Air Conditioning
Li Minor Plumbing Li Temporary Structure Use_________________
Li Minor Remodel Time Period
C Fireplace Insert —circle one:Gas,Wood,Pellet;Li Other
Description of Work:
e’viN /J
Valuation (Total Cost of Material &Labor):$
I certify this application is true and correct and agree to perform the work described according to plans/specifications submitted,reviewed and approved,and comply with
local ordinances,state and federal laws as well as building codes.I certify that I have the property owner’s authority and permission to apply for this pennit.Additionally,I
UNDERSTAND THAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW,PERMITS,INSPECTIONS AND OTHER
FEES ASSOCIATED WITH THIS APPLICATION.Note:The work authorized by this permit requires the building be provided with smoke alarms complying
with municipal codes.
Signature Date /Print Name ‘.t
‘***Office Use Only ***
Inspection Checklist:
LI Address Posted LI Equipment Access LI T &P LI Smoke Detectors
Li Contractors Licensed LI Equipment Listed LI Gas Pipe LI Rough Inspection
LI Permit Packet Available LI Equipment Clearances LI Vent Li Final Inspection
LI Safe Access LI Pan and Drain LI Combustion Air
Comments:Permit Fee:o 0
Census #Construction Type:Occupancy:q2 County Tax:
Building id DateSffJ 3 /(Total:frj
**SMOKE ALARMS ARE RIQUIRED**
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