HomeMy WebLinkAboutPERMIT Demo 511 W Elkhorn 2013-12-18omee
Received DatP i 3 1.1 Town of Estes Park çS’’
Permit Number Q{jj3:
Received By -Demo Application /Permit Application ExpireQjf.kLi2
Department of Building Safety 170 MacGregor Avenue P.0.Box 1200 Estes Park,CO 80517
General Informadon &Inspection Line (970)577-3731 *FAX (970)586-0249 *wwwestesnet.com Permit
JobAddress:571 to1 C/ho.,n 4e o..4s &a,ii 1fi,/9 Parcel#:2_,L -2L/ocJ
OwnerName:‘rD e-t ,j/Qc-c Phone:Maie’&,c 1k’-yo
Address 9)HiD (5I ‘4iJ,c,/6-i -c.k----(
(Street)‘‘(City)(State)(Zip Code)
Contractor:SeLit (‘J ‘TownLicense#:
_______Phone:
P2I?-Oflo
Address::-‘“C((-‘L K
(Street)(City)(State)(Zip Code)
C Long-term Residential (30 days)Qhort-term Residential (<30 days)C Commercial
Note:A Demo Permit does not authorize any work in or on public right-of-ways,wetlands,floodplains,or other
properties -separate additional permits are required.
Note:Separate permits required for each address,each lot,or each owner.
DescriptionofWotk c,0-,’)cf D’yvvr”/’I ct,of ftA1
t3’S,1K
Valuation (Total Cost of Material &Labor):$Pt -‘o
Inspection Checklist /Signoffs
o Sanitation District —abandon I vacate sewer
O Health Department —abandon /vacate septic
o Water Department —abandon /vacate water
o Light &Power —abandon /vacate electric
o Xcel —abandon /vacate gas 0
o Building Department —Final Inspection
C State Demolition Permit/Owner’s Acknowledgement Form
I cerlily this applicalion is true anti corTect and agree to perform the work described according to p1anspeciftcatinns submitted,reviewed and approved.ar.d comply with
local ordinunces.stale and federal laws a’ssell as huildiar codes.Tcertify that I have the properly owner’s authority and permission to apply for this peritlit.Additionally.I
UNDERStAND THAT tAM RESPONSIBLE FOR ANY FEES OR EXPENSES INCt’RRED FOR PLAN REVIEW,PERMtTS,INSPECTIONS AND OTHER
FEES ASSOCIATED 49TH THIS APPLICATION.
Contractor /0 Owner 0 Owner’s Agent C Tenant
Siunature k S Date 1 tp•tN ,‘
***Office Use Only **‘
Staff Comments:
Application Information
Pee
Permit Fee:
$50/building C>kci Date
j’3 Total :dO
iSSUE OF THIS PERI1VIIT DOES NOTAUTHORIZE ANY NEW CONSTRUCTION
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