HomeMy WebLinkAboutPERMIT Stucco Install 1701 North Lake Ave 2019-09-10Received Date
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Town of Estes Park i.Number M_________
Received By Application for Miscellaneous Perniit Application Expires %/i)//7
Department of Building Safety 170 MacGregor Avenue p.o.Box 1200 Estes Park,CO 80517
General Information &Inspection Line (970)577-3726 *FAX (970)586-0249 *www.estes.oru Permit Expires 0 (///
Job Address:/90//‘..I.L4-tt 4t’r —j3z);&J.4-y /ci,tJ ,.
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Owner Name:444//ri //?O7s’7V Lefl Phone:49o7)3 5 -79éC)
Address:M’-/It’934O /
(Street)(City)(State)(Zip Code)
Contractor/Applicant:&s %fitisr e2lvs7 9,cTown License #:
______Phone:
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Address:/SA //2/v/a /)g.zz&s /eA-c2o
(Stret)(Cit)(State)(Zip Code)
0 Long-term Residential (?30 days)0 Short-term Residential (<30 days)_.çommercial
0 Replace Furnace C Gas Line (ft.)
C Replace Boiler C Replace Windows
0 Replace I-lot Water Heater U Install Air Conditioning
U Minor Plumbing C Temporary Structure Use________________
o Minor Remodel Time Period
__________________________
O Fireplace Insert —circle one:Gas,Wood,Pellet;Other
Description of Work:
/IvA/4d44t77o&DA 1q44c.Ir $Lc-evpi 4oc.#ilOA’5,
Valuation (Total Cost of Material &Labor):$/oO °°s /3E /2o’7
I certify this application is tnse and correct and agree to perform the work described according to plans/specifications submitted,reviewed and approved!and comply wi:li
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 permit.Additionally,
UNDERSTAND THAT LAM 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.
Signaftre \A Date Print Name 2ev1
***Office Use Only ***
Inspection Checklist:
0 Address Posted 0 Equipment Access C T &P 0 Smoke Detectors
0 Contractors Licensed 0 Equipment Listed 0 Gas Pipe 0 Rough Inspection
0 Permit Packet Available 0 Equipment Clearances 0 Vent 0 Final Inspection
0 Safe Access 0 Pan and Drain 0 Combustion Air
Comments:PermitFee://.2-5—
Census ft [..ConstrLsction Type:.,JoceuancY:County Tax:a
Building Official Date Total:3 ‘/25
**SMOKE ALARMS ARE REOUIREIV
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