HomeMy WebLinkAboutPERMIT 2210 Arapaho Rd Insulation 2012-08-08Received BattOr) 0S- Town of Estes Park Permit Number M- I
Received By
Application for Miscellaneous Permit Application Expir2 X1 .1 9)
artment 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.cstes.org Permit Expires 1' ) ' lq
Job Address: XiC) -42APA.140 ...RE).
Owner Name: --DAL/re-- in-IAA/la-re-4e_ Phone: 04f--0 599. — CASS—
Address: 2210 A 2A -to 'RE) - ESI-t-5 Petteic_ CO , 005-19--- ,
(Street) (City) (State)Zip Code)
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(State)(
Contractor/Applicant: 1-4T-61) —L-1Lt-A-L-tvrr-ON..\ Town License #: 1 Phone: 723- "q0cici
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Address: (01c7r4 5. C.Ourturz_ iii\-ve.... T--r- Couzkts Co 8 o&--LS-
(Street) (City) (State) (Zip Code)
0 Long-term Residential (> 30 days) y.Short-term Residential (< 30 days) 0 Commercial
0 Replace Furnace • Gas Line ( ft.)
0 Repla•ce Boiler • Replace Windows
• Replace Hot Water Heater • Install Air Conditioning
0 Minor Plumbing • Temporary Structure Use
• Minor Remodel Time Period
• Fireplace Insert — circle one: Gas, Wood, Pellet; %Other -L-Losicia1/4.-rrzu...3
Description of Work:
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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 permit. Additionally, I
UNDERSTAND THAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW, PERMITS, INSPECTIONS AND OTHER
FEES ASSOCIATED WITH THIS PPLICATION. Note: The work authorized by this permit requires the building be provided with smoke alarms complying
with municipal codes.
/1, .id 8b/ 2 - -arse.e.'agoi.L.1 Signature MO Date Print Name
*** Office Use Only ***
Inspection Checklist:
0 Address Posted 0 Equipment Access 0 T & P 0 Smoke Detectors
0 Contractors Licensed 0 Equipment Listed ID 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: Permit Fee: c___)
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Census # Construction Type: Occupancy: County Tax:
1a
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a' ing Official 40
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Date
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E ALARMS ARE REQTARED**
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