HomeMy WebLinkAboutPERMIT 2210 Arapaho Rd Renovations 2012-08-22ofF/
Received Date 0 0 /0 -0S - z 0 Town of Estes Park -PIlit Permit Number M- //qt/
Received By Application for Miscellaneous Permit Application Expires( :A3• 1
Department of Building Safety 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517 Cj
General Information & Inspection Line (970) 577-3726 * FAX (970) 586-0249 * www.estes.org Permit Expires 0 )4
Job Address: 2.2 JO h- t A r61 , y oLlk-c)
Owner Name: 00....J— A-rAl 0 c,.1-4, r: c K Phone:
Address: 22_ 10 AcvNpA.1,-.0 !flak . E,Shc.6 Pas k Co 365/7
Contractor/Applicant:
Address: 33 ha o..514-
(Street) ' (City) (State) (Zip Code)
/4 1+1c r Dr/ t.ti c-% ti a- PA:A 4-4\1 Town License #: nO Phone: 363-638-f/96
Mo LA,A:k-r-4:, A U i C% Ai O. e 4 itn,y11 le.CU %A 4- CO 70,5--0
(Street) (City'r (State) (Zip Code)
0 Long-term Residential (> 30 days) 0 Short-term Residential (< 30 days) El Commercial
0 Replace Furnace
0 Replace Boiler
0 Replace Hot
0 Minor Plumbing
Water Heater
- circle one: Gas, Wood,
0 Gas Line
0 Replace
0 Install Air
( ft.)
Windows
Conditioning
Structure Use • Temporary
Time Period • Minor Remodel
0 Fireplace Insert Pellet; • Other
Description of Work:, t__
rirAsAcj N'y t-) c....\8 i TA..pc. cv..,ek A-c le.A1.4_4' .e
Valuation (Total Cost of Material & Labor): $
3i 470 0
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 APPLICATION. Note: The work authorized by this permit requires the building be provided with smoke alarms complying
with municipal codes.
Signature kligi4A 74/ Date7"2742 Print -Name (4) bt k \ : c,. IAA, 1,-.-. 41, (
*** Office Use Only ***
Inspection Checklist:
0 Address Posted 0 Equipment Access 0 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:
Permit Fee:
/Vii(--
Census # Construction Type: Occupancy:
County Tax:
Afr
Building OM:dal Date
ZcZ"--,..c..6..6. -/ z 0 /0 —0 8- Z z Total :
/--645s "0,f14 ?/ 9 7
Revised 5/21/2012 - CB t&rti:S=172*PuFtflOrkrpit-e-a—tionsr-ttie Counter,'• Page 1 of 1