HomeMy WebLinkAboutPERMIT 830 Big Horn Dr Windows & Guardrails 2019-10-230jjkce
I of z;/-0-,‘y Tovn of Estes Park COW l’erniii “tinilier i—qs —ti
Application for Miscellaneous Permit p)lica(i(.ii IxpircsSt 1Z3f2t
l)ejiaiImcnl ni lIuilili’ig Safe);17)1 \lacCiegor e,n’e P.O.Ihix 1200 Etes Park,(‘()31)517
t;riienil Iiih,riiialiiiii &lTisfIec(inn line (970)577—3726 *l.\(970)536—0249 *www.es(es.or Permit Epiie U73)SOJ
.Ini)Address:S 20 ,&h9
Ow ncr Name:)p.y,I Phone:
Address:‘3’c3 tSli (CiTy)I State)(Zip (tile)
Contractor/Applicant:Ø4J1e Town License #:fJ Phone:29?-t 71
Address:y73/3$t A%tuiC Ic to
(Street)((ill SL,ie (Zip (ode)
ü [iiii—lei-ni Residential (>30 days)LI Sliorl—lerin Residential (<30 tlays)LI Coniiiietcial
LI Replace Furnace LI Gas Line (ft.)
LI Replace Boiler ,Replace Windows —
LI Replace Hof Water Heater LI lns(aII Air Conditioning
LI VI iii or I’m TI)bug LI leniporan Structu n Use_____________________________
LI VI iii or Remodel Time Pc rind
_________________________________________________
LI Fireplace Insert —circle one:Gas,Wood,Pellet;LI Other
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-p4.4 Qt CO,&.4Q 1L&.J5
\‘aluation (loLl Ccist ol Material &labor):S
I ccriil\(his aTi(ilicatton is (rile atid coiled and agree To Iriorin ‘lie ,,ik tlescrii,cd accoilmg In plaiiss(,ed(llcLI(Il3ns suliiniiied.reviewed aid ppo ccl.and comply vnT,
local oidniailccs.,(atc amid idcimT (as as well is htnldiiig codes.I ccriilV (hat I hi e Ilie property owiiers auThoriTy aid prniisskin to apple I,,((Os pcriiiil_,\iluTiioiiilTv,I
1Nl)KRSItxl)l IlU I AM kI:sI’oNslnlr [OR AN [[KS OR vxl’rssi•:s lN((RRtI)FOR ‘IAN RlVlKfl,II Iflhl IS,INSI’F([IONS NI)(Y[II[R
I:I:Is ‘i5SO(I\11:1)ylIIT 11115 tl’T’l I(tlIO\\nle:[lie sm,iIc ;nillmnrizeil I,;(Inc permit requires time Isi,iltli lie provi led will,snmke alarmims cnni1il;inu
i.IT(i niumlir al r le.Sigmiiimcfl T)aie
__________
)‘mii,t Nan,)c /1i hA —-----
Office Use Only ***
Inspect on (bee k Ii si:
LI Address PosTed LI Equipment Access U 1 &I’LI Smoke Deleelors
LI ContracTors licensed U Equipment I sied LI (ins Pipe LI Rough Inspeclmoti
LI Permit I’ackel Av;ulablc U EquipmenT C learaitce’U Vent U liiia[Inspection
U Sale Aecess LI Pan and Drnis D (OtTibuslioTi ‘tic
C ,llmliicnts:I’e,i,i it Fee.
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(cmos #C Iinstr,ictiom,I vpe:Occupancy:-
(otinLy I ax:J1J
lii,iI4ling ()fficiM l)ale
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**SMOKE ALARMS ARE REOUIRED**
I 0CT232U19
____________
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