HomeMy WebLinkAboutPERMIT 800 Big Thompson Ave Replace Doors 2011-04-28Received Date o tf,Town of E stes Park Permit Number M-_Q2 C)(
Received By Application for 1isce11aneous Permit Application Ecpires
Department of Building Safety 170 MacGregor Avenue P.O.Bo 1200 Estes Park,CO 80517
General Information &Inspection Line (970)577-3731 ‘FAX (970)586-0249 t www.estcsnct.com Permit Expires ic7
I certify this application is tree and correct and agree to perform the work described according to plan&speciftcations submitted,reviewed and approved,and comply withfocalordinances,state and federal laws as well as building codes.I certify that I have the property owner’s authority ad permissioti to apply for this permit.Additionally,IUNDERSTANDTHATIAMSPONSEBLEFORANYFEESOREXPENSESiNCURREDFORPLANREVIEW,PERMITS,INSPECTIONS AND OTHERFEESASSOCIATEDVITTSAPPLICATTON.Note:The work authorized by this permit requires the building be provided with smoke aisrms complyingwithmunicipalcodes.
Signature
____________________________________
Date
________
Print Name
***Office Use Only ‘‘
inspection Checklist:
I]Address Posted
D Contractors Licensed
Cl Permit Packet Available
Cl Safe Access
Cl Equipment Access Cl T &P Cl Smoke Detectors
Cl Equipment Listed Cl Gas Pipe Cl Rough Inspectioii
Cl Equipment Clearances Cl Vent C Final inspection
C Pan and Drain Cl Combus lion Air
**SMOKF ALARMS ARE REQUIRED**
‘Serverttonim dev;l3uildi n Forms\ppbcations c)ver the Counter Page 1 of I Revised 7i14f2006 -CS
Job Address:d%i/6 l/2f)2 Ot1 ME,ZS’/4 2 cO57
Owner Name:Ls’LL P/Phone:97p Q/Z:1
Address:.2Sq8 c5 LAK/P?E ZL (2)
(Street)(City)tState)(Zip Code)
Contractor/Applicant:VSViZ6 %Af9 olc #:S9 Phone:7pb9/7Jé
Address:289&S.L.OQ
(Street)(City)(State)(Zip Code)
Cl Long-term Residential(30 days)‘Sbort-term Residential (<30 days)C Commercial
Cl RepLace Furnace C Gas Line (ft.)
Cl Replace Boiler U Replace Windows
Cl Replace Hot Water Heater Cl Install Air Conditioning
Cl Minor Plumbing Cl Temporary Structure Use_______________
EJ Minor Remodel JTime Period
__________________________
Cl Fireplace Insert —circle one:Gas,Wood,PeLlet;L Other
Descrip lion of Work:o ,j7 vy 9k’7 IL?2 P,etVie 4s)-li\-(-iU(L\TiOn (Total Cost of Material &Labor):,
9O-l98-OL qeeNou3 d:o 1JLJdV