HomeMy WebLinkAboutPERMIT 920 Big Thompson Ave Replace Deck 2016-04-04K
office
Received Date
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Town of Estes Park Copy Permit Number $-foSS /
Received By Application for Miscellaneous Permit Application Expires______
Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517 7GeneralInformation&Inspection Line (970)577-3726 *FAX (970)586-0249 *www.estes.orc Permit Expires
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Job Address:9 3(rflier7SwJ co 3o$(7
Owner Name:Outi LATht’a?Tfr4E ov,JTA cA-fl c*‘-‘OCA Phone:c 6 -i-‘
Address:?o B’t7o cO o5i7
(Street)(City)(State)(Zip Code)
Contractor/Applicant:a 4 &ti—*.c tic Town License #:13Q3 Phone:t7c)-SI -S 72’!
Address:3Lt3 S.s-nr vz,€4i ,j-ER cc
(Street)(City)(State)(Zip Code)
C Long-term Residential (30 days)C Short-term Residential (<30 days)_ZConimercial
C Replace Furnace C Gas Line (ft.)
o Replace Boiler C Replace Windows
o Replace Hot Water Heater C Install Air Conditioning
o Minor Plumbing C Temporary Structure Use________________
C Minor Remodel Time Period
___________________________
o Fireplace Insert —circle one:Gas,Wood,Pellet;Other
Description of Work:,a--L¾1 tZ’tC,z-€.?4-t c-t,n.fl,rfrI
M-€.kjoob /k-.C CA9M+1 To P .tP’€55 s7-sor kka-’-.7ôP /tDL
Valuation (Total Cost of Material &Labor):$,c.a/0/0
I certify Ibis application is tnie and correct and agree to perform the ork described according to plans’spccifications submitted,reviewed and approved,and comply with
local ordinances,slate and federal laws as well as building es.I certil5 that I have the property owner’s authority and permission to apply for this permit.Additionally.I
UNDERSTAND THAT I AM RESPONSIBLE FO V FEES OR EXPENSES INCURRED FOR PLAN REVIEW’,PERMITS,INSPECTIONS AND OTHER
FEES ASSOCIATED WI PPLICAT ‘.Note:The work authorized by this permit requires the building be provided with smoke alarms complying
with municipal codes
Signature
______________________________
Date Print Name r,t,tl’/ti _-1)0
***Office Use Oniy
Inspection Checklist:
C Address Posted C Equipment Access C T &P C Smoke Detectors
C Contractors Licensed C Equipment Listed C Gas Pipe C Rough Inspection
C Permit Packet Available C Equipment Clearances C Vent C Final Inspection
C Safe Access C Pan and Drain C Combustion Air
Comments:
Permit Fee:3’07.
Census #Construction Type:Occupancy:
County Tax:
ate /Total:li 507.2.5’
**SMOI(E ALARMS ARE REOUIRED**
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