HomeMy WebLinkAboutPERMIT 1240 Big Thompson Ave Bring Railing to Code 2012-03-06off.
Received Date Zi 1.c Town of Estes Park c0’e I’ernnt Number M-_(2fj.2k
Received By c—Application for lVliscellaneous Permit Applietion Expires______
Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517 ‘ZO ‘3GeneralInformation&Inspection Line (970)577-3731 °FAX (970)586-0249 www.estesnet.com Permit Expires ,—Z91
Job Address:/7 y_
Owner Name:/€fr-;4 //u*s €-_Phone:
______
Address:Qc /-5Jzs
(Street)(City)(State)(Zip Code)
Contractor/Applicant:(Je.s-I-uLv (c?-s-/,Town License 4t:3(r’.2.Phone:
Address:I S crZ (ô
(Street)(City)“(State)(Zip Code)
Li Long-term Residential (30 days)C Short-term Residential (<30 days)El’Conunercial
t
Li Replace Furnace C Gas Line (ft.)
Li Replace Boiler C Replace Windows
Li Replace Hot Water Heater Li Install Air Conditioning
EJ Minor Plumbing Li Temporary Structure Use_____________
Li Minor Remodel Time Period
__________________________
O Fireplace Insert —circle one:Gas,Wood,Pellet;C Other
Description of Work:
4e (c&
Valuation (Total Cost of Material &Labor):$5°
I certify this applicalion is true and coffect 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 certifythat I have the property owner’s authority and permission to apply for this pennit.Additionally.I
UNDERSTAND THAT I AM RESPONSIBLE FOR M4Y FEES OR EXPENSES INCURRED FOR PLAN REVIEW,PERMITS,INSPECTIONS AND OTHER
FEES ASSOCIATED WITH TillS APPLICATION.Note:The work authorized by this permit requires the building be provided with smoke alarms complying
with municipal codes.
Signatuse //
__________Date
3 Punt Name
-
rL
____________________________________________________
***OffjceUseOnly***
Inspection Checklist:
C Address Posted
C Contractors Licensed
C Permit Packet Available
C Safe Access
C Equipment Access C T &P C Smoke Detectors
C Equipment Listed C Gas Pipe C Rough Inspection
C Equipment Clearances C Vent C Final Enspection &P4?ôJb
C Pan and Drain C Combustion Air
***
P*L.Jf3c2 Permit Fee:
Type:Occupancy:
Date
County Tax:
3-7-12--
7S.7S’
Total:
?-?ocDg97c
‘Serveraomm devBuildintz’tFprms\Appli.itioiis\O er the Counter Page 1 of I Revised 6113/2006 -CB
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