HomeMy WebLinkAboutPERMIT 1240 Big Thompson Ave Replace Siding 2012-06-08Received Date ‘OL’-08 Town of Estes Park Permit Number M
Received By
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Application for iVliscellaneous Permit Application Expires
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Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517 -General Information &Inspection Line (970)577-3726 *FAX (970)586-0249 *www.estes.org Permit Expires
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ob Address:/6’Tk.
OwnerName:I-4o -e (iE Phone:
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Address:
(Street)/(City)(State)(Zip Code)
Contractor/Applicant:A Town License #:
_______Phone:______________
Address:
(Street)(City)(State)(Zip Code)
C Long-term Residential (30 days)C Short-term Residential (<30 days)J Commercial
O Replace Furnace 0 Gas Line (ft.)
O Replace Boiler 0 Replace Windows U
C Replace Hot Water Heater 0 Install Air Conditioning0MinorPlumbingCTemporaryStructureUse________________0 Minor Remodel Time Period
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El Fireplace Insert—circle one:Gas,Wood,Pellet;l Other
Description of Work:/?-i 5c .‘.‘4 7 ,Eq,5€‘1 ô .e
Valuation (Total Cost of Material &Labor):$/
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 withlocalordinances,state and federal laws as veIl as building codes I certify that I have the property owner’s authority and permission to apply for this permit.Additionally,IUNDERSTANDTHATIAMRESPONSIBLEFORANYFEESOREXPENSESINCURREDFORPLANREVIEW,PERMITS,INSPECTIONS AND OTHERFEESASSOCIATEDWITHTHISAPPLICAlION.Note:The work authorized by this permit requires the building be provided with smoke alarms complyingwithmunicipalcodes.2 7—(3 ô
Signature f Date
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fiuit Name -7 L.,c k 4e
Office Use Only ***
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 j /C Permit Packet Available C Equipment Clearances C Vent 0 Final Inspection ICSafeAccessCPanandDrainCCombustionAir
Comments:
Permit Fee:
Census #Construction Type:Occupancy:
County Tax:
Building Official Date
Total
**Sj4OKE ALARMS ARE REQUIRED**
Page I ol’I Revised 5/21/2012 -CB