HomeMy WebLinkAboutPERMIT 623 Aspen Ave Roof 2004-08-10•
Permit Number /11/-cf% 4-4 Received Date Town of Estes Park
Received By .s - Application for Miscellaneous Permit
Department of Building Safety 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517
General Information (970) 577-3731* Inspection Line (970) 577-3731 * FAX (970) 556-0249
Job Address: 6 3 4 s p e P1 (t vi -t-,91,17.-1 1 e . /3 )
Owner Name: Po h ,e- i"..-, ity k0< ,,, oi, Phone: -586- ‘K 3 0 r
Address: 3000 Pc , V .+q 6 S1--,s /.%).z - 4, Co 00 5, 7
(Street) (City) (State) (Zip Code)
Contractor/Applicant: S t-ect•cfC---7 ,),-1 C e 61 -1>-CA C ) n') ,I ,-1 4..._ Town License #: 6 / / Phone: 5-7 2 — /9 /8
Address: 8 5 p, 13 1 ,,,,_ " g 71- L vi 6 7L.-e A _ (0 005/-7
(Street) (City) (State) (Zip Code)
p Residential • Non-Residential
• Air Conditioning Installation
• Gas Line ( ft.) • Reroof (Commercial — Pitched Only)
• Gas Log Installation Roof Classification A BC N
• New Furnace Installation ..,/ # of Squares
• New Water Heater Installation aReroof (Residential) g e lt:6- 1 T-!6..r-- 0 f>< oa ei re. -,eoc-r- 1/1.- i h,
0 Temporary Structure Use # of Squares 6 3 a ye'. C),-.-.1. 0 s 4p, ,:ii
Time Period • Siding /15/) 4,4. 11-
• Demo Structure • Windows
• Fire/Water Damage
• Drywall
• Other
Description of Work: PO k--- f it co, vi 0 -I- r 0 0 74 , PN c-e .5/ de-7,...e. el fell--e 5
6 „, / cc LL' , 74" o Li Z v" - Ct 11 . .1:e cu e- - o f 74- ''''' kg d r-e -co o 14 6 ,-, ci
p i 4-c 3145 .---, f -0-, -30 (..„, e,- ci/ ..-.1 ; rl s- / 0 A -1..1 / Co r-ka 11 k 74-__,_ 1—n, i 71- 1-t
30 yy- f-e ti- c4 ,,,, a el z 4...i... l's t' d 9 ,c_
Valuation (Total Cost of Material & Labor): $ 15t30 ,2L
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 with
local ordinances, state and federal laws as well as building codes. I certify that I have the property owner's authority and permission to apply for this permit. Additionally, I
UNDERSTAND THAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW PERMITS, INSPECTIONS AND OTHER
FEES ASSOCIATED WITH THIS APPLICATION. 9 '' 6 fral—et C r--k' —5° Pi ?It. g 7 9 - 1,116
Signature Chr..-; .. i----67--,44---4-el.---,- Date 6 -7 -- 0 '-I Print Name C A rt. 5 C7-461"2"/ CI el
*** Office Use Only ***
Staff Comments: Permit Information
Fee
Permit Fee: 6-7. 5
Census # County Tax: (0 ;Z-
(...,..-
___ ________ g - / o - 0 i-14
Bui di Official Date
,---' Total :
I) (130
Revised 3/12/04 3/12/04