HomeMy WebLinkAboutPERMIT 950 Black Canyon Dr Replace Siding 2019-08-06Received Date
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Town of Estes Park
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Received By 4.i Application for Miscellaneous 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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Job Address:953 8/44±4nq&i Dei ve.
Owner Name:1f’Db-PA+-EV4t)S Phone:‘2102-46h (p iJ b3
Address:q-ô /&tWt .i2€EflA2IL
(Street)(Ci )(State)(Zip Code)
Contractor/Applicant:AJcierh’4f.AJ LJ4hIS 4”)hO4Town License #:
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Phone:.774r ‘52_C
(Street)I (City)(State)(Zip Code)
Inspection Checklist:
E Address Posted fl Equipment Access LI T &P 0 Smoke Detectors0ContractorsLicensed0EquipmentListedLIGasPipe0RoughInspection0PermitPacketAvailable0EquipmentClearancesLIVentLIFinalInspection
LI Safe Access 0 Pan and Drain LI Combustion Air
Comments:
PermitFee:
Census #Construction Type:Occupancy:
CountyTax:4 /OVCO
Building Officl Date
Total:4 49 /25
**SMOKE ALARMS ARE REQUIRED**
AUG 062019
Permit Number M-/b9 I 9’
Address://375E4g23
Pt9c17
00
g Long-term Residential (30 days)LI Short-term Residential (<30 days)LI Commercial
o Replace Furnace LI Gas Line (ft.)
LI Replace Boiler LI Replace Windows
LI Replace Hot Water Heater LI Install Air Conditioning
LI Minor Plumbing LI Temporary Structure Use_______________
LI Minor Remodel Time Period
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LI Fireplace Insert —circle one:Gas,Wood,Pellet;‘2tOtherefi3,FJ6 I?FPLtk!eFA4_3ftV’
DescriPtionofWork:R(.gli 4pYP4 .W
wr4k A/ta):Ynth AfLkuic 41
Valuation (Total Cost of Material &Labor):S ,2’cvi.—
I certify this application is inK and corr a and agree to pcrformthe (york described according to plans/scificalions submittei reviewed and approved,and comply with
local ordinances,state and federal las well as building codes,t certify that [have the property owner’s authority and permission to apply for this permit Additionally,IUDERSTANfl’IT I AM RdPO SIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW,PERMITS,INSPECTIONS ANT)OTHER
FEES ASSO9(ATE4I N,317 TItS LICATION.Note:The work aoihozed by this permit requires the building be provided with smoke alarms complying
with municial codo.If
nateijqi4’9 Print Narnc ,4fliIt Pei4,so AlSignature
***Office Use Only ***
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