HomeMy WebLinkAboutPERMIT 1850 Bradley Ln Roof, Gutters, Stucco 2012-09-25Received Date c’iz-c29 Z Town of Estes Park PermltNumberM-/9 /Z
Received By ‘:.Application for Miscellaneous Permit Application Expires_______
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—112-49 www.cstcs.org Permit Expires .
Job Address:cc i
Owner Name:r&ui k1d Phone:l?o -77 .—V
Address:IS-ce L,(7n OSJ7
(Street)I (City)(State)(Zip Code)
Contractor/Applicant:(/J’S IV‘\‘l c 1 s1-.4-i-7 Town License #:2—Phone:’-(7,-72.7 i—f
Address:I7r I,t:,1tv ds /:S
(Street)(City)(State)(Zip Code)
%Long-term Residential (?30 days)C Short-term Residential (<30 days)C Commercial
C Replace Furnace C Gas Line (ft.)
C Replace Boiler C Replace Windows
C Replace Hot Water Heater C Install Air Conditioning
C Minor Plumbing C Temporary Structure Use________________
C Minor Remodel Time Period
___________________________
C Fireplace Insert —circle one:Gas,Wood,Pellet;_,E1’Other
Description of Work:c215.-5c.w.(L’L CLsL{{Tc.s’)ikS
I SC-.S c
Valuation (Total Cost of Material &Labor):$---.
I certify this application is tmc and correct and since to perform the work described accordrng to plans specifications 4uhnhitted.reviewed and approved,and comply with
local ordinances,state and federal laws as well as building codes.I certift that I have the prnseiIy owners authority and permission to apply for this permit.Additionally.I
ITNDERSTAND THAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW,PERMITS,INSPECTIONS AM)OTHER
FEES ASSOCIATED WITH THIS APPLICATION.Note:The work authorized by ibis permit requires the building he proided with smoke alarnis complying
with municipal cod
IZPrint Name L’)fl
_______
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Office Use On**
Inspection Checklist:
C Address Posted C Equipment Access C 1’&P 0 Smoke t&tors
C Contractors Licensed C Equipment Listed C Gas Pipe Rp4lnspection -.
C Permit Packet Available 0 Equipment Clearances C Vent L4inal Inspection C’
C Safe Access C Pan and Drain C Combustion Air
Comments:Permit Fee:sz.9’s
(ensus #(‘onstmction Type:Occupancy:County Tax:/16,
DateBuildingOfficialZO,Z_O—Z..C Total:9/**SMOKE ALARMS ARE REQUIRED**
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