HomeMy WebLinkAboutPERMIT 1945 Bradley Ln Fix Water Damage 2011-03-11Mar 11 11 01:l4p Westover Construction 970-577-8462 p.1
Received Date z Town of E stes Park Permit Number M-fl 0 ((
Received By Application for Miscellaneous Permit Application Expires______
Department of Building Safety 170 MacGregor Avenue P.O.Bosc 1200 Estes Park,CO 80517 jc2t 7...General Information &Inspection Line (970)577-3731 *FAX (970)586-0249 *www.estesnet.com Permit Expires 9
Job Address;46 êVL1E?Lp(2-1 Qt.0C -0 i (p
Owner Name:jCW 0.LtTh Phone:i /9
Address:c14—,oce’CO
(Street)(City)(State
Contractor/Applicant:LL1Zw.Z-_Town License #:
Address:F?9 LO1t .E Co
(Street)(City)(State)(Zip Code)
,Elling-term Residential (?30 days)El Short-term Residential (<30 days)Commercial
El Replace Furnace El Gas Line (ft.)
El Replace Boiler El Replace Windows
El Replace Hot Water Heater El Install Air Conditioning
El Minor Plumbing El Temporary Structure Use_______________
El Minor Remodel Time Period
_________________________
El Fireplace Insert —circle one:Gas,Wood,Pellet;El Other
Description of Work:€c £
(r%V45l’J4t.C,
VaLuation (Total Cost of Material &Labor):S zS
I certify this application is true and correct and agree to perform the work described according to plans/specifications submitted,reviewed end approved,and comply with
Icalordinances,state and federal laws as well as uiIding codes.I certify that I have the property owner’s asthority and ,ermission to apply for this permit.Additionally,I
UNDERSTAND THAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES ENCURRED FOR PLAN REVTEW.PERMITS,INSPECTIONS AND OTHER
FEES ASSOC[ATED WITH THIS APPLICATiON.Note:The work authorized by this permit requires the building be provided with smoke alarms coniplyiitg
with municipal codes.
Signature I”7 Date t Print Name i)A7]’ZZ”7
***Office Use Only ***
inspection Checklist:
Address Posted Equiprrient Access D T &P C Smoke Detectors
C Contractors Licensed C Equipment Listed C Gas Pipe C Rough Insction
C Permit Packet Available C Equipment Clearances C Vent C Final Inspection
C Safe Access C Pan and Drain C Combustion Air
Comments:Permit Fee:75
(
Census 4 Construction Type;Occupancy:
q Countr Tax:.59 3
Building Of del Date4/J -Total:310.S
**SMOJ]ALARMS AE REQUIRED**(c(7FJS)
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