HomeMy WebLinkAboutPERMIT 650 Audubon St Bidet 2003-10-30D.J-o
/0-30-0 s Town of Estes Park Received Date Permit Number ,41, /Qc- 03
Received By
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) 586-0249
Job Address: 75 0 14-i ),4Q 0\1 577 ---c)_270.-
Owner Name:
Address: ()-A ,
(Street)
Phone:
p
(City)
YCtWI
(State) (Zip Code)
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COntraCtOrIAPPliCantd c:ra tcThr - (41.4.-41-k _Kt k \ Town License #: Phone:5,=f;
Address:) ct L-()C--Tx--0-1Z._
(Street)
0 Residential 0 Non-Residential
(City)
C C`i
(State) (Zip Cede)
0 Air Conditioning Installation
0 Gas Line ( ft.)
0 Gas Log Installation
0 New Furnace Installation
0 New Water Heater Installation
0 Temporary Structure Use
Time Period
q Reroof (Commercial — Pitched Only)
Roof Classification A BC N
# of Squares
0 Reroof (Residential)
# of Squares
0 Siding
0 Windows
0 Fire/Water Damage
0 Drywall
lA Other IAL-C 77)--Z ( /3(6
0 Demo Structure
Description of Work:
_Z —AfS7A-Z.Z /t E(
VIOSSEE,
Valuation (Total Cost of Material & Labor): $ //
damismiam
I cenify this application is rue and correct and agree to perform the work described according to plans/specifications submitted, reviewed and approved, and comply with
'pea! ordinances, state and federal laws as well as building codes. Additionally, I UNDERSTAND THAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES
INCURRED F LAN REVIEW, PERMITS, INSPECTIONS AND OTHER FEES ASSOCIATED WITH THIS APPLICATION.
Sig:ature Date 10/30/03 Print Name c)(Vyi
*** Office Use Only '
Staff Comments: Permit Information
Fee
Permit Fee:
County Tax:
Total :
Building Oiiicial Date
/0 -30 -0 3
B.•. - ." n • r. • Received .- Town of Estes Park L ,... Pearnii number
By ' . • Application for Building Permit
Building Division 170 MacGregor AvenuaP.O. BO 1200 Estes Park, CO $0517
Genera; Information (970) 577-3731* Inspection Line (970) 577-3731 * FAX (970) 556-0249
. ................„
Job Address: S--(.). A u-ol L3r)or 5VCCe.-4- Lot Size: sf/ac
Lot: Block: Subdivision: Parcel II:
Owner Name: -re CO TQA4 Sart-I
Address:, Li SM
(Street) (City)
C U 0 S-1 -7
(State) (Zip Code)
Phone:
Contractor/Applicant: Wes.61,Lr1 -1441,1 7-e-t.. Town License tt:5(p.)-Phone:23(ti - 5r3 Li
Address: //W iLb,(.61er-K E ('c)YOS-
(Street) - (City) (State) (Zip Code)
10/31/2003 10:02 9705778462
WESTOVER CONSTR
PAGE 02
Approval on non Town entities is the responsibility of the permit applicant. Please obtain the appropriate approval(s) of
the following authorities, as advised/highlighted by the Building Official. Each authority will have its own requirements,
wnlirine and procedures, and fees which are distinct and separate from Munielv.;
i.3.ed prior to obtaining required approvals.
I. -SANITATION DISTRICTS
Upper Thompson Sanitation District
Estes Park Sanitation
q New Construction
D Adding or Vacating Plumbing Fixtures
D Adding Square Footage to Existing Building Footprint
Sa a Oil Interceptor / Grease Trap
/0
Approved Date
2. LARIMER COUNTY HEALTH DEPARTMENT
q Commercial Food / Drink Preparation
q Alcohol Sales (On Premise)
q Day Care ( 6 Or More Children Under Age 18)
q Septic System
Approved Date
3. STATE ELECTRICAL BOARD
0 New Construction with Electrical
D Addition / Remodel with Electrical
4. STATE ENGINEER
q Water Well
5. STATE DEPARTMENT OF REVENUE
0 Tax Exenyt
COMMENTS: flth
111N-0'
COMMENTS: