Loading...
HomeMy WebLinkAboutPERMIT 735 Castle Mountain Rd Stucco Siding 2019-06-19iteLivei11 _______ Town of Estes Park Permit Number NI-124 H9 RLd Hi.—443 —Application for Miscellaneous Permit 1.1splicalion Lipires j2J19/19 Department of Building Safen 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517 f fl /General Information &Inspection Line (970)577-3726 *FAX (970)586-0249 *nssw.eslc,rg Permit Expires ij liii Job Address:C p5-ICE majsmz,J Owner Name:CoDv4e.x Wtc Phone:33’s SflL394 Address:935 mH aAO E-re Co (Street)(City)(State)(Zip Co&) Contractor/Applicant:i R %I_g Town License #:“4*Phone:3’t56..Th’ Address:93f C)rL€tftpI\+Ai&J RoAD Eir ?4c (fl ‘3’oS/5 (Street)(Ci”)(State)(Zip Code) Long-terrn Residential (30 days)D Shod-term Residential (<30 days)0 Commercial 0 Replace Fur,nace C Gas Line (It.)C Replace Boiler C Replace Windows O Replace Hot Water Heater C Install Air Conditioning C Minor Plumbing D Temporan’Structure Use_______________o Minor Remodel Time Period __________________________ C Fireplace Insert —circle one:Gas,Wood,Pellet;C Other Description of Work:a/pavout-Soi(5 o/iuco jt(r Valuation (Total Cost of Material &Labor):$//q—,/f ( I certit’tIns application is [mm and coned and agree to perform the work described according to plans/specifications submitted,reviewed and approved,and comply withlocalordinances,state and federal lavs as well as building codes.I certify that I have (lie property owner’s authority and permission to apply for Ibis permit Additionally,ItNI1ERSTANIJFIIA[I AM RESI’ONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR l’lAN RF.%’IEV,PERMITS,INSPEaION5 AND OTHERFEESAssoClA’rrl)Wrrll 11115 4l’l’IICATION.Note:1 lie work authorized by (hi,permit requires the building be provided wIth smoke alarms complying..ilh municipal cndrs. SignaIur (1)Jt Date Print Name OODI p_. --- J ***Office Use Only *** Inspection Checklist: C Address [‘osled C Equipment Access C T &p Q Smoke Detectors C Contractors Licensed C Equipment Listed 0 Gas Pipe C Rough InspectionCPcrrnitPacketAvailableCEquipmentClearancesCVentCFinalInspection0SafeAccessCPanandDrainCCombustionAir,NV&5TithTiVb gFBb.i(‘nnamcnts: PermitFee:4’196.26 Census U j Construction ‘lvpe:Occupancy: CountyTax:44t0 Buildi Iflcial Date Total:z5oO **SMOKE ALARMS ARE REOUIRED** ‘j 19 2U’9 I _ l3tjildins lurms \j]1ic.ilinnit the Couttrcr Page I of I 1’Revised 3129/2012 -CB