HomeMy WebLinkAboutPERMIT 1800 Cherokee Dr Flood Damage 2013-10-28oice
Received Date Town of Estes Park C(Permit Number M--;;4 /
Received By -i Application for Miscellaneous Permit Application Expires 4DepartmentofBuildingSafety170MacGregorAvenueP.O.Box 1200 Estes Park,CO 80517 //General Information &Inspection LIne (970)577-3726 *FAX (970)586-0249 *www.estes.oit Permit Expires 1f /4.
JobAddress J’C /i’i ):
OWnerName:///._k7 //ecI/(‘Z Phone:/&/
Address:i:po ‘‘(Street)(City)(State)(Zip Code)Co1tractor/ApplieantL2ç,)/ó )k/Z Town License #:3c -Phone:q6).7(
Address:(/5,7A”Q 2 //ce ‘c/(iI.ijc/r.
(Street)(City)(State)(Zip Code)l.Long-term Residential (?30 days)El Short-term Residential (<30 days)C Commercial
C Replace Furnace C Gas Line (ft.)C Replace Boiler El Replace WindowsOReplaceHotWaterHeaterCInstallAirConditioningCMinorPlumbingElTemporaryStructureUse________________El Minor Remodel /hme Period
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El Fireplace Insert —circle one:Gas,Wood,Pellet;El Other
Description of Work:
4 3/A()/—I€iaValuationttotalCostofMaterial&Labor):$j ,—-//L-./“2tcertifythisapplicationistrueandcorrectandagreetopertbrmtheworkdescribed according to plans/specifications submitted,reviewed and approved,and comply withlocalordinances,state and federal laws as well as building codes.1 cerdfy that I have r}ie property owner’s authority and permission to apply for this pennit.Additionally,IUNDERSTANDTHATIAMRESPONSiBLEFOR.AYY FEES OR EXPENSES INCURRED FOR PLAN REVIEW,PERMITS,INSPECTIONS AND OTHERFEESASSOCIATFDWITH‘fillS APP ICATI .Note:The vork authorized by this permit requires the building be provided with smoke alarms complying
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DatI)Print Name ‘‘‘-**Office Use Only ***
Inspection Checklist:
El Address Posted El Equipment Access El T &P C Smoke DetectorsElContractorsLicensedCEquipmentListedCGasPipeElRoughInspectionElPermitPacketAvailableCEquipmentClearancesCVentCFinalInspectionCSafeAccessCPanandDrainCCombustionAir
Comments:
Permit Fee:.2.LoS
Construction Type Occupancy:
County Tax:2.33
Census #
IiiiTrigOftiiiiDate
25 Total:‘4.
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‘age I oil Re sod 5/21/2012 -C[3