HomeMy WebLinkAboutAPPLICATION Vacation Home Life Safety Inspection 635 Freeland Ct 2024-08-02!,"•i,l;
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RECEIVEDTown of Estes Park
Vacation Home Ufe Safety Inspection A(tpJicattonO 2 ?o24
EYi..-TIME;^ __
Vacation Home Physical Address: Cp"^*5 F/SLiFeLA-N^b. CT
Owner Name: -$HftUJvJ ^ TAMETT :7dAj£.S
Mailing Address: -^^^ (-AST ^£0=:^ FcaiJ^/Z A?0t/^^ T-/)f 79'4'2-Z
(Street) (City) (State) (Zip Code)
Email Address: -p£ y 3~6 AJe $ (^ TX. ' K.R." C^W\ (please write legibly) Phone: '9\1 HQl 7-7 6 S
Property Manager/LocaI Representative: ^^<^f^'// A^^A'^^Q^^^/^..^^ ^/^^ ^^!^ \
Email Address: /^^^/^^^/^^^^<^<^-7^ease write legiblv) Phone:^%^-^^^^^/ /
Number of Bedrooms (per Larimer County Assessor Data and Vacation Home License Apptication) €3
Identity Sleeping Areas other than Bedrooms (den, office, family room, etc)
Description of Work: 2015 IRC AMENDMENT Section 327 LIFE SAFETY SURVEY
i the homeowner, or Property Manager acting on behalf of the homeowner, certify the information on this application
is true and correct. 1 understand by signing and submitting this application, I agree to have the above property
inspected by the Building Official to ensure compliance with local ordinances, state and federal laws ss well as
building codes. Additionally,
Signature:
and that I am responsible for any/ees associated vj^'th thi^ application.
KziA^f^]
^(Homeowner/Prop^rty Manager}
Print Name
•application.^^^•^^ ^<^
***OFRCE USE ONLY***
Building Official:Date:
Permit Fee:
County Tax:
Total:
$200.00
$0,00$0,00
pd pJDO00 ^tAtlOZ^ (m5%5^Z^ $200.00
LSI Checklist
Initials:Date;Issue permit number: VHLS:0^-'2M EXPIRES:
Email handouts/pemnit number to Owner/PropMgr/Town Clerk
Inspection Scheduled (Calendar/Laserfiche/Town Clerk/CD-VHLS Database)
Inspection follow up to Owner/PropMgr/Town Clerk (via Laserfiche)
Final Inspection Scheduled (Calendar/Laserfiche/Town Cferk/CD-VHLS Database)
Results of Final Inspection entered in Laserfiche
Issue CO to Owner/PropMgr/Town Cierk/Property File
Field Approved for Certificate of Occupancy by:Date;
RETURN TO; towncierki@estes.ora, Town Cgerk's Ofno@, P.O. Box 1200, Park, CO §8817
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