HomeMy WebLinkAboutPERMIT 410 Columbine Ave Window Replacement 2011-04-050f1ce
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Town of Estes Park Copy Permit Number tk Ol-U I I
Received c’—-Long-Term Residential Application /Building Permit
Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517 Application Expires to
General Information and Inspection Line (970)577-3731 FAX (970)586-0249 www.estcsnet.com
NOTE:Use this Form for Long-term Residences 30 days or more.
Job Address:U ‘7 Condo:,No F]Yes;Lot Size:
Lot:Block:_Y_Subdivision:CT4Mlry C/Q b/c,-o ,Parcel #:?5i 3 Of’!
Owner Name:LyjHzi_’SY77 itk Phone:j’3 5/
Address:/(7D CJ’Y Ji PA tEZ
(Street)(City)-(State)(Zip Code1.-a 7)ec,“i•2 /—,‘-,i’c -€,‘!1’r J’-Or.’v”Contractor:
_______________________________________________Town
License #:‘_Phone:7 -‘y/J
Address:/&,.tt 3’97 I)
(Street)(City)(State)(Zip Code)
The Following Applies to New Work Only —Complete all that apply:U New Building Alteration U Addition Master Plan#Building Use(s):U Owner /Residence .Rental —30 days or more U Accessory Dwelling
Existing use:——Proposed use:;#ofNew Dwellings:;#ofNew Kitchens:
Sewer:U Estes Park Sanitation 0 Upper Thompson Sanitation 0 Private Septic —Requires Applicant to Orst go to the Health Department.Plumbing lnvolved:.o U Yes —State and Town Licenses Required;P/nothing Fixtore Worksheet Required.Fixtures:0 Add 0 Relocate 0 Replace 0 Demolish ‘Water Service:0 Existing 0 New -#of Meters:.Meter Size:tnchesElectricTnvolved:’Jo 0 Yes-—State &Town License Required.Stale Permit and Inspection Required.
I certil’this application is true arid con-ectbnd agree to perform the work described according to plans/specifications submitted,reviewed and approved,and comply withlocalordinances,slate and tëderal laws as well as building codes.I certify that have the property owner’s authority and permission to apply for this permit.Additionally,IUNDERSTANDTHATIAMRESPONSIBLEFORANYFEESOREXPENSESINCURREDFORPLANREVIEW,PERMITS,INSPECTIONS ANI)OTHERFEESASSOCIATEDWITHTI-ItS
Contractor F]Owner’s Agent F]Tenant
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rint Name
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Date-----
***Office Use Only ***
Job Description:Application Information4Jj49o))Approved Disapproved Fees
Public Works
Applicable IType of ,Occupancy Class(es):WaterCode(s):Construction:I
IC I.ight &Poer
Occupanoad S)j 5 h Floor road(s):I Roof Load:/Planning
7
Variances:
Building 9 7.2-Setbacks I Front Sides I Rear River Plao Rcie
Zoning I Hazards ICensus #uunt ‘I’a j .OCeoWildfireFlood
Certificate nt Occupancy
Buildin3)ffic’I Date
(J jJ,,,(4/t 7 ‘lotal o9.
Received Date (.Q L(
LL’IL
Permit Expires t
On 3 ‘I Total Valuations (Labor &Materials)/oAttached
Detached
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