HomeMy WebLinkAboutPERMIT 625 Community Dr Skylights 2017-11-15Received DatelOl •7 //‘4 c Town of Estes Park 0’PermitNumberM-H ‘?Mh
Received By JV_Aplication for Miscellaneous Permit Application Expiresb t’41
Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517 .4Information(970)577-3726 *Inspection Line (970)577-3731 *FAX (970)586-0249 *www.estes.org Permit Expires
______________
Job Address:1,2 9 o4pre’r.’i’J)y’
Owner Name:7i 4’,c/e%cc.’/c/.et’sr &nr Phone:97o 4J7 eoe)g7
Address:fr fl4 (‘C’
(Street)/(City)(State)(Zip Code)
Contractor/Applicant:)a.ia_/41t cJe’i’4a—Town License ii:/$‘f/Phone:.2J 6S
Address:OI %C75 C)
(Street)(City)(State)(Zip Code)
U Long-term Residential (30 days)C Short-term Residential (<30 days)C Commercial
o Replace Furnace 0 Gas Line (ft.)
o Replace Boiler 0 Replace Windows
o Replace Hot Water Heater 0 Install Air Conditioning
0 Minor Plumbing 0 Temporary Structure Use_______________
o Minor Remodel Time Period
__________________________
o Fireplace Insert —circle one:Gas,Wood,Pellet;0 Other
Description of Work:c
Valuation (Total Cost of Material &Lah’or):$—
I certify this application is true and correct and agree to perform the work described according to plans/specifications submitted,reviewed and approved,and comply with
local ordinances,state and federal laws as well as building codes.I certi that I have the property owner’s authority and permission to apply for this permit.Additionally,I
UNDERSTA*D.JHAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW,PERMITS,INSPECTIONS AND OTHER
FEES ASSOcIAtEQ WITH THIS APPLICATION.Note:The work authorized by this permit requires the building be provided with smoke alarms complying
with municipI codes.
no Date 1)Je’Zrint Name’QC /111A n“***Office Use Oniy
Inspection Checklist:
C Address Posted C Equipment Access C T &P C Smoke Detectors
C Contractors Licensed C Equipment Listed C Gas Pipe C Rough Inspection
C Permit Packet Available C Equipment Clearances C Vent C Final Inspection
C Safe Access C Pan and Drain C Combustion Air
Comments:Permit Fee:7 rj>
Census #Construction Type:Occupancy:
County Tax:/ô 7’Z—
u(imO,&M/&,Date )(f4 f7 Total:/tT?.‘?7
(-I I
NOV15 2611
U:\Building Division\Forms-Logs\AØps_Permits_IRC_Misc\Miscellaneous\Miscellaneous 2012.03.29.doc