HomeMy WebLinkAboutPERMIT 1250 Country Club Dr Reroof 2000-11-06‘“0 -
TOWN OF ESTES PARK
MISCELLANEOUS PERMIT
970-586-5331,ext.3402 or ext.3408-J (For small plumbing,mechanical,roofing jobs not requiring plans)
Date
1)taaL41
OWNER MAILiNG ADDRESS:jiL/is-z.i.cc*6dennin ,Omt’4C
Ts,te4ned C-a
Town State Zip
OWNER TELEPHONE #:S23)91S-t,Y
CONIIt4CTOR NAME:
Ac.itSAè /2°ohM‘-I ‘,J
TOWN BUSINESS LICENSE #:9Ff
CONTRACTOR MAJEING ADDRFS:gt 4/.E,.€nhok3<.,/?if/eJLnsA0C
To’t State Zip
Valuation of Work:$q %j,aD
1 hereby acknowledge that I have read this
Application and state that the above is correct and
agree to comply with all Town Ordinances and
State Laws,regulating building constniction and
zoning.
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The Building Department wiumake every effort to
prevent errors in your Application and Permit,bitt
cannot be responsible for your failure to comply
with an Building,Zoning and other applicable
Codes.
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JOB STREET ADDRESS:
Cod &p,c6 z}O/
M-7Q-oO
PARCELID#:23J90700Z
OWNER NAME:Dc’o4 i2vovafl-
FOR OFFICE USE ONLY
Type of Construction:
I-FR il-FR UI-HR Wi-HR
rn-N IV HT V 1-HR
Occupancy Grcpp
A.B,E,F,H,I,M,()S,U
Division2,2.1,4,5,6,7
Census Bureau #:9Sf
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Valuation of Work:P.’.2
Building Permit Fee:
____________
Larimer County Tax:
__________________
TOTAL FEES DUE:
&
S /ILz.f
-
S /ZyrC
CLASS OF WORK:
CONTRACTOR PHONE 4*:()L 6 2 ‘O ALTERATION
DESCRIPTION OF WORK:REPAIR7nFçvvfflL1Z’oI /.f/&in-F
L4i7.7e%&F-si -1k-
Building Official S)kuzre Date
Revised:August 31,1998 Buiidingforms\m1scjcr.wpd
Permittee Signature Date