HomeMy WebLinkAboutPERMIT 142 Courtney Ln Reroof & Repairs 2005-05-27Received Date
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Town of Estes Park Permit Number 1-s’c ‘‘
Received By Application for Miscellaneous Permit OfficeDepartmentofBuildingSafety170MacGregorAvenueP.O.Box 1200 Estes Park,CO 80517 CoGeneralInformation(970)577_3731*Inspection Line (970)577-3731 *FAX (970)586-0249
Job Address:/1 Y éU?‘r?U 1-AJ
Owner Name:A1/4/O/t-)/EJ1E Phone:?7°S’b
Address:7JV (PA4t(Street)(City)(State)(Zip Code)
Contractor/Applicant:.3Z ///0 A4Z_/Town License #:
______Phone:_____________
Address:/-‘?7J p/’r
(Street)(City)(State)(Zip Code)Ø Residential U Non-Residential
U Air Conditioning Installation
U Gas Line (ft.)C Reroof (Commercial —Pitched Only)C Gas Log Installation Roof Classification A B C NCNewFurnaceInstallation#of Squares______C New Water Heater Installation tJ Reroof (Residential)C Temporary Structure Use_______________#of Squares______
Time Period
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C SidingCDemoStructureUWindowsCHAZARDS:Geo Wildfire Flood I]Fire/Water Damage
C Drywall
U Other
Description of Work:/1fMt5c.
Valuation (Total Cost of Material &Labor):$
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 withlocalordinances,state and federal laws as well as building codes.I certif’that I have the property owner’s authority and permission to apply for this permit.Additionally,IUNDERSTANDTHATIAMRESPONSIBLEFORANYFEESOREXPENSESINCURREDFORPLANREVIEW,PERMITS,INSPECTIONS AND OTHERFEESASSOCIATEDWITHTHISAPPLICATION.
Signature fc -/DateL7/4tintName fC7
***Office Use Only ***
Staff Comments:
Permit InformationPAimiLt2
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Permit Fee:/“3cq 2c
Census #
County Tax:BuildinO1 Date
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Revised 2/25/05