HomeMy WebLinkAboutPERMIT 142 Courtney Ln Windows 2012-06-19Received Date 9Di -&L jq Town of Estes Park Permit Number M
Received By r Application for Miscellaneous Permit Application Expires /
Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517
General Information &Inspection Line (970)577-3726 *FAX (970)586-0249 *www.estes.org Permit Expires
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ob Address:H c4
Owner Name:Phone:
__________________________
Address:2_7(Street)‘—)(City)(State)(Zip Code)
Contractor/Applicant:(i&-?)l’cv Town License #:Phone:’77’I4//
Address:.5(ir (o.
(street)(City)(State)(Zip Code)
U Long-term Residential (Z 30 days)U Short-term Residential (<30 days)EJ Commercial
UJ Replace Furnace U Gas Line (ft.)
U Replace Boiler (Replace Windows
U Replace Hot Water Heater U Install Air Conditioning
U Minor Plumbing U Temporary Structure Use________________
U Minor Remodel Time Period
___________________________
U Fireplace Insert —circle one:Gas,Wood,Pellet;U Other
Description of Work:5 ‘4 t
Valuation (Total Cost of Material &Labor):$u.j ‘ftiLc’’y\....
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 certiI’that I have the property owner’s authority and permission to apply for this permit.Additionally.IUNDERSTANDTHATIAMRESPONSIBLEFORANYFEESOREXPENSESINCURREDFORPLANREVIEW,PERUTS,INSPECTIONS AND OTHERFEESASSOCIATEDWITIITHISAPPLICATION.Note:The work authorized by this permit requires the building be provided with smoke alarms complyingwithmunicipalcodes.
SignatureC iU Date —/rint Name
Office Use Only ***
Inspection Checklist:
U Address Posted U Equipment Access U T &P U Smoke Detectors
C Contractors Licensed U Equipment Listed U Gas Pipe U Rough Inspection
U Permit Packet Available U Equipment Clearances U Vent U Final Inspection
U Safe Access U Pan and Drain C Combustion Air
Comments:
Census #
I..
Construction Type:Occupancy:
Permit Fee:
IC
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**SMOI(E ALARMS ARE REQUIRED
Page I of I Revised 5/21/2012 -CR