HomeMy WebLinkAboutVACATION HOME LIFE SAFETY SURVEY 1070 Crestview Ct Unit 5 2018-09-21Received Date__Téwn of Estes Park
Received By n
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Vacation Home Life Safety Survey Application Expires
By Division of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517lnfonnathm(970)577-3739 *Inspection Line (970)577-3722 *www.color:uio.iov/Iowuo1tsIcsin#d,
JobAddrcss:/O 70
Email address:Ai.
Applicant:Lctro c 1
Address:1751 It).&kt--*O9
(Street)
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Phone:3t3 fl JSVS
(State)(Zip Code)
Number of bedrooms 3 Designated sleeping areas
Description of Work:2015 IRC Section 327 LIFE SAFETY SURVEYcertifythisapplicationistrue,correct and will comply with local ordinances,state and federal laws as well as building codes.
I certify that I have the property owner’s authority and permission to apply for this permit.Additionally,I UNDERSTAND
THAT I.AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW,PERMITS,
INSPECTIONS AND OThER FEES ASSOCIATED WITh THIS APPLICATION.Note:The work authorizcd by this
permit rei fuiIdin-be-rvidcd
with smoke alarms complying with municipal codes.Sieiiatuit
—Date
_________
PrintNamc_+k
Permit Fee:$200.00crE=._.
q/(/County Tax:$0.00BuildingOfficial
Date Total:$200.00
—Office Use Only ***
iIome:__________________________
Field Approved for Certificate of Occupancy
Vacation Home:___________________
Special Conditions
Large Vacation Home:
Approved by:r -Date:3/i 7i 7
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Permit Number VHLS....3J&
Owner Name:A/t/’/t/A Ft >‘
Address://cY &/
(Street)
(City)
Email address:onO6a f€c14’j
(cn-,CJIJ 7 -N_c-/(please write legibly)
__________
Phone:970 ‘5Town Business License #:
______
p Co
(City)
114 Sn.Co n (please write legibly)
(State)(Zip Code)
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