HomeMy WebLinkAboutPERMIT 253 Curry Dr Roof Panels 2017-08-25Received Date O/l—i —25
_____
Town of Estes Park Number M_______
Received By L.)tP Application for Miscellaneous Permit Application Expires D
Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517
Information (970)577-3726 *Inspection Liue (970)577-3721 *FAX (970)586-0249 *www.estes.orc Permit Expires c
fl n 2JobAddress:653 (.nrr Ur.2 ).
OwnerName:of\L;14e Phone:gip-5ps-+19p
Address:(ScAnfte 6SkS Rrk Cc 5I7
(Street)(City)—(State)(Zip Code)
Contractor/Applicant:‘?)rcuft C .Sfl\0fl Town License #?Phone:97O2ITJ
Address:2?Spcc±4n 44zs ak RoSi]
(Street)(City)(State)(Zip Code)
El Long-term Residential (30 days)Short-term Residential (<30 days)LI Commercial
LI Replace Furnace LI Gas Line (ft.)
LI Replace Boiler LI Replace Windows
LI Replace Hot Water Heater LI Install Mr Conditioning
LI Minor Plumbing LI Temporary Structure Use_______________a Minor Remodel Time Period
__________________________
LI Fireplace Insert —circle one:Gas,Wood,Pellet;C Other
Description of Work:12ernoUe eKS4 we1oA cco-P 9cMeI5 CcftaP(5’5</g’su6 -ccscif’
JecJc(W3)SeoA
Valuation (Total Cost of Material &Labor):$
I certi,,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 Jaws as well as building codes.I certi’that I have the property o’vner’s authority and permission to apply for this pennit.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 authorized hy this permit requires the building be provided with smoke alarms complying
with municipal codes.
signaturegai..C Datebih7 PrintName’a(%44\C S5MPSOfl
***Office Use Only ***
Inspection Checklist:
El Address Posted El Equipment Access C T &P El Smoke Detectors
El Contractors Licensed El Equipment Listed C Gas Pipe El Rough Inspection
El Permit Packet Available El Equipment Clearances El Vent El Final Inspection
El Safe Access El Pan and Drain El Combustion Air
Comments:Pernut Fee:I
I&s&
Census #Construction Type:Occupancy:
County Tax:
3D\S rc ro
AUG 2 5\2017 .
U:\Building Division\Forms’Applioations\OTC\Misoellaneous\Miscellaneous 2012.03.29.doc