HomeMy WebLinkAboutPERMIT 154 Davis Dr Windows 2009-10-06ReceivedDate •Town of Estes Park PermitNumber M-!°3
Received By c-Application for Miscellaneous Permit Application Expires LI -1°Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517 aGeneralInformation&Inspection Line (970)577-3731 FAX (970)586-0249 www.estesnet.com Permit Expires tO I (
Job Address://6’4
Owner Name:C /Phone:c 7 -._3/5 ?‘
Address://5/))6
-(Str’et ,)-(State)(Zip Code)
Contractor/Applicant:JC(pfjdA ‘4-Town License #:/)‘1 /Phone:2-Z.j
Address:-2-&Q-c S.O---t&,ik 1.—
(Street)(City)(State)(Zip Code)J—Long-term Residential (30 days)D Short-term Residential (<30 days)D Commercial
D Replace Furnace D Gas Line (ft.)D Replace Boiler ..Replace Windows .17’ciDReplaceHotWaterHeater0InstallAirConditioning0MinorPlumbing0TemporaryStructureUse_______________0 Minor Remodel Time Period
_________________________
0 Fireplace Insert —circle one:Gas,Wood,Pellet;0 Other
Dcripti of Work:
‘-V6uation (Total CoWof Materi,tJ&Laboi4?$
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I certify this application is true and correct ätd 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 certify that I have the property owner’s authority and permission to apply for this permit.Additionally,IUNDERSTANDTHATIAMRESPONSIBLEFORANYFEESOREXPENSESiNCURREDFORPLANREVIEW,PERMITS,INSPECTIONS AND OTHERFEESASSOCIATEDWITHTHISAPPLICATION.Note:The work authorized by this permit requires the building be provided with smoke alarms complyingwithmimic’ateodes.
SignaturIJ Dat Print Name___________________
___________
,.***Office Use Only ***
Inspection Checklist:
D Address Posted L1 Equipment Access D T &P 0 Smoke Detectors0ContractorsLicensed0EquipmentListed0GasPipe0Rig1rInspection0PermitPacketAvailableUEquipmentClearances0Ventl2PinalpionUSafeAccessUPanandDrainUCombustionAir
L-i_JComments:
‘UtFee:IG’7 2<Census #Construction Type:Occupancy:
County Tax:3’,00Buildingi3fficiIDateJ,////
-/0 ,Total:
IRED!SM KAL ARMS ARRy*
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