HomeMy WebLinkAboutPERMIT Snow Melt 255 Park Ln 2010-11-09eceived Date U -I I ‘9 Town of Estes Park Permit Number M-U 2.
By th Application for Miscellaneous Permit Application Expires
_______
Department of Building Safety 170 MacGregor Avenue P.O Box 1200 Estes Park,CO 80517 -3 t7
General Information &Inspection Line (970)577-3731 ‘FAX (970)586-0249 *www.estesnet.com Permit Expires ç.1-
Job Address:25 /?4
Owner Name:Phone:5
Address:M?/2/<
(Street)(City)(State)(Zip Code)
Contractor/Applicant:/27Z-,77t-Town License #:97 Phone:%rtS
Address:/723 1tZ/272 /t2 3f
(Street)(City)(State)(Zip Code)
D Long-term Residential (30 days)D Short-term Residential (<30 days)-Commercial
D Replace Furnace D Gas Line (ft.)
D Replace Boiler D Replace Windows
D Replace Hot Water Heater D Install Air Conditioning
D Minor Plumbing D Temporary Structure Use_______________
D Minor Remodel Time Period
________________________
D Fireplace Insert —circle one:Gas,Wood,Pellet;D Other
Description of Work:tv-r 2A’7
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 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 authorized by this permit requires the building be proided with smoke alarms complying
with munici codes.
Signature Date//,/Print Name___________________________________
.***OffIce Use Only ***
Inspection Checklist:
D Address Posted D Equipment Access D T &P D Smoke Detectors
D Contractors Licensed Equipment Listed Gas Pipe C Rough Inspection
C Permit Packet Available C Equipment Clearances C Vent C Final Inspection
C Safe Access C Pan and Drain C Combustion Air
Comments:Permit Fee:
Census #Construction Type:Occupancy:
‘.j County Tax:00
Building dal Date 7#k Total:77
\\Serveraomm devBuildintForms\Appl i..st ion\O’,e the Counter Page 1of I Revised 6113/2006 -CB
Date Requested 2th’/ØP,9 /7S’Permit#//?Z/O
Date Inspected Zc/c2./fI /Inspector
_______________
TOWN OF ESTES PARK
Building Division
INSPECTION RECORD
JOB ADDRESS 2 ,‘i-ric Zi
REQUESTED BY /i-t’A7Z TOWN LIC.#_________
CONTACTINFO.97ô—zZ7-/Z3
TYPE OF INSPECTIONS //,YA/Z-O-IJ/c2iJIttJ/ô ,€z3I/A77,-/iI 2A-?7 t/6-t7I 7%-/47
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WORK SHALL NOT PROCEED UNTIL APPROVED
When corrections have been made,call for re-inspection:970-577-3731.
General questions:call 970-577-3735.
$100.00 Re-Inspection Fee Assessed D