HomeMy WebLinkAboutARCHIVE 640 COLUMBINE AVE Building Records Prior to Community Core 2018Entry ID: 103061 Name: ARCHIVE 640 COLUMBINE AVE Building Records Prior to Community Core 2018 Path: \Property Files\Larimer County Properties\Subdivision\HYDE PARK\640 COLUMBINE AVE\Building 103061
A Office Copy Received Date 20/5 - /0 -45 Town of Estes Park Permit Number M- /86 -/3 Received By de Application for Miscellaneous Permit Applkation Expires 4)1101 201+ 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 * „ ww.estes.ort Permit Expires 761/<20/4 Job Address: 6 2/ e C all"h B Z E C- A '4/4-- Owner Name: 49.4,€ I L y,J /741 L E- A Phone: Address: 970 6 6 3 0 099 04 10 -721 0 A£Ay. CIF LounAMO <IC) 80538 (Street) (City) ' (State) (Zip Code) Contractor/Applicant: RCIAKE 6 )(CAVAT/ed, 2.vC Town License #: 2 6 6 Phone: 970 2 2/5-5-248 Address: 9% W 1/ON Digwtc 4 4%,cr El?. 3-0 9-/7 (Street) (City) (State) (Zip Code) * Long-term Residential e 30 days) O Short-term Residential (< 30 days) O Commercial ¤ Replace Furnace O Gas Line C ft.) O Replace Boiler O Replace Windows O Replace Hot Water Heater O Install Air Conditioning O Minor Plumbing ¤ Temporary Structure Use O Minor Remodel Time Period O Fireplace Insert - circle one: Gas, Wood, Pellet; O Other Description of Work: 12.,:,/ca: e. 3,4" 1,Je61-r,- 9/~ViC-e~ /416,6.,u+€ 77•p t-£3 /7141'A /,~ (3/1.)06/nil Clbe.. 45 per ,Ackr g eph retuest Valuation (Total Cost of Material & Labor): $ 3 iEee 0 7 I certify this application is true and correct and agree to perform the work described according to plans/specifications submitted, reviewed and apprnved, and comply with local ordinances, state and federal laws as well as building codes. 1 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 provided with smoke alarms complying with municipal codes. Signature BL< 4.,t .O 3 ~ C t... Date jok4)8 prinIName 88/AN 5, Quft lf.E- -L- *** Omce Use Only *** Inspection Checklist: O Address Posted ¤ Equipment Access OT&P £ S ~ Detectors O Contractors Licensed ¤ Equipment Listed O Gas Pipe 0 96ugh Inspection A.,D/6 O Permit Packet Available O Equipment Clearances O Vent 1~*inal Inspection ' 9 O Safe Access ¤ Pan and Drain O Combustion Air /401 rp Comments: 97,25 Permit Fee: Census # Construction Type: Occupancy: / 0.'EC) County Tax: Buildi~Offiq~ A Total : 16.07.75- Date GaS-/0 - 28 . I-- . **SMOKE ALARMS ARE REQUIRED ** .-~1--1.-1~ OW 20/5 -to -29 \\Servera\comm dev\Building\Forms\Applications\Over the Counter Page 1 of 1 Revised 3/29/2012 - CB iii:£~