HomeMy WebLinkAboutPERMIT Gas Fireplace 500 Elm Ave 2009Description of Work:V7L/ic tcd ep(/De /
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 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,IIINDFRSTANHTHAT1AMRESPONSIBLEFORANYFEESOREXPENSESINCURREDFORPLANREVIEW,PF.RMTS,NSPECTIONS AND OTHERFEESASSOCIATEDWITHTillSAPPLICATION.Note:The work authorized by this permit requires the building be provided with smoke alarms complyingwithmunicipalcs.
Signaiure Date_______Print Name
_____
***Office Use Oniy ***
Inspection Checklist:
O Address Posted
C Contractors Licensed
C Permit Packet Available
C Safe Access
Comments:
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C Equipment Access C T &P C Smoke DetectorsCEquipmentListedCGasPipeCRoughInspectionCEquipmentClearancesCVentCFinalInspectionCPanandDrainCCombustionAir
Received Ijate Town of Estes Park “Permit Number M-\O6JApplicationforMiscellaneousPermitApplicatiotiExpires
Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517GeneralInformation&Inspection Line (970)577-3731 FAX (970)586-0249 tvt w.estesnet.com Perniit Expires IJ-9
JOl)Address:S7D (‘:c:’;
Owner Name:,7&/i/’i-Phone:-l7
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(Street)1 (City)‘(State)(Zip Code)
Contractor/Applicant://?/€_/Towii License #:&Phone;_-
Address
(Street)(City)(State)(Zip Code)
—‘Long-term Residential (30 days)C Short-term Residential (<30 days)C Commercial
C Replace Furnace as Line (IC)ft.)‘Fii-)D Replace Boiler U Replace Windows
O Replace Hot Water Heater U Install Air Conditioning )O Minor Plumbing 0 Temporary Structure Use -U Minor Remodel )Eime Period
__________________________
O Fireplace Insert —cirek ore Gas,Wood,Pellet;‘Oiher 5{
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Permit Fee:
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_____
-OCCb1PANCY GROUT ‘CONST.TYPE ‘SJY-OCCUPANCY LQM)J.1ERCWHEPJLViCONTRACTORrthJ,R c1’,’iDC1R.J?T1T0H OF WOJ f”J -cO--(O (çj1)V.
lliS CAPD MITJST IB3I ]FOS1L AiTIi2 V1S1DSLJ FPOM TiHJi FRONT OF llO1ST1 APcT1Li MIJJS7r II OThCTI WIITIPAi?LST1iC OR OTIhII W u1FPROOF MAT1IAL,
TBACKS
FQOTLNG UFFER GROUND
FOUNDATION DRAIN PIPE /RADON
DAMP PROOFING/WATER PROOFING (FOUNDATION BASEMENT WALLS)
PLUMBING UNDERGROUND(INSIDE BUHJ)ING)
SEWER SERVICE &UNDERGROUND OUTSIDE OF BUILDING (SAN DISTLWATERSERVICE
ROUGH MECHANICAL
ROUGH PLUMBING
ROUGH GAS
VFIREPLACE
ROUGH ELECTRIC (STATE INSP.)
ROUGH BUILDNG
EXTERIOR WALLS (VENEER)&OPENINGS
FIRE BLOCKING /FIRE STOP
V
ROOF MID FINALROUGHINSULATION
DRYWALL
SPRINKLER (STATE CERT INSi
COUNTY WILDFIRE
FINAL ELECTRIC (STATE INSPL
V -FINAL JOB COMPLETED
VV H
V
VVALLINSPECTIONSMIJSTBEEQUESTEDBYCALLING 577-3731 BY 4:00 P.M.THE PRECEDING WORKDAY.INSPECTIONS CAN ONLY BE REQUESTED BY TIlE CONTRACTOR PERFORMING THE WORKTOBEINSPECTED.ALL INSPECTION REQUESTS MUST INCLUDE TILE CONTRACTOR’S NAME ANDTOWNLICENSENUMBER,JOB ADDRESS,TYPE OF INSPECTION(S),AND PERMIT NUMBERFAILURETOCOMPLYWITHANYOFTHESEREQUIREMENTSMAYDELAYINSPECTIONS
Revised 11/03/2005 -.SA
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