HomeMy WebLinkAboutPERMIT 1230 Big Thompson Ave Water Heater 2010-04-0904—09—10;09:42AM;;9704588+9349 #0/0
Received Date WLo.010S Town of Estes Park COPYe PermkNumber_______
ReceivedByfl2N’Application for Miscellaneous Permit Application Eicpires 10,0 Cl
Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO S0517 70 SI
General Information &Inspection Line (970)577-3731 *SAX (970)586-0249 5wwytqteqnetcom Permit Expires /0 .0
JobAddress.:IflD I1Th0?SPt 4eat.e.--001
Owner Name;R0cA&.M4-r 4a€J$-k CA.Phone:—
Addresse PJD .tc_,_Poiv .-
(Street)(City)(State)(Zip Code)
Contractor/ApplicantPrcii.c.k\P 4 ‘t-4-Town License #;i j’Phone;58 &-gj•
Address&jt)(1ô (4an cdltse 51—.Un /*sk-e.c -gcsi7
(Street)(City)(Sttq)_p Code)
C Long-term Residential 30 days)El Short-term Residential (<30 days)4 Commercial
El Replace Furnace U Gas Line (ft.)
U Replace Boiler U Replace Windows
IS Replace Hot Water Heater U Install Air Conditioning
U Minor Plumbing U Temporary Structure Use,.
[3 Minor Remodel Time Period
_________________________
El Fireplace Insert —circle one:Gas,Wood,Pellet;U Other
Description of Work:
Valuation (Total Cost of Material &Labor);$—ox)
I certify this application is truo and corrcct and agree to perform the work described according to pianthpecifieations submitted,reviewed and approved,and comply witl
local ordinances,state and federal laws as well as building codas.I certify that I have the property owner’s aothority and permisainu to apply for this permit.Additionally,I
UNDERSTAND ThAT I AM ILESPONSiftLE FOR ANY flItS OR EXPENSES INCURRED FOR PLAN REVIEW,PERMITS,INSPECTIONS AND OTHER
FEES ASSOCIATED WITH THIS A.PPL1CATLON.Note:The vork authorized by this permit requires (ha building be provided with smoke alarms complying
with munici I codes.
Stgnzturo (7kL_TI.\Jt j&7L4Q..L_4.Z_L%/Pato4”‘L to Print Name L(C e ttLcX4
***Office{JseOrAy***
Inspection Checklist:—-
C Address Posted El Equipment Access El T &P El Smoke Detectors
El Contractors Licensed El Equipment Listed C Gas Pipe El Rough Inspection
El Permit Packet Available El Equipment Clearances C Vent El l’inal Inspection
El Safe Access El Pan and Drain El Combustion Air
Comments:Permit Feet ((7<
Census #Construction Type:Occupancy:L(117 CountyTax;
BaildingOffici I Dale/ij 4!£‘f/”Total:
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