HomeMy WebLinkAboutPERMIT Plumbing Drywall 1010 S Saint Vrain A3 2010-12-13______
Town of Estes Park c”1 PermitNumberM-±Lj’c-((
Received By s’Application for Miscellaneous Permit App1ition Expires______
Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517
General Information &Inspection Line (970)577-3731 ‘FAX (970)586-0249 °.se.con Permit Expires
Job Address:/‘/_—)3 .‘JtJ
Owner Name:5 ici Phone::-/
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Address:/t /C 3 7
(Street)City)(State)(Zip Code)
Contractor/Applicant:2cz C JcJ Town License #:
______Phone:
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Address:f-L(J /.5
(Street)(City)(State)(Zip Code)
—“0 Long-term Residential (30 days)El Short-term Residential (<30 days)C Commercial
D Replace Furnace El Gas Line (ft.)
El Replace Boiler El Replace Windows
El Replace Hot Water Heater C Install Air Conditioning
El Minor Plumbing C Temporary Structure Use_______________
EJ Minor Remodel Time Period
_________________________
El Fireplace Insert —circle one:Gas,Wood,Pellet;£1Other
Description ofWork:L,f’)L;‘i_(;
Valuation (Total Cost of Material &Labor):$_-,,‘
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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
TJNDERSTANI)THAT I AM RESPONSLBLE 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 th smoke alarms complying
with municipal codes.
Date/,’/.)/tPmitName r)y
***Office Use 0niy ***
Inspection Checklist:J o
El Address Posted El Equipment Access El T &P 0 Smoke Detectors
El Contractors Licensed El Equipment Listed El Gas Pipe El Rough Inspection
El Permit Packet Available El Equipment Clearances El Vent El Final Inspection ‘.‘,
El Safe Access El Pan and Drain El Combustion Air ‘
Comments:1LQC(I,>j :4413057-lcD Permit Fee:
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Census #Construction Type:Occupancy:
County Tax:
Building Officia Date
//Total:/
**SMOKE ALARMS ARE REQUIRED**
Received Date •5 ..13
Signature
--..--:.-the Counter Page 1 of I Revised 6/13/2006 -CB
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Permit-if ()
Inspector
INSPECTION RECORD
WORK SHALL NOT PROCEED UNTIL APPROVED
When corrections have been made,call for re-inspection:970-577-3731.
General questions:call 970-577-3735.
Date Requested
Date Inspected -
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TOWN OF ESTES PARK
Building Division
JOB ADDRESS —
REQUESTED BY
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TOWN LIC.#
CONTACT INFO.-2 I 3
TYPE OF INSPECTIONS 1)-R 0 (-
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$100.00 Re-Inspection Fee Assessed LI
Date Requested L ik7ho Permit#a I D
Oate Inspected
_________________
Inspector
_________________
TOWN OF ESTES PARK
Building Division
INSPECTION RECORD
JOB ADDRESS /0 iO 5’.4
REQUESTED BY 7X,dC-TOWN LIC.#‘‘7
1?v45’vy:’J
CONTACT INFO.O Z-l 1 3 S
TYPE OF INSPECTIONS /-/‘-L--5
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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 LI