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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::-/ — Address:/t /C 3 7 (Street)City)(State)(Zip Code) Contractor/Applicant:2cz C JcJ Town License #: ______Phone: /‘Jc 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):$_-,,‘ •/t 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: (LI 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 /fli o73j 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 - ‘:5 )“/‘(V/’f/ai( TOWN OF ESTES PARK Building Division JOB ADDRESS — REQUESTED BY (LQ si_____ TOWN LIC.# CONTACT INFO.-2 I 3 TYPE OF INSPECTIONS 1)-R 0 (- :‘—/J ,‘171-i-t C-iW’P L-Ei1 fD 1-S ç TD)cfU $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 ‘-5it tc2-iZ 1tk—r:.t46 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