HomeMy WebLinkAboutPERMIT Plumbing Drywall Replacement Bldg B 1010 S Saint Vrain Ave 2010-11-16Jce
Received Date 2o.Town of Estes Park ._Opy Permit Number M-J2L{Z0
Received By -Application for 1\’liscellaneous Permit Application Expires c t.-Ei
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 *www.estesnel.com Permit Expires ç
JobAddress:)/3 Th
Owner Name:L5 Z it/U 2 i-U ,t))0 4(Phone:/
4ddress://0 Er ff/
(Street)(City)(State)(Zip Code)
Contractor/Applicant:toO /‘i i ‘-0 -Town License #:I
Address:L/L(0 (°l’4c’Ei ‘/ii<5/7
(Street)(City)(State)(Zip Code)
‘tJ’Long-term Residential (30 days)D Short-term Residential (<30 days)LI Commercial
EJ Replace Furnace D Gas Line (ft.)
C Replace Boiler C Replace Windows
C Replace Hot Water Heater C Install Air Conditioning
C Minor Plumbing C Temporary Structure Use________________
LI Minor Remodel Time Period
C Fireplace Insert —circle one:Gas,Wood,Pellet;1óther
Description of Work:J -
I *L
Valuation (Total Cost of Material &Labor):$1/‘r3-PivL.(-ct’1’5rrt-vi’--u 0 (lc4 )Oi.4 L.’4
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
UNDERSTAND THAT!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.eodes.
Signature L Date//1///Print Name LI
***Office Use Oniy ***
Inspection Checklist:
LI Address Posted LI Equipment Access LI T &P 0 Smoke Detectors
LI Contractors Licensed C Equipment Listed C Gas Pipe C Rough Inspection
C Permit Packet Available LI Equipment Clearances LI Vent C Final Inspection
C Safe Access C Pan and Drain C Combustion Air
Comments:Pernut Fee:/I I.
Census #Construction Type:Occupancy:
q County Tax:
Building 0 cial Date/(II-&
Total:
Ii.
**SMOKE ALARMS ARE REQUIRED**
erveraomm dev\Buildine\Fornis\,-\ppliai.ri>O’the Counter Page 1 of I Revised 6/13/2006 -CB
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Received Date 2o.Town of Estes Park ._Opy Permit Number M-J2L{Z0
Received By -Application for 1\’liscellaneous Permit Application Expires c t.-Ei
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 *www.estesnel.com Permit Expires ç
JobAddress:)/3 Th
Owner Name:L5 Z it/U 2 i-U ,t))0 4(Phone:/
4ddress://0 Er ff/
(Street)(City)(State)(Zip Code)
Contractor/Applicant:toO /‘i i ‘-0 -Town License #:I
Address:L/L(0 (°l’4c’Ei ‘/ii<5/7
(Street)(City)(State)(Zip Code)
‘tJ’Long-term Residential (30 days)D Short-term Residential (<30 days)LI Commercial
EJ Replace Furnace D Gas Line (ft.)
C Replace Boiler C Replace Windows
C Replace Hot Water Heater C Install Air Conditioning
C Minor Plumbing C Temporary Structure Use________________
LI Minor Remodel Time Period
C Fireplace Insert —circle one:Gas,Wood,Pellet;1óther
Description of Work:J -
I *L
Valuation (Total Cost of Material &Labor):$1/‘r3-PivL.(-ct’1’5rrt-vi’--u 0 (lc4 )Oi.4 L.’4
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
UNDERSTAND THAT!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.eodes.
Signature L Date//1///Print Name LI
***Office Use Oniy ***
Inspection Checklist:
LI Address Posted LI Equipment Access LI T &P 0 Smoke Detectors
LI Contractors Licensed C Equipment Listed C Gas Pipe C Rough Inspection
C Permit Packet Available LI Equipment Clearances LI Vent C Final Inspection
C Safe Access C Pan and Drain C Combustion Air
Comments:Pernut Fee:/I I.
Census #Construction Type:Occupancy:
q County Tax:
Building 0 cial Date/(II-&
Total:
Ii.
**SMOKE ALARMS ARE REQUIRED**
erveraomm dev\Buildine\Fornis\,-\ppliai.ri>O’the Counter Page 1 of I Revised 6/13/2006 -CB
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