HomeMy WebLinkAboutPERMIT Drywall and Firestop Bldg C 1010 S Saint Vrain 2011-05-02Office
Received Date ‘°°5°Town of Estes Park Copy Pert Number M-Q2-l .I
Received By c’-Application for Miscellaneous Permit Application Expires_____
Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517 CI 1..-.
General Information &Inspection Line 4970)577.3731 FAX (970)586.0249 *www.esiesnet.com Permit Epiics —
JobAddress:ç7 //J?(?’h tNrr -L’
Owner Name (-Phone
___________________
Address:lO c V A v K /ô $2
(Street)(City)(State)(Zip Code)
Contractor/Applicant:I 12c )/12/1V7 Town License #:>,__Phone:_____________
Address:Ci?/,/,ô Vdr/,/?O ‘7
(ree1)(City)(State)(Zip Code)
[Long.term Residential (30 days)El Short.term Residential (<30 days)El Commercial
El Replace Furnace D Gas Line (ft.)
El Replace Boiler El Replace Windows
D Replace Hot Water Heater El Install Air Conditioning
El Minor Plumbing D Temporary Structure Use________________
El Minor Remodel Time Period
________________________
D Fireplace Insert —circle one:Gas,Wood,Pellet;D Other
Des cription of Work:
Valuation (Total Cost of Materàl &Labo $
b jXZ.oD
I certify this application is true and conect 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 I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW,PERMITS,INSPECTIONS AND OTHER
FEES ASSOCIATED WITH THIS APPLIC4.TI9N.NoterThe work authorized by this permit requires the building be provided with smoke alarms complying
with municipal codes.//
Signature //z)Date3)_/Pnnt Name C<V y (/
/-***Office Use Oniy ***
Inspection Checklist:
El Address Posted El Equipment Access El T &P El 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:Permit Fee:
(j j .
Census #Construction ‘I’ype:Occupancy:
1’7,1 CountyTax:i000
BuIldin Off ía!Date)4 ç7(Total:
**SMOKE ALARMS ARE REQUIRED**
the Counter Page 1 of I Revised 6/13/2006 —CB