HomeMy WebLinkAboutPERMIT Interior Water Lines Bldg C 1010 S Saint Vrain Ave 2011-05-0205—02—11;10:07AM;;970+595+8349 #1/1
Office
Received Date 74 a Town of Estes Park Copy Permit Number M-U LV1 :i I
Received By Application for Miscellaneous Permit Appiition Expires tcA
Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Eates Park,CO 80fl7 7-c ‘7GeneralInformation&Inspection tine (970)577-3731 ‘‘AX (970)586-0249 *www.estesnet.com Permit Expires__In -L 2—,
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Owner Name:S Lct ncL r A-ssq L -5,%g
AddressJIO S--\Lr&cn &-4is P.c-rtcE _gpaj 7(Street)(City)(State)(Zip Code)r.Town License
______Phone:
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Address:€SO (2 Mcn.s-LS4.(An it 4 4 (It,g’oSt
-.(Street)(City)(State)(Zip Code.)
1Long4erm Residential (?30 days)0 Short-term Residential (<30 dnys)C Conunerdal
O Replace Furnace C Gas Line (ft.)o Replace Boiler C Replace Windows
O Replace Hot Water Heater 0 Install Air Conditioning
O Minor Plumbing C Temporary Structure Usc_..
O Minor Remodel Time Period
________________________
LI Fireplace Insert —circle one Gas,Wood,Pellet;f Other
Descdption of Worlc -—
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Valuation fI’otal Cost of Material &Labor):Sj
I certify this application is titic and correct and agree to perform the work described according to plans/speciications submitted,reviewed and apptoved,and comply withlocalordinaneetstateandfederallawsaswellasbuildingcozies,I certify that I have the property owner’s authority and permission to apply for this permit.Additionally,1t.JNDERSTANI)ThAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW,PEItrvttTh,iNSPECTIONS AND OTHERFEESASSOCIATEDWITI4THISAPPLICATION.Nate The work authorized by this permit requires the building be provided with smoke alarms complyingwithmunicipetcodes.
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***Office Use Only
Inspection Checklist;-—C Address Posted C Equipment Access C T &P C Smoke DetectorsCContractorsLicensedCEquipmentUstedCGasPipeCRoughInspectionCPermitPacketAvailableUEquipmentClearancesCVentCFinalInspectionCSaleAccessCPanandDrainCCombustionAir
Coninients:
--PermitFee:tcj4 -‘Census 4*Construction Type;Occupimc’:‘12i7 CotmtyTax:1(377&iidingO/Date To:
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\tserven\comi clcvkniIdftc)Fornzs\Applicntions\Oyer the Counter Page 1 of 1 Revised 7/14/2006 -CE