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HomeMy WebLinkAboutPERMIT Plumbing Bldg D 1010 S Saint Vrain Ave 2010-06-25Received Date ‘‘)i’1 Town of Estes Park °‘:Permit Number M-I 0 Received By :v’\Application for IVliscellaneous Permit Application Expires -pllçiynent of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517 1 1Grf1hf6rmation&Inspection Line (970)577-3731 ‘FAX (970)586-0249 ‘yww.estess.cam Permit Expires - JohAddre3N L?t1 6’j OwnerName:2/c)c;phone:- ,;o 77(Street)(City)(State)(Zip Code) Contractor/Applicant:0 /.5 /z)Z L C Town License #: ______Phone: L2 /3’S Address:!¼i , (Street)(City)(State)(Zip Code)—ong.term Residential (30 days)C Short-term Residential (<30 days))-Commercial El Replace Furnace C Gas Line (ft.) El Replace Boiler El Replace Windows El Replace Hot Water Heater El Install Air Conditioning El Minor Plumbing El Temporary Structure Use_______________ El Minor Remodel Time Period _________________________ El Fireplace Insert —circle one:Gas,Wood,Pellet;C Other Description of Work:/c Valuation (Total Cost of Material &Labor):$j/ç t”o ?2 c-’:.00 , 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 withlocalordinances,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,IUNDERSTANDTHATIAMRESPONSIBLEFORANYFEESOREXPENSESINCURREDFORPLANREVIEW,PERMITS,INSPECTIONS AND OTHERFEESASSOCIATEDWITHTHISAPPLICATION.Note:The work authorized by this permit requires the building be provided with smoke alarms complyingwithmuniciIcodes. Signature t’>Date _______ Name____________________________________ .***Office Use Only *** Inspection Checklist: El Address Posted El Equipment Access El T &P El Smoke DetectorsElContractorsLicensedElEquipmentListedElGasPipeElRoughInspectionElPermitPacketAvailableElEquipmentClearancesElVentElFinalInspectionElSafeAccessElPanandDrainElCombustionAir Comments: PernutFee:(Ii. Census #Construction Type:Occupancy: County Tax;‘J /r’L-.Building Date(7”j’Total: **SMOKE ALARMS ARE REQUIRED** rrAmm the Counter Pg I of I Revised e/1312306 -CE C 0 Q m Cr ) Cl ) m 0 C mCr )-m o o ) ) cn CD CD O CD Cu CD ‘• 0 0 0 0 (p (n CD (5 0 ‘. 1 CD CD Cn 0 CD 0 0 CD 0. 1’ 0 Cl )I I z 0 -I -D 0 C- )mm p Cz -D 0 m 0 CD D CD CD (I )0 C, ) C)CD P C) 1 C) 1\ ) CD C)0 -CD C) -I .0 DC, ) =3 - CD C- CD CD D 3 CD C)-0 -‘ •1 -I 0 z 0-n m Cl , -lm •c 1 ) 0 0m C) rn C 0 CD 3 CD e C Co C’ , a 0 CD . c ;: S. ;. —I 0 z p