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**
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