HomeMy WebLinkAboutPERMIT Interior Water LInes Bldg D 1010 S Saint Vrain Ave 2010-06-15‘J sjsj’j-trw,;97O586+349 #1/1
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Town of Estes Park TOWI1P.Nb M-00 7—/0
sy Ov”\Application for Miscellaneous Periiit Appilcutlon ExpiresDepartmentofBuildingSafety170MacregorAvenueP.O.flo 1200 Etes Park,CO 80517 jOt,General information &inspection Line (970)577..3731 *FAX (970)586-0249 www.cstesricr.com Permit Expires L—JabAddressiOLQ5+..D 22O 1 —•l1?
Owner Name:-\e L&r Co I’C-p #O.Phone;g s g
Address;IC)Il)S --._..--gts(Street)(City)(State)(Zip Cdo)
Contraetor/Appllcant:C oJ P 44 Town Liccne
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-/ISMesJ2eU48)5i 7(Street)(City)(State)(Zip Code).Long-term Residential (0 days)U Short-term ResIdential (‘<30 days)El Commercial
El Replace Furnace El Gas Line (ft.)El Replace Boiler El Replace WindowsCReplacehotWaterHeaterCInstallAirConditioningCMinorPlumbingElTemporaryStructureUse -El Minor Remodel Time Period
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C Fireplace Insert —circle one:Gas,Wood,Pellet;Other
Description of Work—i&o ---1c,-LL)c,r,c r4-.--
Valuation (Total Cost of Material &Labor):S i aLt 2,,O
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I ccrtit’this application is true and correct end agree to perform the work detcribcd according to pians/spceificetions sabmittad,reviewed and approved,and comply withlocalordinances,stntc and federal laws as vclI as buHding codes.I certify that!have the property owner’s authority and permission to apply for this permit,Additionally,IUNDERSTANDTHATIAMRESPONSIBLEFORANYFEESOREXPENSESINCURREDFORPLANREVIEW,PERMiTS,INSPECTIONS AND OTIIERFEESASSOCIATEDWITHTHISAPPLICATION,Notet Th work authorized by this permit requires the buIlding be provided whit smoke alarms complyingwithmunicatcodes,
Sigmitur Dalei1 Print Name 1_)._-
***Office Use Oniy ***/))
Inspection Checklist:
El Address Posted El Equipment Access C T &P El Smoke Detectors ,.,El Contractors Licensed El Equipment Listed El Gas Pipe El Rough InspectionElPermitPacketAvailableElEquipmentClearancesCVentElFinalInspcctin c111 JElSafeAccessElPanandDrainElCombustionAir
Comments:
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R Permit Feat
I Occupancy:
County Tax:
Date
/—Totalt
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**SMOKE ALARMS ARE REQUIREO**
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