HomeMy WebLinkAboutPERMIT Minor Bathroom Remodel 674 Cedar Ridge Cir 2019-12-19Received Date 12-14 1 Town of Estes Park Permit Number M-Q-H
Received ,4A Application for lVliscellaneous Permit Application Expires ‘1,’
Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517
General Information &lnspeclion Line (970)577-3726 *FAX (970)586-0249 *www.esles.oie Permit Expires I
Job Address:(g74 CFt gbf,ETLc TC(t sos’7
Owner Name-S a mAa--°vi Phone:ZIQ —863 92
Address:t74 C1Jj4.R.{jE..aslts 7M2c 3p5l
(Street)(City)(State)(Zip Code)
Contractor/Applicant:7,s.’-i Th’tstr,t,3tiitb Town License #:jffPhone:S7a-&,79-733
Address:7n5n Zlt,4s SYLI CtI(Siren)ICily)ISlate)(Zip Code)
El Long-term Residential (30 days)El Short-term Residential (<30 days)El Commercial
El Replace Furnace LI Gas Line (ft.)
El Replace Boiler LI Replace Windows
El Replace Hot Water Neater C Jnstall 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:M,No iZ 34f&AoN1 Pt4YLL_/
NoN Stau<fcWA c—NtuJ mis.34c&€Q-
ON tQ1 PJEM)Cu”JflfloP a Fk(AcrS
Valuatioti (1otal Cost of Material &Labor):S
I certify tins application is true and correct and agrec to perform the work describcd according to plans/specifications subtuitted,rcvicwed and approved,and comply with
local ordi,iaticcs.state and federal laws as ‘sell as lxii ding codes I certify that I have the property owners authority and pcrinissioit to apply for [isis pcnnit.Additionally.I
UNDERSTAND ThAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCI’RRED FOR PLAN REVIEW,PER%hlT.INSPECTIONSAND OThER
FEES .\SSOCIATEI)WITh TIllS APPLICATION.Note:The work authorized by this permit requires the building be provided with smoke alarms cornpl.ing
with mu nicipal codes.
Signature Datc II/I Print Noose 94 NA66N’
.
jj Office Use Only
Inspection Checklist:
El Address Posted El Equipment Access El T &P El Smoke Detectors
El Contractot-s Licensed El Equipment Listed C Gas Pipe El Rough Inspection
El Pcrntit Packet Available El Equipment Clearances El Vent El Final Inspection
El Safe Access El Pan and Drain El Combustion Air
Comments:Permit Fee:#2 :?-2-5
Census #Construction Type:Occupancy:County Tax:$/fl7.
DatenniIdfficlo/..6’*(,2-Jyq//g Total:‘)cZY,c.J
(—,
**SMOKE ALARMS ARE REOUIREIV
uLC192019 I
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