HomeMy WebLinkAboutPERMIT 1991 Baldpate Ct Water Heater 2012-12-18DEC-18-2012 14:46 From:RlIen Service 970 464 4449 To:95B60249 Pa,e:2’2
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ReccicdI)aCc ///2//e Town of Estes Park PcrmflNuntherM-2kg-/2
dP Application for Miscellaneous Pernilt Applicatit.i.lixpires
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I)partinent of BuiklinM SaFety 170 MacGregor Avenue I’S).Box 1200 Esics Park,(‘0 80517 I
General lnthrn,ation &inspection Tine (970)577-3726 *FAX (979)586-0249 *wny,c.Lç.r I’trinitExpirct &////20,4
Job Address:/qg dfr’Th.PATE e*E5m3 Pe
Owner Name:f_tili.UriS we.11 Phone:
________________________
Address:
(.treeL (City)(Slate)(7.uj Ciidc)
Contractor/Applicant:AJlnv Plumb)A3_Town License #:
_______Phone:
9 q—qq:
Address:/01 S.LIAJV..LW.t1-ft
(Stied)(City)(State)(Zip Cinie)
O LonK-(crn)Residential 30 dtys)U Short-tei-m flesidentini (‘ii)days)U Commercial
U Replace Furnace U Gas Line (IL)
U Replace Boiler U Rcplace Windaws
Xitcplacc lot Water Heater C Install Air Conditioning
o Minor Plumbing U Temporary Structure Use__________________
0 Minor Remodel Time Period
______________________________
C Fireplace Insert—circle one:Gas,Wood,Pellet;0 Other
Description of Work:go 3 ad iuate-Mn.flr jria i15i
netw ‘rn waft.-hemfa-.
Valuation (Total Cost oiMuWriaL &Labor):$/99O •co
I certilv thit appliajuon is true and uriecrand agree to perlbrm lie woik cIteribcd accordiiug to pliuua/upeci6calions siuhinitted,reviewtd acid approved,and comply wcili
locl becliciLInees.aidte and 1edeil laws a’well us huildcn cudes.Lcçrlify that I lawe the property owi,r’s authority and perurciaswri to apply flr thi.,permit.Addcuopiilly,I
IINOErCSTANDTIIA’r I AM RIS1’ONSIR1,E FOR ANY I’LILS OR xprscs INCURRED FOR PlAN REVLEW,PERMI’IS,TNSPF.GTIONSANU CI’I’ITEP
rrrs ASSO t .EI.1 Wi’i’lI 11115 APPI.ICAIlO,Yjlu;The work nhlihurized liv iIh permit refluiret the huildicc b provided with smoke cmIu,rmiIs eoiclplyinx
sitrlt nijirici I des.—
Signutu
______Dtc
,3.4t /Laioc_,...S4 e’dtifFIA)-
***Office Use Only
Inpection Checklisl:-
0 Address Posted U Eguipment Access U I &P 0 Smoke Detectors
C Contractors l.iccnsed U Kquipmcrit Listed C Gas Pipe C Rough ospection
C [‘euiniz Packcl Available C Equipment (1earn;cs U Vent C Final tuspeetLon
0 SaC Access C Par’and Drain U Combustion Air
Conuments:Permit Fee:
Census #Constri,ctioi,Type:Occunocy:County Tax:6.97
Date.BuikflngO flti-&c 4<XJ2[1r 20)t/)t/’,o Total:4’Z2
SMOKE ALARMS ARE REOUIRED**
ILL LD
‘20/3/c
\\S’c.n’Qimnooim tlcv\Rmiiltliriu\FonhIs\Appacations\Over he Coruirtet’Ingc 1 of I Revised 3/2912012 .CB