HomeMy WebLinkAboutPERMIT 215 Big Horn Dr Hot Water Heater 2019-09-17***Office Use Only ***
Permit Expires
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I
bspection Checklist:
I]Address Posted C Equipment Access C T &P C]Smoke Detectors
C Contractors Licensed C Equipment Listed C Gas Pipe C Rough Inspection
C Permit Packet Available C Equipment Clearances C Vent C Final Inspection
C Safe Access C Pan and Drain C Combustion Air
Comments:
.Permit Fee:2.3.5,0
Census #Construction Type:Occupancy:CountyTax:2I40
Building Official Date
‘1//Total:S 2—•—
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çVED\___
Received Dpse?444fl19 Town of Estes Park Permit Number M_________
\Received BYLJ?cation for Miscellaneous Permit Application Expires [5 112_C
rtment of Bull g Safety 170 MacGregor Avenue P0 Box 1200 Estes Park,CO 80517
i4u’mation(97lJ$77 Jnspection Line (970)577-3731 *FAX (970)586-0249 *www.estes.org
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i:2 (5 8Z3
Owner Name:(trC 4 ICgA ,4.iØ-gf Phone:77o-2/er’—93
Address:f S tU&tfVA-’L2€Z*éZ5(tI fAr4t(2
(Street)(City)(State)(Zip Code)
Contractor/Applicant:t IttL-M eC\P,J I CV.-Town License 11:Ii’Phone:‘VWZt4’
Address:TV3 M\jpFige syc4O E’ces ?Av-.
(Street)(City)(State)(Zip Code)
C Long-term Residential (30 days)C Short-term Residential (<30 days)0 Commerca)
C Replace Furnace C Gas Line (ft.)
C Replace Boiler C Replace Windows
Replace Hot Water Heater D Install Air Conditioning
C Minor Plumbing C Temporary Structure Use______________
C Minor Remodel Time Period
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C Fireplace Insert —cfrcle one:Gas,Wood,Pellet;C Other
Description of Work:f7L &4-fl9t fI&4tE7&
Valuation (Total Cost of Material &Labor):$&°—
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 t4ith
local ordinances,state and federal laws as well as building codes.I certify that I have the property owners authority and permission to apply for this permit.Additionally,I
UNDERSTAND THAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW,PERMITS,INSPECTIONS AND OThER
FEES ASSOCIATED WITH THIS APPLICATION.Note:The work authorized by this permit requires the building be provided with smoke alarms complying
with municipal codes.
Signature
_/7r 1rZName RRt...EtC
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IJ:\Building DivisionWorms-LogsiApps_Penns_lRC_MlscMisceIIaneOuSMiSCelbneOus 2012.0&29.doc