HomeMy WebLinkAboutPERMIT 315 Big Horn Dr Unit G Gas Line 2011-03-3103/31/2011 06:15 9705663198 MOUNTAIN IJALLEY PLUM PAGE 01/01o0c
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Town ofEstes Park 0 PermitNumberM-Oi9 ft
Received By Application for Miscellaneous Permit Application Expires ii
Dcpartmentof13uiIdinl Safety 170 MacGregor Avenue P.O.Box 1201)Estes Park,CO 80517 2-OE L
General Information &Inspection Line (970)577-3731 FAX (970)586-0249 www.estcsnet.com Permit Expires 14
lob Address $‘v
______________________________________
OwnerNnmc:sc”A
_________________Phone:
‘DO)—fl31Addresjj5j3-1 or,4-GL cc -
(Street)L)(City)(State)(Zip Code)
Contractor/Applicant:j License Vt:£3_Plione:j_—/QZSAddress:_yj .St ôSa%r1L Qt:3 -os’
(StrcctJ .(C:ty)....--.(zipço4,.
,Long-terni Rcsidcntlal 30 days)U Short-term Residential (c 30 days)C Commercial
o Replace Furnace Ø’tns Line (eo ft.)o Replace Boiler U Replace Windows
U Replace Hot Water Heater 0 Install Air Conditioning
O Minor Plumbing U Temporary Structure Use_________________0 Minor Remodel Time Period
____________________________
C Fireplace insert circle one:Gas,Wood,Pellet;U Other
Description of Work;ion \cv.on çc —tCQ’D
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Valuation (Total Cost of’Material &Labor);$601190
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I certify this application is inie and%cnritci and agive to perform the work riescribed according to plans/speciFications sulimlited,reviewed nod approved,noel comply with
(neal ordinances state and federal laws as well as building codes.I ceO il that I have 11w property owner’s authority sad pernilasion 10 appy for lila permit Aekhliona II>’,I
UNDERSTAND THAT I AM RESPONSTBISE FOR ANY FIFES OR EXPENSES INCURRED FOR PLAN REVIEW,PERMITS,INSPJICTIONS AND OTHER
FEES ASSOCIATED WITIl THIS APPLICATION Nola:Thr work authorized by this permil:i’aqulras the building be provided with smoke alarms complying
with municipal caches,
Signnture_Dale _j3b1(Print Nsnie__€tt
Office Use Only ***--
Inspection Checklist:-.-.--
C Address Posted C Equipment Access C T &P C Smoke Detectors
C Contractors Licensed C Equipment Listed C Gas Pipe D Rough inspection
C Permit Packet Available C Equipment Clearances C Vent C Nnal inspection
C Safe Access C Pen and Dtain C Combustion Air
Comments:‘-Permit Fee:Z 9°
Census 4 Construction Type:Occupancy:q 3i ‘CountyTax;
Building C)dcl Date ----/.-...33’L Total:3i9
I,
!$M9IQ ALARMS.A.’REQUIRUD.
\\Servcjsgni_dev\huiljjjgàjformshAp,plic;ittions\Over (lie Cn’.’nter l’.sgc I ol I Revised 7/14/2006 -CO