HomeMy WebLinkAboutPERMIT 2210 Arapaho Rd Plumbing 2012-08-03Received Date -08-0 Town of Estes Park C
OffiCe
opy Permit Number M- jo,p)- 19,
Received By
Application for Miscellaneous Permit Application Expires I --(9q- I
partment of Building Safety 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517
General Information & Inspection Line (970) 577-3726 * FAX (970) 586-0249 * www.estes.org Permit Expires i
N
Job Address: 2-2- 1 t:. P co,sixxi.,-,, Lsiza..-k--te, 'Dr _.
N f I
Owner Name:Do.\.)
1
k clq_ v!Ir Pr V'r \A. core, r\ c----“-- Phone:sfe "-°9 cS"
Address: Z.2, \ t) ("nob 0,1e>o-e- E— --14ere-.5 1) r • E` s-T,5 ,AL ? C. C) ci3 6 SY7
(Street) k (City) (State) (Zip Code)
Contractor/Applicant;Th)V‘ \ ..k.vv\V‘ 4t- 4tick-- t vn Town License #: in, Phone: 5S 6 - 8 7.5q3
Address: 2- -7 1 L cor k> vor .) v ..e.. . g- SA-Y.. S c:1.3- V-- 6.0 6 5 ‘ 7
(Street) (City) (State) (Zip Code)
*Lon g-term Residential (? 30 days) 0 Short-term Residential (< 30 days) D Commercial
0 Replace Furnace • Gas Line ( ft.)
0 Replace Boiler 0 Replace Windows
0 Replace Hot Water Heater 0 Install Air Conditioning
Yj Minor Plumbing 0 Temporary Structure Use
14 Minor Remodel Time Period
0 Fireplace Insert — circle one: Gas, Wood, Pellet; 0 Other
Description of Work: I
Li-, 5 -c.A. \ tx...D V 4- kA
—t0
'7 ' k S?bl.s."--1:3\ Co r st.,3\-t... lc, c...A-lz,_ mc,\o\ , ---t. 1 cD v... 4 0 -
i \ ,
..e._><_5 \ S-4C t le-NCI V.)0 V10-12- a n SJIM:k \ \ rc,a‘ ety4 \Ay\ A p,r--c, k a 0 r. -1)....6 In5 re30- 0 4-DIAN-
Valuation (Total-64st of Material & Labor): $ in 1 -e-X ...tv"` tl k rze.-04.1 -lee—I.A .3J\-ite.c.. v) ktiv,Nbok..c sL,6
I certify this application is true and correct and agree to perform the work dekribed according to plans/specifications submitted, reviewed and approved, and comply with
local ordinances, state and federal laws as well as building codes. I certify that I have the property owner's authority and permission to apply for this permit. Additionally, 1
UNDERSTAND THAT 1 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 ttMt
\
c ip. 1 codes.
\ Signat iir e ,_ - Date 73' S 7- - Print Name -----()C!) v, k IA R _.3
*** Office Use Only ***
Inspection Checklist:
0 Address Posted El Equipment Access 0 T & P 0 Smoke Detectors
0 Contractors Licensed 0 Equipment Listed 1:1 Gas Pipe 0 Rough Inspection
0 Permit Packet Available 0 Equipment Clearances El Vent 0 Final Inspection
0 Safe Access 0 Pan and Drain CI Combustion Air
Comments: Permit Fee: ------,
Census # Construction Type: Occupancy:
County Tax:
Building Offical Date
eCe-e, _. le& // "IP ze f e - a g-o 3 ,
Total : ----,
E4-S 4-14, ey /a/sem Jr —
**SMOKE ALARMS ARE REQUIRED**
==eXKitgarME:=BannIMMUFBStett r-the-GoiThr Page 1 of I Revised 5/21 /20 2 - CU