HomeMy WebLinkAboutPERMIT 513 Big Thompson Ave Hot Water Heater 2014-05-01Office
Received Date ..21/10.5' / Town of Estes Park cow Permit Number M- e2d::q -
Received By cde Application for Miscellaneous Permit Application Expires /4/29/40/4
Department 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 6' €7/.1-
Job Address: 5 / 3 d( & 77-(C1/1425-0/1) /VC
Owner Name: 511/67- M. OWK Phone: 7 ?0 V9( (, ?' 0 y
Address: 6 cc- _S , 5 7- re4e/v /9-vc---- & /49ar ce) &as<
Contract r/Applicant:
Address: 1765-
(Street) (City) (State) (Zip Code)
Csc)rh5. — S'7-rat 4 Pa' // Town License #: 3-51 Phone: 6-058
2N66- kir etil /e,o4,0 &-s-r&s pe/c CA '057 7
(Street) (City) (State) (Zip Code) ,
D Long-term Residential (> 30 days) D Short-term Residential (<30 days) D Commercial
0 Replace Furnace
0 Replace Boiler
Replace Hot Water Heater
— circle one: Gas, Wood,
( ft.)
Windows
Conditioning
Structure Use
• Gas Line
0 Replace
0 Install Air
• Minor Plumbing • Temporary
Time Period II Minor Remodel
• Fireplace Insert Pellet; N Other
Description of Work: etere4ce 50 meLaii eiec rxt
/
vevi.i..
Valuation (Total Cost of Material & Labor): $ trzo cit2
1 certify this application is true and correct and agree to perform the work described according to plans/specifications submitted, reviewed and approved, and comply with
local ordinances, state and federal laws as well as building codes. 1 certify that I have the property owner's 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 municip co s.
Signature
Date S/1 Act Print Name 4009Aitet c 6:-../erc.. _...(:"
*** Office Use Only ***
Inspection Checklist:
0 Address Posted 0 Equipment Access 0 T & P 0 Smoke Detectors
0 Contractors Licensed 0 Equipment Listed 0 Gas Pipe 0 Rough Inspection ,,,
0 Permit Packet Available 0 Equipment Clearances 0 Vent inal Inspection 00/1"0/17
.7-- 0 Safe Access 0 Pan and Drain 0 Combustion Air 61149T ,'CA
Comments: Permit Fee: 44, a g
Census # Construction Type: Occupancy: County Tax: 3 LoC)
---A/9 / -20/4 /6
Total : 4‘ 48.4 5r
Buildh
(
"Offitilic7.. Date
**SMOKE ALARMS ARE REQUIRED** (!I
17)
26, peFle
kttntaatOrrati-IIUSEM/Mtrg Page 1 of 1
Revised 5/21/2012 - CB