HomeMy WebLinkAboutPERMIT 513 Big Thompson Ave Building G Backflow 2018-01-17ReceivedDateZOl&t41 Town of Estes Park Q1t’CO PermitNumberM-O/f’4S
Received By c Application for Miscellaneous1?érmit Application Expires
Department of Building Safety 170 MacGregor Avenue P.O.Box flOG Estes Park,CO 80517GeneralInformation&Inspection Line (970)577-3726 *FAX (970)586-0249 *www.estes.org Permit Expires I ——
JobAddress:Atv.’-S)tWe ,4init’
Owner Name:iJ kct o-’/L/L/On Phone:9 1 O 2-ççflo
Address:/
(Street)(City)(State)(Zip Code)
Contractor/Apelipnt:flitcJ-Town License #:St>Phone:‘1249.?-?6t
Address:2040*c?c5g’-g2 43/a g37)
(Street)(City)(State)(Zip Code)
C Long-tern Residential (30 days)C Short-term Residential (<30 days)C Commercial
o Replace Furnace C Gas Line (ft.)C Replace Boiler C Replace WindowsoReplaceHotWaterHeaterCInstallMrConditioningoMinorPlumbingCTemporaryStructureUse_______________o Minor Remodel Jifiie Period
___________________________
C Fireplace Insert —circle one:Gas,Wood,Pellet;IVOther
Description of Work:
11 &ck F1oL.t ljaji c
Valuation (Total Cost of Material &Labor):$7 t59
I CC,tc this application is mit and correct and agree to peTform the wotic described according to plans/specifications submitted,reviewed and approved,and comply withlocalordinances,state and federal laws as well as building codes.I certi&that I have the propeity owner’s authority and permission to apply for this permit.Additionally,IUNDERSTANDTHATIAMRESPONSIBLEFORANYFEESOREXPENSESINCURREDFORPLANREVIEW,PERMITS,INSPECtIONS AND OTHERFEESASSOCIATEDWI’IH THIS APPLICATION.Note:The ivork authorized by this permit requires the building be provided with smoke alarms complying
Date I413e PrintName Aivii’a ?&‘C-LWM&
***‘Office Use Only
Inspection Checklist:
C Address Posted C Equipment Access C T &P C Smoke DetectorsCContractorsLicensedCEquipmentListedCGasPipeCRoughInspectionCPemütPacketAvailableCEquipmentClearancesCVentCFinalInspectionCSafeAccessCPanandDrainCCombustionAir
Comments:
Permit Fee:2J 2 ,Co6CensusftConstructionType:Occupancy:
County Tax:O (i
Date Tol:Mit
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