HomeMy WebLinkAboutPERMIT 1340 Big Thompson Ave Cap Gas Line 2018-03-13‘mitNumberMU7WReceivedDate
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Town of Estes Park Cop
Received By J LA)Application for Miscellaneous Permit Application Expires______
Department of Building Safety 1’70 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517
General Information &Inspection Line (970)577-3726 *FAX (970)586-0249 *www.estes.or2 Permit Expires
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Job Address:1340 Big Thompson Ave
Owner Name:Coyote Mountain Lodge Phone:586-3338
Address:PG Box 40 Estes Park,Co 80517
(Street)(City)(State)(Zip Code)
Contractor/Applicant:Mountain Valley Plumbing &Heating,Inc.Town License #:453 Phone:970-586-1085
Address:854 Dunraven Street,Estes Park,CC 80517
(Street)(City)(State)(Zip Code)
C Long-term Residential (?30 days)C Short-term Residential (<30 days)S Commercial
C Replace Furnace C Gas Line (ft.)
C Replace Boiler C Replace Windows
C Replace Hot Water Heater C Install Air Conditioning
C Minor Plumbing C Temporary Structure Use________________
C Minor Remodel
Time Period
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C Fireplace Insert —circle one:Gas,Wood,Pellet;L Other
Description of Work:
Cap off 1”gas line in building 5
Valuation (Total Cost of Material &Labor):$
105.00
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 withlocalordinances,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.IUNDERSTANDTHATIAMRESPONSIBLEFORANYFEESOREXPENSESINCURREDFORPLANREVIEW.PERMITS,INSPECTIONS AND OTHERFEESASSOCTATEDWITHTHISAPPLICATION.Note:The work authorized by Ibis permit requires the building be provided with smoke alarms complyingwithmunicipalcodes.
Signature Tarn Sonnenberg Date 3/12/2018 Print Name Tara Sonnenberg
***Office Use Only ***
Inspection Checklist:
C Address Posted C Equipment Access C T &P C Smoke Detectors
C Contractors Licensed LI Equipment Listed LI Gas Pipe DRough Inspection
C Permit Packet Available C Equipment Clearances C Vent
C Safe Access C Pan and Drain C Combustion Air
Comments:
Permit Fee:
Census #Construction Type:Occupancy:
[C
County Tax:
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