HomeMy WebLinkAboutPERMIT 1692 Big Thompson Ave Suite 101 Replace Water Heater 2019-08-27&Heating 9705860881 p.2
R4eivedflate____Town of Estes Park PerinotnuiM-i__icI
AIJL Z7?019
RalceivednY 4iju App cation for Miscellaneous Permit
epartnent of Build4ig Safety 170 MacGregor Avenue P.O.Box 120 Estes Park,CO 80517 ii)fr/j C
CcuciaJ T*nnatiou S Line (970)577-3731 *FAX (970)526.0249*(I
JobAddress:t{21XW4 mernpcon it?:.--)OI
OwnerName:Lywekt-dhharAsw9 Phone:C3j19 14(p)(a
Address:itr3a .g flwWpSbfl QuAti 101
(City)(Stale)(Zip Cnde)
Contractor/Applicant:MH Pfttfllbi 11(1 f 4—it3-Town LAcenset[33 nwne61r Yb2&
Address:<fl)tklflr?WenSb (7 UIEP (‘p
(Street)(City)(State)(Zip Code)
C Long-term Residential 30 days)CI Short-term Residential (<30 days)0 Commercial
CI Replace Furnace C Gas Line (ft.)
Dfteplace Boiler C Replace Windows
A.Replace Rot Water Heater U lastall Air Conditioning
‘DMinor Plumbing C]Temporary Structure Use___________
C Minor Remodel Time Period__________________
C Fireplace lasert -drde one:Gas,Wood,Pellet;C Other
Description of Woric
I-Itt (/Vlt*W I-U(flr &pLaalut
Valuation (Total Cost of Material &Labor):$iIi I -
I catty this app{katiou is be aal CQ,tcI and agree to pertonu the woe ct,aibcd acconling to plan4s cifications submittal.tevicwr4 and appmved,and comply wilt
local ordinanca.state and federal laws as well as buildüig codes.I catty that I have the piopaty on&s authwiy and permission to apply for this permit.Mdhtionally.I
UNDERSTAND THAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED mit PLAN REnEW,FERMrrS,INSPEUnONS AND amER
EEFS ASSOCIATED WITh THIS APPLECKIION.Nele:The rat anfi.mted by thIs permit nquires the building be presided with smoke alarms comphing
dth municipal coda
SignamrC 7Cfft-øatc 27nrnNn /CStI 1/C1(eF
***Office Use Only **4c
Thspection Checklist:
C Mthess Posted C Equipnnt Access D T &P C]Smoke Detectors
D Contractors Licensed 1]Equipment Listed C Gas Pipe C Rough inspection
C Permit Packet Available [I Equipment Clearances C Vent C]Final Inspection
C Safe Access C]Pan arid Drain C Combustion Air
Comments:PerinitFet 57.05
Ceasds#ion The
1 4 5)County Tax
DateBulhIinOffichf2J Total:
V
**SMOI(j ALARMS ARE REOU1RIEDtrtrOCT8
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