HomeMy WebLinkAboutPERMIT 405 Birch Ave Water Heater 2018-12-10•‘ftce
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Received Date Town of Estes Park Permit Number M-.
RcceivcdBy Application for Miscellaneous Permit ApplicationExpires ID II9
‘DepartmenI of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO S05l7
‘GcncraI Information &Inspection Line (970)577-3726 *FAX (970)586-0249 *‘vww.e,tcs.or2 Permit Expires
_____________
JobAddress:‘ffifrBiie.r1 f[vt’5o5[7
Owner Name:Kr,thn&t t’lJl1cnt7t1t Phone:______________
Address:‘JD 9 rcti —&ve.F&frs JtYIC Co 3’C Sf7
(Street)(City)(State)(Zip Code)
Contractor/Applicant:‘Procp?(tPhA,hftlOt V1S(-Town License #:Pbone7ZC)9g@ Iv)9L
Address:DO N(HshiTt Ci 7%.75043
(Street)-(City)(State)(Zip Code)
C Long-term Residential (30 days)C Short-term Residential (<30 days)I]Commercial
0 Replace Furnace LI Gas Line (ft.)
0 Replace Boiler LI Replace Windows
eplace Hot Water Heater LI Install Air Conditioning
o Minor Plumbing C Temporary Structure Use_______________
o Minor Remodel Time Period
__________________________
o Fireplace Insert —circle one:Gas,Wood,Pellel;0 Other
Description of Work:
thu-
Valuation (Total Cost of Material &Labor):$2 o
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 with
local ordinances,state and federal laws as well as building codes.I certify that I have the property owner’s auihor,ty and permission to apply for this permit.Additionally.
UNDERSTAND THAT I 4Sf RESPONSIBLE FOR ANY FEF,S OR EXPENSES INCURRED FOR PL4N REVIEW.PERMITS,INSPECTIONS AND OTHER
FEES ASSOCIATED WITH THIS APPLICATION.Not,:The work authorized by this permit requires the building be provided with smoke alarms complying
with municipal codes.
Signature________________________Date I21 I hint Name S4i1n Tc}taj<.aruv
***Office Use Only ***
Inspection Checklist:
C Address Posted C Equipment Access El T &P LI Smoke Detectors
C Contractors Licensed El Equipment Listed C Gas Pipe I]Rough Inspection
C Permit Packet Available El Equipment Clearances C Vent C Final Inspection
C Safe Access C Pan and Drain U Combustion Air
Comments:Permit Fee:i4 rj q
Census #Construction Type:Occupancy:aCountytax:V 3 L/tj
Building Official Date Total:$5j3L)
**SMOKE ALARMS ARE REOUIRED**
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