HomeMy WebLinkAboutPERMIT 500 Birch Ave Water Heater 2011-04-2604/28/2011 10:45 9705383193 MOUNTAIN VALLEY PLUM PAGE 01/01Office
Copy
Received Date j.Town.of Estes Park Permit Number M-4O3zJ1
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Received &,_Application for Miscellaneous Permit Application Epiresj9 ZL.
Department of Bnildhig Safety 170 MacGregor Avenue P.O.Box 1200 Estes Prirk,CO 80517 ni L
—.Gener :ad0n &Inspection Line (970)577-3731 *FAX (970)586-0249 *www.esSusnet.com Pernut Expires _JQaS..,_
Job Add ‘...
Owner Name:
__________________fhone:
St4 3J3 Cf
Address:_?bc 311 hel:o)(ZCode
Contractor/Applicant:Town License #:3/3j’horwç5—)Di.
Address:‘C1
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JStteel)..,...,—,(City_($tate Qode)
nng-terrn Residential 3U days)C Short-term Residential (<30 days)P Commercial
fl Replace Futnace U Gas Line (ft.)
U Rpjace Boiler C Replace Windows
Rplace Hot Water Heater C Install Air Conditioning
C Minor Plumbing C Temporary Structure Use
_______________
o Minor Remodel Time Period -.
C Fireplace Insert —circle one:Gas,Wood,Pellet;C Other
eeipiion crfWot-&--C,.,.it
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Valuation (Total Cost of’Material &Labor);$/O .s—I
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I eortr’this application true mid correct,mid agree to perfiirm the work deseribed according to plans/specitiantiona submitted.reviewed and approved,end comply with
local w-dlnaoces,state and IWeral laws u well building codes,I certift bra I Nave the prciperty owner’s authority sad permirrsion to apply for thIs pennit.AtidIttonally,I
UNDERSTAND THAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED role PLAN REVIEW,PERMIt’S,INSPECtIONS AND OTHER
FEES ASSOCiATED WITH THIS APPLICATION.Not or The work authorized hy lids pet-nut requires tile building he provided with smoke alarms complying
with municIpal codes.
Snnture,.
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***Office Use Only
Jnspaotion Checklist;
C Address Posted C Equipment Access 0 T &P 0 Smoke Detectors
U Contractors Licensed 0 Equipment Listed C Gas Pipe C Rough Inspection
C Permit Pacleet Available C Equipment Clearances C Vent C Final Inspection
C Safe Access C Pan and Drain C Combustion Air
Comments:-.-lPermItFee:-
Census ft -Construction Type:fOiclipancy:-
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County lax:
Building 0cm Date
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!SMOKE ALARMS ARLR.LQUIRED *
l:Iic Counter Page I of I Revised 7/1 4/2006 -CE