HomeMy WebLinkAboutPERMIT 509 Birch Ave Interior Remodel 2011-01-18Jan 18 11 03:55p Paul Whyard 19705779883 p.1
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Town of Estes ParkC0Y PernntNumbcrM-QJJfl
Application for Miscellaneous Permit AppliCatiOn Eepires
Deiiswtment of Building Safe(y 170 MacGregor Avenue P.O.Bo 1200 Estes Park,CO 80517 7t
Geaieriil Information &Inspection Line 97O)577-3731 FAX (970)5N6-0249 wiesuet.eon Permit Ezpires —1 —t
Job Address:Ct4 i
Owner Name:
_______________________________________Phoue:
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Address:£0S 7
(Sheet)(City)(State)(Zip Code)
Contractor/Applicant:j Town License 41:
______Phone:_____________
Address:
(Street)(City)(State)(Zip Code)
Long-term Residential (30 days)El Short-term Residential (<30 days)C]Commercial
C Replace Furnace El Gas Line C ft.
C Replace Boib?r C Replace Windows
C Replace Hot Water Heater C]Install Air Conditioning
I]Minor P3lumbiria C]Temporary Structure Use_______________
.Minor Remoisl Time Period
______________________
1]Fireplaca hiserl —circle one:Gas,Wood,Pellet;El Other.qnw!eLIzwxa————-__oJ——————-———
DescriptionofWork:7-zz t’-.Lr---J.SLJ—s4
t-rt44-to6 iQ(t4
____
aII —i
Valuation (Total Cust uf Material &Labor):$5
I certify this application i t.iLC suni Lorrect nod agiec to pecfot-m the woric described u ceding to plans/specifications submitted,reviewed and epproved,and comply with
local ordinances,state cool li1eraI laws as well as building codes.I cn-iify that I have the property owners authority end permission to apply for Lhh permit.Additionaity,I
UNDERSTAND TEIPLT II iM ItESFONSIELE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW,PIEF.MLTS,INSPECTIONS AND OTHER
PEES ASSOCIATEIF)W11.11 ThuS !iPPL1CATIN.Note:The uork authorized by this permit requires the building be prtrvided with smoke alarnis complying
with municipal c,Øllts.:/
SignatnrX ;print Name
______
-—.IlIh—.-—-.
Office Use Only
inspection Checid iitL
El Address Posted
O Oiniutctors Licensed
O Permit Packet Avaiahle
El Safe Access
Comments:
C]kquipment Access El T &P El Jmoke Detectors
El Equtpmeut Listed El Gas Pipe El iougcs Irrspectir.
El Bquipment Clearances C]Vent El Firtal inspectior
El Pan and Dzain C Combustion Au
Smoke alarms to current code
All code issues not addressed on ,...required for existing residence.
the plans are subject to field Hard wired or if no access,provide
inspection,lithium battery.
Rcceivcd Date Zo
Received By —
‘Constnsction Type:Occupancy:
Pern.sil Fee:
Date
County ‘IL a:
VSet.,,f c:the Cccuuet rage I of I Fevised /lJ/20(JC -CB