HomeMy WebLinkAboutPERMIT 130 Boyd Ln Waste Line 2013-03-2603/26/2013 12:18 9785863198 MDIJNTAIN VALLEY PLUM PAGE 01/81
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Received Date 0’3C32c Town of Estes Park Permit Number M 6”frI /3
By -e Application for Miscellaneous Permit /\Ipiication Epiresfr/5
Department of Rnildin Safety 170 MacGregor Avenue P.O.Bo 1200 Ecitco Park.CO 80517 7 /
General Information &Inspection Line (970)577-3731 “FAX (970)586-0249 *www csttsnet corn Permit Etpires 4/2/2O,y
Job Address:130 Boyd Lane ....
Richard Slaydon
Owner iName:Phone:-Contact Judy Anerson 586-2950
Address:P,OBox 1736 Estos Park Co 80517
(Street)
‘?City)(Stoic)-.(tip code)
Contractor/Applicant:Mountain Vaisy Plumbing &Healing Town License if:
________Phone:
.586-1085_—
Address:854 Dunraven Street Estas Park CC 80517
I (Sneer)_([ily)_(Snt)(Yip Codc?_
f?iong-term Residential (30 days)U Short-term kesidential (<30 days)U Commercial
-wa.-—.r —--——•—-——
U Replace Furnace U Gas Line (ft.)
U Replace Boiler U Replace Windows
U Replace Hot Water Heater U Install Air Conditioning
JLnor Plumbing U Temporary Structure Use -
U Minor Remodel Time Period
C Fireplace insert circJe one:Gas,Wood,Pellet;U Oilier
Description of Work:-..-.
Replace waste line in crawl space and connect to new sewer line
—--
Valuation (Total Cost of Material &Labor):S
3000.00
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-.-..---,._.*
I certify tliis uppi ice iicn is inc anti correct and ngi’cc to perform do work dose ril,ed WCOILI jig it p as s/spec Pus Ins twhtii s ad.rev{c:s ad intl approt’ctI.intl COtlip Iy w iii
local ot’clinarcca,stab and Poderal laws as well as building codes,I certify thai I have lie property owlet’s authority atid permission to apply icr 11,15 pcni,ii.Adtbitiotittliy.I
UNDERSTANIJ ‘ru,vr I AM ftitSPONSIl3IIP FOR ANY FEES OR EXPIPNSFS INCURRED FOR I’LAN REVIEW,PERMItS,INSPECTIONS AND OTHER
FEES ASSOCIATED WITH THIS APPLICATION,Note:The work authorized lay this larriacit inquires (Ice building he prnvicied with smoke alarms complying
wIth mutt lelpal cot
Signci lute .jI%_A6_Date Print Name ,..i2&iThte.es
***Office Use Only ***
Inspection Checklist:
fl Address Posted U Equipment Access U T &P Ii Smoke Dei:ectoi’s
U Contractors Licensed U Equipment Listed U Gas Pipe U Rough Inspection
U Permit Packet Available U Equipment Clearances U Vent Final Inspection &4t4P
C Safe Access U Pan antI Drain U Combustion Air —(wcØØ LC (z4
Comments:Permit Fee:8Z5
Census #Construction Type:-—Occupaney:county Tew -9.oo
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