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HomeMy WebLinkAboutPERMIT 398 Bristlecone Ct Remodel Plumbing 2012-07-3007-30-12;08:29AM; # 1/ 1 Received Date01- Town of Estes Park Received By De Genet 3 (. _F6e0.00ry ° - 3 0L)-'OP-.O4(7 Owner Name: ( h c5 .,.5 e sr5�� Phone: SiaD- 5SAr. 96" Addiress:. l(i970+586+8349 Copy Job Address; Application for Miscellaneous Feet Applierdion Expires ent of Building Safety 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517 Information & Inspection Line (970) 577.3731 '' FAX (970) 586-0249 * www.estesneLeom Permit Expires 4- 1e- ,n -%e S Coo (Street) — —� (City) (State) (Gip Code) ,a t Contractor/Applicant: r k ? 4 14- Town License #: 31'hone: S 14 --R { 5 Address: et 5QJ/47y .6(s%.\ . ' -� -AS -+e s (Street) ng-term Residential (, 30 days) o 8 ,vapity) 5, Short-term Residential (< 30 days) ID Commercial CI Replace Furnace CI Gas Line ( ft.) Q Replace Boiler 0 Replace Windows 0 Replace Hot Water Heater 0 Install Air Conditioning .tt'lvlinor Plumbing 0 Temporary Structure Use 0 Minor Remodel Time Period O Fireplace Insert circle one; Gas, Wood, Pellet; 0 Other Description of work: V\e,4.+.16v k rta"t t1 drys, ver•-4, v .,r--""=' •b4ra- t t r• e c.+7 a. ear l,' r. s ha hh $ . 'fir. S-'r- - I 1 v1.G-"s ►Z%.relleN. )t`ring, `GY `^' asyN 0 F rngti,s^ e.r b. h Valuation (Teta Cost of Material & Labor); $ 5 0, 1 certify this application is true and correct and agree to perform the work described according to plundspeciruadons 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 authority and permission to apply for this permit: Additionally, UNDERSTAND THAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW, PERMIT8, INSPECTIONS AND OTHER FEES ASSOCIATED WITH THIS APPLICATION. Note: The work authorized by this permit requires the building bo provkled with smoke alarms coresplying with municlpal codes. Signature Inspecdon Checklist: ❑ Address Posted O Contractors Licensed ❑ Permit Packet Available Safe Access Date 744+t..PriatName *** Office Use Only *** O Equipment Access ❑ Equipment Listed ❑ Equipment Clearances Pan and Drain Comments: Census # iding OtUeial OT&P ❑ Gas Pipe ❑ Vent. © Combustion Air Construction Type: Occupancy: ❑ Sake Detectors oAt,ugh Inspection CZ Final Inspection Permit Fee: County Tax: Date **SMOKE ' LARMS A . eralcomm devlllulldinsWorms\ADOI tionsVOver the Counter Total : 1 E / UIRED! Page 1 of 1 Revised 7/14/2006 - CB