HomeMy WebLinkAboutPERMIT 398 Bristlecone Ct Shower pan, Drywall, Tile 2012-08-07Received Dat
Received By
Cf Town of Estes Park 010 Permit Number M-
Application for Miscellaneous Permit Application Expir
De `= rtment of Building Safety 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517
General Information & Inspection Line (970) 577-3726 * FAX (970) 586-0249 * www.estes.org Permit Expir
Job Address:
Owner Name:
Address:
2/ 5 7'7.:':m .. C 0
d /1C..(-
(Street)
(City)
Phone:
Contractor/Applicant:=Cm{�?�", "" G%`# Town License #:t'
Address:
(Street
❑ Long-term Residential (>_ 30 days)
(Ci
(State)
Phone:
❑ Short-term Residential (<30 days) ❑ Commercial
(Zip Code)
❑ Replace Furnace
❑ Replace Boiler
❑ Replace Hot Water Heater
❑ Minor Plumbing
inor Remodel
0 Fireplace Insert — circle one: Gas, Wood, Pellet; 0 Other
❑ Gas Line ( ft.)
❑ Replace Windows
❑ Install Air Conditioning
❑ Temporary Structure Use
Time Period
Description of Work: :
112
Valuation (Total Cost of Material & Labor): $
I certify this application is true and correct and
local ordinances, state and federal laws as well as
UNDERSTAND AT I AM RES SIBLE
FEES ASSO D WITH APPLIC
with munici 1 c es.
Inspection Checklist:
❑ Address Posted
❑ Contractors Licensed
❑ Permit Packet Available
❑ Safe Access
to perform the work described according to plans/specifications submitted, reviewed and approved, and comply with
lit codes. I certify that I have the property owner's authority and permission to apply for this permit. Additionally, I
ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW, PERMITS, INSPECTIONS AND OTHER
Note: The work authorized by this permit requires the building be provided with smoke alarms complying
*** Office Use Only ***
❑ Equipment Access
❑ Equipment Listed
❑ Equipment Clearances
❑ Pan and Drain
Construction Type:
❑T&P
❑ Gas Pipe
❑ Vent
❑ Combustion Air
❑ Smoke Detectors
❑ lgh Inspection
inal Inspection
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Revised 5/2Ii'2012 - CB