HomeMy WebLinkAboutPERMIT 1610 Brook Ct Water Heater 2019-05-07Received Date 5 1*(9 Town of Estes Park PermitNumberM________
ReceivedBy }c Application for Miscellaneous Permit Application Expires ///,
Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517 3GeneralInformation&Inspection Line (970)577-3726 *FAX (970)586-0249 *www.estes.orc Permit Expires
____________________________________________
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Job Address:11.910 1)i’oot<Courk
OwnerName:Re .C’fl L&v&Phone:_____________
Address:\k.01O rA-<Coat
1 Fit 0iX cstate)
Contractor/Applicant:C J.2t ‘CSSk’’A&.QSZSa O%%t%VE,&j(Town License it:SSo Phone:ljO-2Itfr
Address:12o (IvbC GrpucoAu p
1
CC)80517
(Street)(C?ty)(State)(Z,Code)
,Z(Long-term Residential (30 days)U Short-term Residential (<30 days)U Commercial
U Replace Furnace U Gas Line (ft.)
C Replace Boiler U Replace Windows
øZlZeplace Hot Water Heater C Install Air Conditioning
C Minor Plumbing C Temporary Structure Use________________
C Minor Remodel Time Period
__________________________
o Fireplace Insert —circle one:Gas,Wood,Pellet;C Other
Description of Work:Sb ll Ss ,Vk-rJ cS,CL-’tavç ot...,t.
Valuation (Total Cost of Material &Labor):$
I certify this application is true and correct and agree to perform the work described according to plans/specifications submitted,reviewed and approved,and comply with
local ordinances,state and federal laws as well as building codes.I cerIii that I have the property owner’s authority and permission to apply for this permit.Additionally,I
UNDERSTAND THAT 1AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW,PERMITS,INSPECTIONS AND OTHER
FEES ASSOCIATED Tn THIS APPLICATION.Note The work authorized by this permit requires the building be provided with smoke alarms complying
with municip co
Signature DaIe7’[PrintName De i’.el-c SLp01 r-cQ.
***Office Use Only ***
Inspection Checklist:
U Address Posted U Equipment Access U T &P U %moke Detectors
C Contractors Licensed C Equipment Listed -C Gas Pipe
U Permit Packet Available U Equipment Clearances U Vent
U Safe Access U Pan and Drain C Combustion Air
Comments:
Ceusus #Construction Type:Occupancy:
County Tax:.tj.go
DateBuildingOfficialzLoudt 5.7.fl Total:+49&5
c/I
**SMO ALARMS ARE REOUIREW*
4Y 0 20’9
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