HomeMy WebLinkAboutPERMIT 801 Bailey Ln Water Heater 2019-08-09I
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Town of Estes Park PermitNumberM-/
ReceivedBy ‘9 aAppliation for Miscellaneous Permit ApplicationExpires______
artment of Buildin Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517 (./
r Information &Ins ction Line (970)577-3726 *FAX (970)586-0249 *ivv’v.esIes..org Permit Expires I.
Job Address:801 Baiie kane
Owner Name:Art Thompson Phone:402-432-7571
Address:19912 Van Dorn Street Eagle,NE 68347
(Street)(City)(Slate)(Zip Code)
Contractor/Applicant:Mountain Valley Plumbing &Heating,Inc.Town License #:453 Phone:970-586-1085
Address:854 Dunraven Street,Estes Park,CO 80517
(Street)(City)(State)(Zip Code)
0 Long-term Residential (?30 days)D Short-term Residential (<30 days)U Commercial
o Replace Furnace U Gas Line (ft.)
o Replace Boiler U Replace Windows
0 Replace Hot Water Heater U Install Air Conditioning
U Minor Plumbing U Temporary Structure Use_________________
U Minor Remodel Time Period
____________________________
U Fireplace Insert —circle one:Gas,Wood,Pellet;U Other
Description of Work:Install On demand tank less water heater
Valuation (Total Cost of Material &Labor):S
4381 00
I ccriity tins application is true and correct and agree to perfonn the work described according to plans/specifications submitted,reviewed and approved,and comply will,
local ordinances,stale and federal laws as vc1I as building codes.I certify lInt I have the propeny owner’s authority and permission to apply for Ihis penisit.Additionally,I
UNIJEI{STANI)THAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW,PERMITS,INSPECTIONS AND OTHER
FEES ASSOCIATED WIll!Tills APPLICATION.Note:The work authorized by this permit requires the building be provided with smoke alarms complying
with municipal codes.
Signature Tara Sonnenberg Dale
8/28/2019
Prinl Name Tara Sonnenberg
***Office Use Only ***
Inspection Checklist:
U Address Posted U Equipluent Access U T &P U Smoke Detectors
U Contractors Licensed U Equipment Listed U Gas Pipe U Rough Inspection
U Permit Packet Available C Equipment Clearances U Vent U Final Inspection
U Safe Access U Pan and Drain U Combustion Air
Comments:PermitFee:III.2—.
Census ft Construction ‘I’ype:Occupancy:CountyTax:$LiSa
Building Official Date Total:.91
CZ
**SMOKE ALARMS ARE REOUIRED**
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