HomeMy WebLinkAboutPERMIT 735 Castle Mountain Rd Gas Line 2019-08-27RECEIVED
eceived Date
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Town of Estes Park Permit Number M________
eceivedBy aJ2\Appi cation for Miscellaneous Permit Application Expires
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bcarnent of Huildiug Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517
Ln!9 at!oii$70)577-3726 *nspection Line (970)577-3731 *FAX (970)586-0240 *wt%w.estes.ore Permit Expires (1l7 /9
Job Address:
r/35 fFet&,*tw,Vt*r41 o%’
Owner Name:cA7 &/4’-*&Phone:3’o 3—5S37..4 37/
Address:7 7F C#’n-e ,Ut t.i,vt4tp/ftOfrP cjff3 ,ç</L c 3cC,-’7
(Street)(City)(State)(Zip Code)
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Contractor/Applicant:tZ ZCL M eC\c’tAlC43L-Town License /t:11’Phone:“fly ZL4 I24s
Address:I1Th 4\cFg,Ew?A-.
LStreet)(City)(State)(Zip Code)
Li Long-term Residential (?30 days)Li Short-term Residential (<30 days)Li Commercial
0 Replace Furnace 0 Gas Line (ft.)
o Replace Boiler 0 Replace Windows
o Replace Hot Vater Heater 0 Install Air Conditioning
O Minor Plumbing C Temporary Structure Use_________________0 Minor Remodel Time Period
____________________________
o Fireplace Insert —circle one:Gas,Wood,Pellet;WOther
Description of Work:pyefrr
Valuation (Total Cost of Material &Labor):$
I cetlify Ibis application is trueand coned and agreeto perform thework described according toplansspecil’tcations submitted.reviewed and approved,and comply with
local ordinances,state and federal laws as scll as building codes.I certify that I have the property owner’s authority and permission to apply for this permit.Additionally,I
UNDERSTAND THAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW.PERMITS,INSPECTIONS AND OTHER
FEES ASSOCIATED WITH THIS APPLICATION.Note:The work authorized by this permit requires the building be provided with smoke alarms complying
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***Office Use Only ***
Inspection Checklist:
U Address Posted U Equipment Access U T &P U Smoke Delectors
U Contraclors Licensed U Equipment Listed U Gas Pipe U Rough Inspection
U Permit Packet Available U Equipment Clearances U Vent U Final Inspection
U Safe Access U Pan and Drain U Combustion Air
Comments:
Permtt Fee:t0O
Census 4 Construction Type:Occupancy:
County Tax:S
Building O Date
Total:t 3
U:\Building 20329.doc