HomeMy WebLinkAboutPERMIT 1399 Cedar Ln Plumbing 2011-05-23Office
Received Date Town of Estes Park Copy Pert Number M-i’Z 2
Received By Application for Miscellaneous Permit Application Expires
Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517 1.0 7Generalluformation&Inspection Line (970)577-3731 FAX (970)586-0249 ss w.csiesnel.toiss Permit Expires 7
Job Address:CLA/—‘i
Owner NameJt’//Phone:iA —2
Addiess I
_
(Street)(City)(State)(Zip Code)
Contractor/Applicant:I (i t-’r9 a-v-Town License #:?9’Phone:9 ¾’c “t
Address:P(6 C f 4 i //<J (Street)‘(City)(State)(Zip Code)
1ong-term Residential (30 days)D Short-term Residential (<30 days)D Commercial
D Replace Furnace D Gas Line (ft.)
D Replace Boiler D Replace Windows
D Replace Hot Water Heater D Install Air Conditioning
EJ Minor Plumbing D Temporary Structure Use_______________
D Minor Remodel Time Period
_________________________
D Fireplace Insert —circle one:Gas,Wood,Pellet;C Other
Description of Work:
)Liv :
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 withlocalordinances,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,IUNDERSTANDTHAFIAMRESPONSIBLEFORANYFEESOREXPENSESINCURREDFORPLANREVIEW,PERMITS,INSPECTIONS AND OTHERFEESASSOCIATELWITHTHISAPPLICATION.Note:The work authorized by this permit requires the building be provided with smoke alarms complyingwithmunicipalcodes.
Signature Dat -1/Print Name e
____
***Office Use Only ***
Inspection Checklist:
C Address Posted C Equipment Access C T &P 0 Smoke DetectorsCContractorsLicensedCEquipmentListedCGasPipeCRoughInspectionCPermitPacketAvailableCEquipmentClearancesCVentEJFinalInspection
O Safe Access C Pan and Drain C Combustion Air
Comments:
Permit Fee:i ,
___________________________
(j ,).L
County Tax:
Total:
**SMOKE ALARMS ARE REQUIRED**
Census#)ccupancy:
Date—
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