HomeMy WebLinkAboutPERMIT 1399 Cedar Ln Water Heater 2011-07-19Received l)ate .)7 .
Received By tA3 r
Town of Estes Park
Office Use Only ***
Inspection Checklist:
D Address Posted
El Contractors Licensed
El Permit Packet Available
El Safe Access
El Equipment Access
El Equipment Listed
El Equipment Clearances
C]Pan and Drain
E:iT&P
El Gas Pipe
El Vent
LI Combustion Air
El Snioke Detectors
C]Rough Inspection
El Final Inspection
**SMOV ALARMS ARE REQUIRED**
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PermitNumber levI___________
Application for Miscellaneous Permit Applicarion Expires_______
Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517 W
General Information &Inspection Line (970)577-3731 *FAX (970)586-0249 *www.estesuet.com Permit Expires
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Job Address:/L7 //
Owner Name:/t//c(Phone:Q C -
Address:/7
(Street)(City)(State)(Zip Code)
Contractor/Applicant:i (‘‘Chi Town License#:/‘Phone:‘-/
Address://c7/’I
I(Street)(City)(State)(Zip Code)
U Long-term Residential (?30 days)U Short-term Residential (<30 days)C]Commercial
U Replace Furnace U Gas Line (ft.)
U .eplace Boiler U Replace Windows
IWReplace Hot Water Heater EJ Install Air Conditioning
U Minor Plumbing U Temporary Structure Use_______________
El Minor Remodel Time Period
__________________________
U Fireplace Insert —circle one:Gas,Wood,Pellet;EJ Other
Description of Work:
s—--y-----iLj
Valuation (Total Cost of Material &Labor):$•_,_.y-’0 0c)._—‘
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 certify that I have the property owner’s authority and permission to apply for this permit.Additionally,IUNDERSTANDTHAjfIAMRESPONSIBLEFORANYFEESOREXPENSESINCIJRREDFORPLANREVIEW,PERMITS,INSPECTIONS AND OTHERFEESASSOCIATEDITHTHISAPLICATION.Note:The work authorized by thIs permit requires the building be provided with smoke alarms consplying
with municipal codes
Signature
____________________________
Date 71intNanic /4
Over the Counter Page I of I Revised 7Il42OO6 -(13