HomeMy WebLinkAboutPERMIT 1400 Cedar Ln Remodel 2010-12-20Town
Received Date
_____
Town of Estes Park Copy Permit Number Mjt;
Received Application for Miscellaneous Permit Application Expires
Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517
General Information &Inspection Line (970)577-3731 °FAX (970)586-0249 ‘we.cm Permit Expires
Job Address:/Ljy,(f(7,l/4t
Owner Name:-y,’y7///,’PL,.47 Phone:t’
Address:/7f,t/‘i,v’A3/ycZ 7
(Street)(City)(State)(Zip Code)
Contractor/Applicant:‘Icv ,V l2i r Town License #:
______Phone:
ii
Address:/3 c.i-j,’i ,_‘i’/IAYL
(Street)(City)(State)(Zip Code)
121Long-term Residential (30 days)EJ Short-term Residential (<30 days)ID Commercial
EJ Replace Furnace D Gas Line (ft.)
C Replace Boiler .Replace Windows
ID Replace Hot Water Heater C Install Air Conditioprng1 -r-
ID Minor Plumbing ID Temporary StructukoeA-.’
Minor Remodel Time Period
________________________
EJ Fireplace Insert —circle one:Gas,Wood,Pellet;C Other
Description ofWork:‘‘,!‘‘.4 Tt-.•‘-I)2c’s/v/,4_f_
T’CF ESTLS PAR!
I certify this application is true and coffect 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,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
with municipal codes.
Signature :..;‘-‘-.—Date/’-’.‘—Pnnt Name ?
***Office Use Only ***
Inspection Checklist:
ID Address Posted
ID Contractors Licensed
ID Permit Packet Available
ID Safe Access
O Equipment Access
C Equipment Listed
ID Equipment Clearances
C Pan and Drain
IDT&P
ID Gas Pipe
C Vent
ID Combustion Air
C Smoke Detectors
C Rough Inspection
C Final Inspection
**SMOKE ALARMS ARE REQUIRED**
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Valuation (Total Cost of Material &Labor):$
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Page 1 of I Revised 6/13/2006 -CB