HomeMy WebLinkAboutPERMIT 138 Courtney Ln Gas Line 2015-05-0705/07/2015 09:31 9705863198
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Received Date .2c.,5/p5/%2 7 Town of Estes Park Permit Number M- 090 —15
Received By a, Application for Miscellaneous Permit Application Expires //A/2o 16-
/5 ,........__. ,______ _._.. ,
Job Addressima rourtniby Lang,
Mike Lemley 719-659-7997
Owner Name: Phone:
Address: P.O, I3 ox , Estes Park CO 80517
(Street) (City) (State) (Zip Code)
Contractor/Applicant: _Mfaintain_Valley P umilinsciliaeatingTown License #: 453 Phone:M6-1085
Address: 854 Dunraven Street Estes Park CO 80517
(Street) (City) (State) yip Code)
111/Ang-term Residential ("2 30 days) 0 Short-term Residential (<30 days) 0 Commercial
O Replace Furnace gi Gas Line (AO ft.) See drawing
O Replace Boiler 0 Replace Windows
O Replace Hot Water Heater 0 Install Air Conditioning
• Minor Plumbing 0 Temporary Structure Use
O Minor Remodel Time Period
• Fireplace Insert — circle one: Gas, Wood, Pellet; 0 Other
4
Description of Work:
Run gas line for gas range
Valuation (Total Cost of Material & Labor): $
750.00
I certify this appliMinn 01 true end 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 ns well as building codes. I cortif), that I have the property owner's authority and permission to apply for this permit. Additionally. I
UNDERSTAND tnAT I AM RESPONSIDLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW, PERMITS, INSPECTIONS AND OTHER
FEES ASSOCIATED WITH THIS APPLICATION. Note: The work nuthorind by this permit requires the building be provided with smoke alarms complying
with municipal codes.
Signature Date _5/6/ 1 5 Print NAMC Rene? Myers
*** Office Use Only ***
Inspection Cheiltlist:
0 Address Posted 0 Equipment Access 0 T & P 0 Smoke Detectors
0 Contractors Licensed 0 Equipment Listed 0 Gas Pipe 0 Rough Inspection ,..„,
0 Permit Packet Available 0 Equipment Clearances 0 Vent ,Finall Inspection c, I 5-(2-01 1 (
0 Safe Access 0 Pan and Drain 0 Combustion Air
ejv Comments: P.0314:t cS*1316 twIE ,0/09649A! .4-1, iitAST.eaCi. Permit Fee: .92 . CoS "`3/ P-0 cli4 Moon / GnICT To Ou7=5/ E--
Census ff Construction Type: Occupancy:
County Tax: .2.44-
13uildirZI
Liv_r
zg-i Date
.20/ 57/06-4 7 Totals a 35-0?
**SMOKE ALARMS ARE REQUIRED**
la,
oteS
SerVcraleutm_sie u ildingEt1rinslAmi icolionslOver the Counter Page I of 1 Revised 3/29/20) 2 - CB
Department of Building Safety 1711 MacGregor Avenue P.O. Rim 1200 Estes Park, CO 80517
• ectinn Line (970)577-3726 PAX (970) 586-0249 * Nialtjcstes,oiM Permit Expires
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