HomeMy WebLinkAboutPERMIT 145 Courtney Ln Water Heater 2019-01-10Rec’eivedDüt u Town of Estes Park PermitNumberM-VJMJ:)9
RecvBy’))C..-Aplication for Miscellaneous Permit Applicafion Expires ‘i(/i9
bepartment of Building Safe 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517
General Information &Inspection Line (970)577-3726 *FAX (970)586-0249 *www.estes.org Permit Expires
_____________
Job Address:S Cc.*v.a->j çtS \A_cc
Owner Name:£..4,c’.r /L4rLPy Phone:
_____________________
Address:\cS cr-.y \64-s %sL CD
(Street)(City)(State)(Zip Code)
Contractor/Applicant:4&.n3o ?\u—o’t \\C TownLicense#:ttTh-’t__Phone:1u3..-flg-J/’fl.
Address:10 Q-iS ‘L3(c—4 Gm 26t1J
(Street)(City)(State)(Zip Code)
.Long-term Residential (?30 days)D Short-term Residential (<30 days)D Commercial
D Replace Furnace C Gas Line (fl)
C Replace Boiler C Replace Windows
%Replace Hot Water Heater C Install Air Conditioning
C Minor Plumbing C Temporary Structure Use________________
C Minor Remodel Time Period
__________________________
o Fireplace Insert —circle one:Gas,Wood,Pellet;C Other
Description of Work:+t—’CLL43 L)or’c L.a-s..*cr CJ ut.P-c -i-d-.--—Lt45_tA-cr,lo_r %-c \wa\\.nr ot....r’ct &-c
Valuation (Total Cost of Material &Labor):$
I certify this application is tnie 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 pennit.Additionalty,I
UNDERSTAND THAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW,PERMITS,INSPECTIONS AND OTHER
FEES ASSOCIATED WITH THIS APPLICATtON.Note:The work authorized by this permit requires the bui g he provided with smoke alarms complying
with municipal codes.
Signamee Date //.15 PdntName j
Office Use Only **
Inspection Checklist:
D Address Posted C Equipment Access C T &P C Smoke Detectors
C Contractors Licensed C Equipment Listed C Gas Pipe C Rough Inspection
C Permit Packet Available C Equipment Clearances C Vent C Final Inspection
C Safe Access C Pan and Drain C Combustion Air
Comments:
Permit Fee:‘1 2.
Census #Construction Type:Occupancy:
County Tax:.OcD
Building Official Date
Total :3
**SMO ALARMS ARE REQUIRED**
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GAS LINE DIAGRAM
MINIMUM REQUIRED INFORMATION:
1.Type of line (CSST,Black Iron,etc.)
Please specify if using CSST by ‘Gastite,’‘TracPipe,’etc.
2.Size of line (1”,¼.”,etc.)
3.Length of line
4.Line inlet pressure and pressure drop (ie:<2 psi,0.5’W.C.)
5.BTU’s of appliances
6.Type of gas (natural gas!propane)
7.Address &permit number of project
8.Specify contractor installing the gas line,xvith contact information.
Please submit a gas Yne diagram to the Building Division for review and approval with ALL the
above information prior to calling for an inspection.
The diagram may be submitted to:
Building Division
170 MacGregor Ave
Estes Park,CO 80517
970-57T3726
or by email to huilding(i4cstcs.org
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