HomeMy WebLinkAboutPERMIT 240 Courtney Ln Water Heater 2017-10-17Office
Received Date ‘7on /0 j1 Town of Estes Park COpypermit Number M-“5
Received By )Lt’Application for Miscellaneous Permit Appiltion Expires 4)
Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517
General Information &Inspection LIne (970)577-3726 *FAX (970)586-0249 *www.estes.orc Permit Expires —
Sob Address:c2-‘1()(‘1(17A/tILt1 -i(ttsljL
Owner Name:i&t/liLcl Qx11ALL’nc Phone:970-52?-5gj2
1’
Address:t7O CC’LA±L4L*;<O-ito
(Steel)(3 (City)(State)(Zip Code)
Contractor)Applicant:CC 1bIi4O hcT’Itt9,1aY-bj Town License #:
______Phone:
303 Z8O375
Address:]236 (7LRJ2ga UJ0J1 “-f-IA itt Oii 8o229.
kStreet)(City)(State)(Zip Code)
C Long-term Residentiai (30 days)I]Short-term Residential (<30 days)C Commercial
C Replace Furnace C Gas Line (ft.)
C Replace Boiler C Replace Windows
Replace Hot Water Heater C Install Mr Conditioning
‘C Minor Plumbing 0 Temporary Structure Use_______________
U Minor Remodel Time Period
___________________________
o Ffreplace Insert —circle one:Gas,Wood,Pellet;C Other
Description of Work:ru
Valuation (Total Cost of Material &Labor):$/5 CQ 9 /
I ccflii 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 federai laws as well aa buiiding codes.I certifr that!have the property owner’s authority and permission to appiy for this permit.Additionally,I
UNDERSTAND THAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW,PERMITS,INSPECFIONS AND OTHER
FEES ASSOCIATED WITH TBJS APPLICATION.Note:The work authorized by this permit require,the building be provided with smoke alarms complying
:zIdI:1 -2c De /I Pnnt Name JThUbfl(1Y1’kAr no
“—“***Office Use Only ***
inspection Checklist:
C Address Posted U Equipment Access D T &P C Smoke Detectors
C Contractors Licensed F]Equipment Listed C Gas Pipe C Rough Inspection
C Permit Packet Available U Equipment Clearances C Vent C Final Inspection
C Safe Access C Pan and Drain C Combustion Air
Comments:Permit Fee:57•o
Census #Construction Type:Occupancy:County Tax:
Date /O4-/7 Total:(g///1 -‘-‘l_
**SMØI(E ALARMS ARE REOUIRED**
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V 272017
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