HomeMy WebLinkAboutPERMIT 1494 Creekside Ct Water Heater 2019-04-24t 0
Receçved Daie 2 Y2019 Town of Estes Park OC?ermit Number M-O?19
Rec4lOly .C!2’.A4plication for Miscellaneous Permit Application Expires cj/n /101
Department of Building Safely 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517
Information (970)577-3726 *Inspection Line (970)577-3731 *FAX (970)586-0249 *‘ww.estes.org Permit Expires 7/’l’li 19
JobAddress:c—ap 1f
Owner Name:222,½1J fli441$Phone:7O 27 7S33
Address:/Y9’Y CIeE&1tSJJl3t CT &f/mW Cc
(Street)(City)(State)(Zip Code)
‘410 o2Ac,
Contractor/Applicant:E 12XL M eCMt%si iCYki.—_Town License #:£1Y(Phone:’flC Z2’I24a
Address:i1V3 i/’3t.PFRc e4V 95w.‘\‘A--C.0
(Street)(City)(State)(Zip Code)
C Long-term Residential (30 days)C Short-term Residential (<30 days)0 Commercial
El Replace Furnace C Gas Line (ft.)
o Replace Boiler C Replace Windows
WReplace Hot Water Heater 0 Jnstall Air Conditioning
o Minor Plumbing 0 Temporary Structure Use_________________
El Minor Remodel Time Period
____________________________
C Fireplace Insert —circle one:Gas,Wood,Pellet;C Other
Description of Work:,VArtwz.-c 6’S ,-V-o7 4Y19flt
Valuation (Total Cost of Material &J..aboñ:00
I certify this application is true and correct and agree to perfonn the work descñbed according to plans/specifications submitted,reviewed and approved,and comply with
local ordinances,state mid federal laws as well as building codes.I certi that I have the property owner’s authority and permission to apply for this pcnniL 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
:ar DaIet/%anse Vna R.Es-n
**Office Use Only ““
Inspection Checklist:
U Address Posted U Equipment Access U ‘F &P U Smoke Detectors
U Contractors Licensed U Equipment Listed U Gas Pipe U .ough Inspection
U Permit Packet Available U Equipment Clearances U Vent QjFinal Inspection /\,
U Safe Access U Pan and Draiu U Combustion Air r’i \R\
Comments:Permit Fee:t/q 5
Census #Construction Type:Occupancy:County Tax:14
Building Ofliclil Date Total:
PR A 7flJ
LI:tauilding Diwsion\Fonns-Logs\Apps_Penvits_IRC_MisckMiscollaneouskMiscellaneous 2012.03.29.doc
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