HomeMy WebLinkAboutPERMIT 1480 David Dr Unit 11 Water Damage Repair 2012-01-23teceived Date ?Dtl.ot..-Town of Estes Park Permit Number M 0
By Application for Miscellaneous Permit Applicatioti Expires 7 2-j
Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517 10 11
General Information &Inspection Line (970)577-3731 *FAX (970)586-0249°tt w.est&’sneLcoau Permit Expires 7-,
Job Address:j’tjO .---..-..--1 3
Owner Name:-Phone:5//’-
Address:)fi9 j)
(Street)(City)(State)(Zip Code)
Contractor/ApplicanQ)fJ2J’‘i6 4S)D )Af Town License #:
______Phone:
2’75g71.
Address:It ‘75i7
(Street)(City)(State)(Zip Code)
D Long-term Residential (30 days)ShorI-term Residential (<30 days)D Commercial
O Replace Furnace 0 Gas Line (ft.)
O Replace Boiler C Replace Windows0ReplaceHotWaterHeater0InstallAirConditioninglMinorPlumbing0TemporaryStructureUse_
____________
0 Minor Remodel Time Period
______—_________
0 Fireplace Insert —circle one:Gas,Wood,Pellet;Other .rizy7;1;/cle:tf ‘JV6—
Description of Work:)J)-99b IN JLJ4Li)2 iy9J3LL
Valuation (Total Cost of Material &Labor):$—I))’J Z
I certify 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 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 complying0ate)iZ prinIName dV —.
.***Office Use Only
Inspection Checklist:
C Address Posted C Equipment Access C T &P 0 Smoke Detectors0ContractorsLicensedCEquipmentListedCGasPipe0.oiIgh lnspectioa //C Permit Packet Available 0 Equipment Clearances C Vent inal Inspection /Z/“
C Safe Access 0 Pan and Drain C Combustion Air
Comments:-Permit Fee:
Census #Construction Type:Occupancy:L(3’(County Tax:
BlldingOfcia1/,Date
Total:z-‘1o
MOKE ALARMS ARIRED**
era’omm de’\Buildin\Fprnss\Appliativm.\Q er the Counter Pa2e I of I Revised 6113/2006 -CB