HomeMy WebLinkAboutPERMIT 254 Davis St Water Heater 2013-05-06Inspector
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Received Date :Town of Estes Park Permit Number M-.Received Application for Miscellaneous Permit j_______
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 *urt Permit Expires //
Job Address:(CL
nerName:/X Phone:-
Address:7(viC Z-’--i—c IIifiS LC’
(Street)I (City)(State)(Zip Code)
Contractor/Applicant:L-t.’1 (:‘CCs1 (-‘V Town License #:/3’7:Phonc::/
ddress:&Ct I’It”c ‘Y 7
(Scct)(City)(State)(Zip Code)
D Long-term Residendal 130 days)D Short-term Residential (<30 days)C Commercial
C Replace Furnace C Gas Line (ft.)
C Replace Boiler C Replace Windows
Replace Hot Water Heater 0 Install Air Conditioning
C Minor Plumbing C Temporary Structure Use________________
C Minor Remodel Time Period
___________________________
C Fireplace Insert—circle one:Gas,Wood,Pellet;0 Other
Description of Work:
Valuation (Total Cost of Material &Labor):$a —‘()-c i 1--
certily this application is truend correct and agrce to perlorm the work described according us planslspecitications submitted,reviewed and approved,and comply withlocalordinances.stale and fedcral laws as well as building codc.I ccnit that I have the property owner’s authority and permission to apply for this permit.Additionally,ICNDERSTANDTlATIAMRESPONSIBLEFORANYFEESOREXPENSESINCURREDFORPLANREVIEW,PERMrIS,INSPECTIONS AND OThERFEESASSOClATDWITHTHISPPLICAT(ON.Note:The work uthoriaed by this permit requires the building he provided with smoke alarms complying*ith municipal c.da.
Signawrc Datc5’i ntNamc___/1 l4L
Office Use Only ***
Inspection Checklist:
C Address Posted C Equipment Access C T &P C Smoke DetectorsCContractorsLicensedCEquipmentlistedCGasPipeDRoughInspection ,.C Permit Packet Available C Equipment Clearances C Vent Final Inspection 7 f‘C Safe Access C Pan and Drain C Combustion Air (‘“
Comments:
Permit Fee:5#.c29
Census II Construction Type:Occupancy:
County Tax:450
Building Date-‘
-Total:
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Revised 3i2912012 -CBcr.t comni clc LlwlLttng Fyi _the Counter Page 1 of I
Date Requested Permit#
Inspector
TOWN OF ESTES PARK
Building Division
INSPECTION RECORD
JOB ADDRESS —
REQUESTED BY
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WORK SHALL NOT PROCEED UNTIL APPROVED
When corrections have been made,call for re-inspection:970-577-3731.
General questions:call 970-577-3726.
Pvi 31jcateInspected (7
CONTACT INFO.
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$100.00 Re-Inspection Fee Assessed Li