HomeMy WebLinkAboutPERMIT M-1507-07 Water Heater 630 Pinewood Lane 2007-09-05FAXNO.:970229998305200?09:19AMP2/2____TownofEstesParkPtrUIItNUmbCrMJZ92ByC10ApplicationforMiscellaneousPermitAppflcackniExpiret‘3\:\oflepartoteniofBuildingSisfety170MacGregorAvenueP.OBo,1300ltttePark,CO$0517-,eGeijeralInformation&InspectionLine70)577-3731*FAX(970)s$60249*www.atnnet,comPerniltExpiresS.:::I•IJobAddres.ct2DE1cttDrtcO(-o,jhJ‘)J+o2tt6to2_-OwnerNamet_______R’pmbY)_______.Phnne:-___Address:L.°2Zçv’.Q(nQ&JU,’’-%S\tMtCE)itfSP*(Stitet)(City)(Stale)(ZipCode)Contractor/Applicant:k’0f4\’4YfloytJpv1TownLicense#:%_phrnw.r’43Addrss:ShLs\Coasa4(Street)(City)(State)(ZipCode)CLong-termflesidentlal(30days)5Lflburt-tennRnident1al(<30days)CCommercialReplaceFurnaceUGaslAne(It.)OReplaceBoilerCReplaceWindows‘SJ{eplacaHotWaterHeattrCInstallAirConditioningOMinorPlumbingCTemporaryStructureUse---oMfnorRcmodelTimePeriod_________________oFireplaceInsert—circleone:Gas,Wood,Pellet;COthertleacriptionofWork:c1Q\ckct(b.tAr’osczUuxcValuation(TotalCoftofMaterial&Labor):$o4is.ooIcertifythaqpliadoaIitreeendconedandagm¶0peifoirmhitv.tckdoscaibedwco.dingtopl.nskpecltlc.tioosm*imlned,,tviewcdandapproved,andco,qlywithlocalotdbisncca,stainandMetallawsaswellasbuildingcodes.Icenifythat[havetheprcnyowns’sauthmityandpermissiti.inapplyforihbpermit.AddilIocaIly,IUNDERSTANDTHATIAMRESPONSThI1FORANYVEERORP.XPENSESINCURREDFORPLA?4REVIEW,PERMITS,INSFECDONSANDOTHERflESASSOCIATEDWIThThISAPPLICATION.Mete:1workanthorizedbythispermitrequires(hrbislMhighe1wo,4d4wflhneksalarmscomplyine:::sp.,it4c4471--nc9)oAmpiatwmc.hxcnaILV&&-’OACimspeclicnChecklist:--_________________DAddressPosted0EquipmentAccessLIT&P0SmokeDetectorsUContractorsLicensed0EquipmentLMedC]GasPipeC]RoughInspectionoPermitPacketAvailableCEquipmentClearancesCVentCFinalInspectionOSafeAccessUPanandDrainCCombustionAir-Rwg4-,,1JPennftFee;OcpanqtDate9I)01_______________**SMOKEALARMSAREREOUIRED**FROMNCRReceivedDate___________co9’1tTht&,,tUcty’cj-(O/kUCountyTax:Total:l1SaeimmtheCounierPgr.IofIRevIsed6)13)2006CB