HomeMy WebLinkAboutPERMIT 1250 Acacia Dr Unit C8 Water Heater 2014-03-2003-20-14; 10: 31 ;From:Prctech PI umbi Heit i 'Jo : 5860249 ;9705868195 # 2/ 2
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Received Date 3/1/2.) Town of Estes Park
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Permit Number M- -04-7 /4
Received By 64:2 Application for Miscellaneous Permit Application Expires 9 /1/44101 4
Department of Building Safety 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517
General Information & Inspection Line (970) 577-3731 * FAX (910) 586-0249 www.cstes_netcom Permit Expires 3 ea /05—
Job Address: I ..)-S-r) A-c_a_,Q,.; a. .,,,. “/ c., C- 9 025 3 (4, - 15-6>0 ,
Owner Name:l Y •Vr '‘.8_rs IL\5-k-5 i F., rk.. (. • \--., b e..-+- s Phone:
I 5 0 Cn in %.4. " 1 4 .3) k V of 1... r r::5 Al= 47 PCCror Y...-, C.11 g 1X5 i 1 L o i Address:
.
(Street) (City) (State) (Zip Code)
.,.......—,
Contractor/Applicant(Pr t) \ ..e h T'sb (--1. Town License 4:36?cf Phone: ‘5„.PCG,-,9/q..5
Address: 1160 0-0-An. A-1', c-4,-\__.. 54 ..1 y\--,--/- Aa..14-.e. -eis* lz._ -0 g a.51.7 )-
(Street) (City) (State) (ZiCAL=2.
0 Long-term Residential 30 days) Cl Short-term Residential (< 30 days) rx commercial
Cl Replace Furnace • Gas Line ( ft.)
0 Replace Boiler Cl Replace Windows
cid Replace Hot Water Heater 0 Install Air Conditioning
0 Minor Plumbing 0 Temporary Structure Use
Li Minor Remodel Time Period
• Fireplace Insert - circle one: Gas, Wood, Pellet; 0 Other
Description of Work:',.,..s,J,,,, tt 40 _ieL,A \ c, r-,. 1\1 C..7, .,_.›.a....-k-e_Ar sr) c ,....4-.e. v- -
Valuation (Total Cost of Material & Labor): $ ..?
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6V
1 /
I certify this application
10Cal ordinancas, state and
UNDERSTAND THAT
FEES ASSOCIATED
with munlci . al codes.
Signature ik. --
is true
I AM
WITH
federal
and correct and agree to perform the work described
laws as well as building codes. 1 certify that I have
RESPONSIBLE FOR ANY FEES OR EXPENSES
THIS APPLICATION, Note; The work Authorized
4 ) Data i -07-0 -I
according to pima/specifications submitted, reviewed and approved, and comply with
the property owner's author* and permission to apply for this permit: Additionally, I
INCURRED FOR PLAN REVIEW, PERMITS, INSPECTIONS AND OTHER
by this permit requires the building be provided with smoke alarms complying
Print Name --)Ny Ft-,,t '5.4_...,e_.6,_ L.-0—X--
, *** Office Use Only *** .
Inspection Checklist:
GI Address Posted 0 Equipment Access 0 T & P 0 Smoke Detectors
0 Contractors Licensed 0 Equipment Listed 0 Gas Pipe 0 Rough Inspection ...r.-
0 Permit Packet Available 0 Equipment Clearances El Vent 7§-Final Inspection r \
12 Safe Access 0 Pan and Drain 0 Combustion Air L- 1.1,-,),,('
Comments:.
Permit Fee: .363 . -25
Census # Construction Type: Occupancy: County Tax: ,2, e3
Btajing-oir i Dote
c--- .-e-7.1- 31/4 c ..---- Total : 4 4/ . Se
**SMOKE ALARMS ARE REQUIRED**
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