HomeMy WebLinkAboutPERMIT Furnace Replace 649 Aspen 2019Receiced Date
N042019 Town of Estes Park Permit Number
__________
ReceiLJy L;Application for Miscellaneous Permit ApplicationExpiresJ4Th
Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517 1
General Information &Inspection Line (970)577—3726 *FAX (970)586-0249 *www.estes.ore Permit Expires I
fl_/Cs nJobAddress:/L j /5 /4_i4’ftP
Owner Name:
______________________________Phone:
-
Address:>/3)64/Zff 4-g1c-;r &cf;,/‘IIIT4-t)
(Sir&et)/‘(City)(State)(Zip Code)
Contractor/Applicant:4M C //7 Town License #:/777 Phone:77t’.2 /—
Address:P&Afl,fr 3ci-Etrr
(Str&t)(City)(Statey (Zip Code)
Q’mong-term Residenlial (?30 clays)D Short-term Residential (<30 days)C Commercial
*cp1acc Furnace C Gas Line (ft.)
C Replace Boiler C Replace Vindows
C Replace Hot Water Heater C Install Air Conditioning
C Minor Plumbing C Temporary Structure Use________________
C Minor Remodel Time Period
______________________________
C Fireplace Insert —circle one:Gas,Wood,Pellet;C Other
Description of Work:py7/c P 54 cr7 C
S,$t 5/
Valuation (Total Cost of Material &Labor):S r’.
I ceriify ihis applicaiion is irue and coned and agree io perform the work described according to plans specificaiions submitted.reviewed and approved,and comply wiih
local ordinances.state and federal lass a as sscll as building codes I ccii f that I ha e the propert owner’s authoriiy and permission 10 apply for ihis permii -Add ii iona Ily.
UNDERSTAND TIIAT I AM RFSPONSIBI.F.FOR AN\’FEES OR EXPENSES INCURRED FOR PlAN REVIEW,PERMITS,INSPECTIONS ANI)OiliER
FEES ASSOCIATED WITH THIS APPLICATION.Note:[hr work authorized by this permit requires the building he provided with smoke alarms complying
with municipal codes.
sinaiur4 Daie /VPrini Name
___________
i>-A -
,,/
***Office Use Only ***
Imaspection Checklist:
D Address Posled C Equipmeiii Access C T &P C Smoke Deteclors
C Contractors Licensed C Equipment Lisled C Gas Pipe C Rough Inspection
C Permit Packet Available C Equiprncni Clearances C Vent C Final Inspection
C Safe Access C Pan and Drain C Combustion Air
Corn men ts:PermitFee:-7 Q7j5
Census #Construction Type:Occupancy:I
I
County Tas
I DateBuiIdingOfflcial)Total:1it .1
**SMOKE ALARMS ARE REOUIRED**
__n
I 2019
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