HomeMy WebLinkAboutPERMIT 820 Bailey Ln Replace Furnace 2010-10-26leceived Date z Town of Estes Park Copy Permit Number M-O l2lo
By QA1 Application for Miscellaneous Permit Application Expires
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Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517 ‘P I
General Information &Inspection Line (970)577-3731 ‘FAX (970)586-0249 vviw.cstesiiel.cosn Permit Expires .-(‘1
Job Address:<2 &?i /‘.ç
Owner Name:4 i 74Y //C-Phone:c
Address:20 f,t7’7 /‘‘/c
(Street)‘(City)(State)(Zip Code)
Contractor/Applicant:-?)c ‘L)crc Town License #:£7(Phone:
Address:/j?.7çy 375 .1-7’<
(Street)(City)(State)(Zip Code)
long-term Residential (?30 days)D Short-term Residential (<30 days)C Commercial
ØReplace Furnace C Gas Line (ft.)
C Replace Boiler C Replace Windows
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:
2.c //<7yc FrL—t-’4
Valuation (Total Cost of Material &Labor):$cc
I certify this application is true and correct and agree to perfonn 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 complying
with municipal codes.
Signature Date/C/2k Print Nne A’!/1/(
***Office Use Oniy ***
Inspection Checklist:
L1 Address Posted C Equipment Access C T &P 0 Smoke Detectors
0 Contractors Licensed 0 Equipment Listed 0 Gas Pipe C Rough Inspection
C Permit Packet Available C Equipment Clearances C Vent 0 Final Inspection
C Safe Access C Pan and Drain C Combustion Air
Comments:Permit Fee:3 z.
Census #Construction Type:Occupancy:County Tax:‘V 00
DateBuildin?da//A4FA___—(Total:
V
**SMOKE ALARMS ARE REQUIRED**
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