HomeMy WebLinkAboutPERMIT 1041 Acacia Dr Boiler 2008-03-04970 586 0249, Community Developmen OV\c'ta
01:15:06 p. m . 08-12-2005 212
Received Mae 03 -o .11-0 g
Town of Estes Park Permit Nuniberfe-'0 g..?"Ci r
Received By AlVi
Application for Miscellaneous Permit 2 No -
Department of Building Safety 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517
General Information (970) 577-373I * Inspection Line (970) 577-3731 * FAX (970) 586-0249 t-cf fyi I . .
Job Address: Low oci(1. - iti ore_ t---: - 6 1 eL cn /4e co go-3-7
Owner Name: St/ /1c(3 16)9Ch9Z / Phone: / y---0 a/ 3. i t5-/O
Address: /10 41/ it- fi-C in 0 re. 6-7$ i- f5 P,q-igic .. 00 ga.5- 77—
(Street) (City) (State) (Zip Code)
Contractor/Applicant: iillt-\.) IA ti ki,4_,;-0,S,._4- 'iv c Zilvoice Town License #: 53 Phone: Tk) WOW
Address: / 0 1 5 - 4i -V IG (i-y,oe_ p # (‘)((/A/5 e 6 5/L )c Z S " —
(Street) (City) (State) (Zip Code}
dirkesidential III Non-Residential
• Air Conditioning Installation
• Gas Line ( ft.) 0 Reroof (Commercial — Pitched Only)
•
as Log Installation Roof Classification A BC N
ew Furnace Installation # of Squares
New Water Heater Installation 0 Reroof (Residential)
0 Temporary Structure Use # of Squares
Time Period • Siding
• Demo Structure • Windows ,
• Fire/Water Damage
I Drywall
I Other
_ _ • ..
Description of Work:
3e/./efi A.6 iC t.--i—k. lb 1) L---/:1\-) I---)6vvi r CP 5/4.6, A72-wi
tA3 alt.4, Zko ii:trk li
.1•911.1311190EPIK,Enir4MIUM,IXTSMIMINMERITWIIMIAMKIP• .7,,I)
Valuation (Total Cost of Material & Labor): $ g 1 vel ‘,, , O O ,-- 4frAY
I certify this application is true and correct and agree to perform the work deszribed 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.
Signature -Oa' ce Date?'(9,2 afPrint Name Al 1 ' - (-0 dr e 1-L- .G.................. . , ..,,,,..,. ,,,,,,. . . : .. ,., ,..;,4 ,L., ,, , , . 1,,4m-Ismmramvur,
*** Office Use Only ***
Staff Comments: ei.., A e,,,,7 -----,,,
4..-
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Permit Information
-D 1-)4AAJ _,Wor\ict.t .u/kno(-- irtttt1
L A--zAki ,GLF (Aft (a t? rrri (Jr + t 0.-,f0-f C)114---.) 1 Fee
Ile\ Diu pa 6l i'V (i. ycc3),A., PermitPermit Fee: /6'7. ZS
Census # 47 1-
County Tax: 35: s-g H
!I
Buitilin 1 Official Date 02 --// -0 S7 Total : 1 ZO Z. F3 i„ _......
Revised 3/12/04