Loading...
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..- )9P 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