HomeMy WebLinkAboutPERMIT 1060 Acacia Dr Gas Stove 2004-07-269704956898 P. 02/02
Permit Number ki (p-4 • 0 1-1
/ • L...., ov U 7/
ODTY
JUL-26-2004 14: 25 WESTERN FIREPLACE SUPPLY
Received Date '‘)'1( ,t own of Estes rarK
Received By
• c, Application for Miscellaneous Permit
Department of Building Safety 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517
General Information (970) 577-3731* Inspection Line (970) 577-3731 • FAX (970) 586-0249
Job Address: )060 ACA z-l• Da4ac
Owner Name: 6b)a_Ge pi,-i res Phone: 47v - (-77 - igti
Address: 10 4 0 AcA,c, A 012,„„it (sal Oh (1.4C- Co 0C; 7
(Street) (City) (State) (Zip Code)
Contractor/Applicant: i,,....4 r CZ ft-) 6 44 et. ,4 ./ Town License N: ‘ 4 e Phone: 470 -t141 -47 4 .1,4e_PL
Address: I tlog at V 4 (LS !Of A Lit rf to (-cc -.QS Ce9 0U} Z`1
(Street) (City) (State) (Zip Code)
ki Residential u N on-Residential ,
it Conditioning Installation
(Commercial
Classification
of Squares
- Pitched Only)
A BC N
Gas Line (1 4,1 ft.) • Reroof iG
0
as Log Installation 5 17.)kA Roof
• New Furnace Installation #
0 New Water Heater Installation 0 Reroof
0 Temporary Structure Use #
(Residential)
of Squares
Time Period 0 Siding
Damage • FlrelWater
0 Drywall
• Demo Structure 0 Windows
0 Other
Description of Work:
....--- 517.),.4 -I' 6,41,...,4-
Valuation (Total Cost of Material & Labor): S
I I certify this application is true and correct and agree to perform the work described according to plans/specifications submitted, reviewed and approved, and comply with
local ordinances. state and federal laws u 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, PEANUTS, INSPECTIONS AND OTHER
FEES ASSOCIATED WITH THIS APPLICATION.
Signature 4"-0,..-1 Date 7 - ZLIMPrint Name i6/0.--) I rii"-- t--J-1 -) i...--•
*** Office Use Only ***
Staff Comments:
Permit Information
Fee
Permit Fee; c?-7._ a ic
CensusN
— County Tar I II lS 9 — 7 .2.(p .CD 4-E
Bulld Offlelal Date Total : I \ k • 'Eft
TOTAL P.02