HomeMy WebLinkAboutPERMIT 509 Big Thompson Ave Replace Water Heater 2011-12-2712/27/2011 10:11 970-378-0218 COMFORT BY NATIJRE PAGE @9/09
tedvedDato Town of Estes Park pennit Number M.j336J (
eceivedfly ,Application for Miscellaneous Permit App entlonflxpires
.Department of BuDding Safety 170 MacGregor Avenue P.O.Box 1200 .Estm Park,CO $0511 iv’‘7
General Information 8 InspectIon Line (970)fi17.3731 *FAX (910)506-0249 *vwvwitt.,çm Permit Expires
lob Address 9s U I -cfl4 iAkm TvkchovC3(9 ?Zijtwiw
OwnerName:LjLtAjtr y4epn.$.4bone:ft
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(Street)(City)F (State)(Zip Code)
Contractor/Applicant:r C -..._.Town License *53t Phone:
ddress:.6 3S±)L.%fln*S+jo S....(SeQ --.:(Ci)(Stete)•(ZIpCodpL
Cl Lonz$erm Reddentlal (30 days)I]Short-texan Residential (‘c 30 days))?tcommerdal -
flReplace Furnace C Gas Line C ft.)
D Replace Boiler I Replace Windows
C]Replace Hot Water Heater 0 Install Mr Conditioning
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P Teinpóraqr Structure Use___________:Minor Remodel Time Period
.E]FfreplnéeInsert-circle one:Gas,Wood,Pellet;I]Other
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Descnpttott of Work:r n I
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‘VálUition (Total Cot of Material &-
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ic&tifythls.sØplicauun.ia hltifldcoutct and igrec toperhrni the work tlcschbed accmthng to plensisptclfieitIons submitted;teviewcd and approved,angoomply with
local &din*nees,athe end federal laws as well as buiMing codes,[catlfy that I have the prnperly cwner’s authority end permission to apply fir this permit.Additionally,I
UNDERSTAND THAT I AM RESPONSIBLE FOR ANT FEES OR EXflNSES iNCURRED FOR PLAN REVIEW,PEUM1IS,INSPECTIONS AND (YrHER
FEES ASSOCIATED WITS THIS APPLICATION.Note:The work rnstharlzed by this permit reqelrm the tnaildffig bepnwidad wllksnaoke alarms complying
With mnnldps coda
Signature.O.QLlL4-,P’)Q.1 .n,teW)’(IP PtNnma thi i.-.--w -.-..---.,..,r—,-----_-—--—-‘-ir ..i II.Office Use Only
Inspection Checklist:-(
C Mdress Posted C Equipment Access C T &P C Smoke Detectors —
C Contractors Licensed C Equipment Listed C Gas Pipe C pugh Ins tion
DPermit Packet Available C Equipment Clearances C Vent iP”Pinal Inspech
C5afeAccess tlPanandflrain -CCornbustIonAir .—
Comments:Permit Fee:Q5.16”
Cns #Construcuon%rpe:
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Ocupancy:—.County Tax:
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