HomeMy WebLinkAboutPERMIT 513 Big Thompson Ave Building G Furnaces & AC 2008-08-18Received Date )‘‘• 9 1°6 Town of Estes Park Permit Number m- -0C)
Received By UJ Application for Miscellaneous Pa
‘1
it __ Application Expires '2"1 1 S OC1
Department of Building Safety 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517
General Information & Inspection Line (970) 577-3731 * FAX (970) 586-0249' www.estesnet.com • -2-1 e Permit Expires t 0
Job Address: _573 8,7* 5" c.1.4 Ai k. 1? \ 4 C?---' fq
Owner Name: 414eeie,- ma 'la r, 2 C • Phone: 3 c2 - -5-.)6C, i.etree--tr
..1" e t , le cl,.
Address: //3o 3277r ,ii, c--7,e .4,I ( „906 ...3 '
Contractor/Applicant:
Address: 6 3,17 0 tit
i (Street) (City) (State) (Zip Code)
i'g',e ,epa,;- Lc c ,084 CO ,u A,3, k 7 A i i , ?er., ,- Town License #: 94'0 Phone: '7u - 3s-J-36e).1--
/b 71 5( (*(pi c si , /e, CP, r 4 i Y (0 370C Y
(Street) (City) / (State) (Zip Code)
(> 30 days) Residential (< 30 days) Commercial • Short-term III Long-term Residential
Replace Furnace
Water Heater
— circle one: Gas, Wood,
0 Gas Line ( ft.)
Windows I etac.,C2)
Conditioning
Structure Use
• Replace Boiler • Replace
install Air • Replace Hot
• Minor Plumbing • Temporary
Time Period • Minor Remodel
ter? _1/4 ,.-e 4// - • Fireplace Insert Pellet; • Other
Description of Work: Description
feepia C e Z 74:, r 4, a c es 0,,,1 Z "1/4
Valuation (Total Cost of Material & Labor): $ VIJLI , .- -5 7 /0/ OCc,
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 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 ASSOCIA D WITH THIS APPLICATION. Note: The work authorized by this permit requires the building be provided with smoke alarms complying
with municipal es.
..e/ in .----/
Signature
Date AVO)) Print Name : _DIA/7/9 ,../ rf-zit --- /
*** Office Use Only ***
Inspection Checklist:
0 Address Posted 0 Equipment Access 0 T & P
D Contractors Licensed 0 Equipment Listed 0 Gas Pipe
0 Permit Packet Available 0 Equipment Clearances 0 Vent
0 Safe Access 0 Pan and Drain 0 Combustion
0 Smoke Detectors
0 Rough Inspection
0 Final Inspection
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itakcal 4.. ,A
comments:
het !Au) ,atalt(CA— LAP& j 44*,.. pow tt. Permit Fee: A._ 6 L 2.—S
Census #
Lk 7 1
Construction Type: Occupancy: .
4x-bk County Tax:
4— 0 l3
Official Datg
u 6 tiQ toe 22_1_ Total : . 2_ S
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