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HomeMy WebLinkAboutPERMIT 517 Big Thompson Ave AC 2019-08-29RECEIVED AUG 292019 Received Dale ______ Town of Estes Park PHThR Number N-Th ‘19 ..ArIication for Miscdllancous Permit Applition Expires_____ Deparint o i3alding Safety 170 MacGregor Avenue P.O.Box 1200 Rates Park.CO 80517 1 /Gencral Information &Inspection Line (970)577-3726 *FAX (970)586-0249 *wnw.csles.oru Permit Expires JI i/ Job Address:‘/*tiO 7h34’7//Rfri flv-k-(Rck1 m,1 (/fl’)Foc1VC ) Owner Name:I/iP/<C/6,JJ p gi r Addresr it v7a”?I MV?PC/){/9-CCLft 1,’M (Slreet)(City)(Scale)(Zip Code) Contractor/Applicant:Protech Plumbing and Heating Town License #:1588 Phone:970-586-8195 Address:950 Comanche St,Unit A,Estes Park CO 80517 (Street)(City)(Slate)(Zip Code) 1,Long-term Residential (30 days)LI Short-term Residential (<30 days)LI Commercial o Replace Furnace 0 Gas Line (ft.) o Replace Boiler U Replace Windows 0 Replace Hot Water Heater Install Air Conditioning U Miner Plumbing fl Temporary Structure Use_______________o Minor Remodel Time Period ____________________________ U Fireplace Insert —circle one:Gas,Wood,Pellet;0 Other Description of Work: 4f / Valuation (Total Cost of Material &Labor):$— I certify this application is (rue and correct and agree to per(hrns the work described according ID plans/specitications stibmitled,reviewed and approved,and comply with local ordinances,stale and federal laws as well as building codes.I certify Itsal I have the properly Owner’s authority and se mission tO apply for this permit,Additionally,I UNDERSTAND’I’IIAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR (‘LAN REVIEW,I’EI{MI’IS,INSPECTIONS AND OTHER FEES ASSOCIATED WITH THIS AI’ILICATION.Note:The work authorized by Ibis ptrmit requires the building hr provided with smoke alarms complying with municipal c des. Signature Dutch2 Print Name Kara Baker Office Use Only Inspection Checklist: LI Address l’osted LI Equipment Access UT &I’LI Smoke Detectors LI Contractors Licensed 0 Equipment Listed 0 Gas Pipe 0 Rough Inspection0PermitPacketAvailableLIEquipmentClearancesLIVent0FinalInspection C Sate Access LI Pan and Drain C Combustion Air Comments: Permit Fee:t:1,2O.25 Census #Construction ‘lype:Occupancy: County Tax: DateBIdldingOpnctzr Total:I 2S3Jo5 c_I-,— **SMOKE ALARMS ARE REOUIRED** SEPOG 2619 the Cotuster Page I of I BY•Revised 312912012-CB