HomeMy WebLinkAboutPERMIT 2305 Arapaho Rd Gas Stove 2014-09-17Received Date ,20/4'/O5A7 Town of Estes Park Permit Number M- /48 -
Received By C-te' Application for Miscellaneous Permit Application Expires
Department of Building Safety 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517
General Information & Inspection Line (970) 577-3726 * FAX (970) 586-0249 * www.estes.org Permit Expires /Z//7 oi4
Job Address: c_. (\AC__ j
fil Owner Name: i () n . to ,5c.-4/ 1 c, Phone: 7) 9 - 131 - 5, i Go
Address: ---305 4 L'N pc. tly) Rocco P 6, 6, g--03/ j
Contractor/Applicant:
Address: 6
(Street) itY) (State) (Zip Code)
(11 .-----
IP----ck--, J--- Town License #: ,r3O Phone: 9 )69191.Zr,
6 Z) X 55 r gi) ' 70 (361 -'--/ )
(Street) (City) (State) (Zip Code)
%Long-term Residential (?. 30 days) 0 Short-term Residential (.< 30 days) 0 Commercial
Water Heater
- circle one: Gas, Wood,
Itl Gas Line
---
(35 ft.)
Windows
Conditioning
Structure Use
• Replace Furnace
• Replace Boiler • Replace
0 Replace Hot
0 Minor Plumbing
0 Minor Remodel
0 Fireplace Insert
0 Install Air
• Temporary
Time Period
Pellet; • Other
Description of Work: —lc\ c,1) I 6- 1.....„,„ ,..., 4...., 67-3 ,,, ,
Valuation (Total Cost of Material & Labor): $ i C) 00- ej b
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 ASSOCIATED WITH THIS APPLICATION. Note: The work authorized by this permit re 1 Tres the building be provided with smoke alarms complying
with munici ! , s /
Nal bate C! 0 rinti A I A _:1414_ Signa e .., ..,iiiii-/ Am,- . ,n
*** 0 ice Use Only ***
Inspection Checklist:
0 Address Posted D Equipment Access 0 T & P 0 Smoke Detectors
0 Contractors Licensed D Equipment Listed 0 Gas Pipe D Rough Inspection
0 Permit Packet Available D Equipment Clearances 0 Vent 0 Final Inspection
0 Safe Access 0 Pan and Drain 0 Combustion Air like, it c -- AkPittr+ —'z.i
Comments: Permit Fee: PIPA- 28. 75
Census # Construction Type: Occupancy: County Tax: 3.00
Buildi iciqL Date
7 .2.17/4;471// Total : 1 /41.75-
**SMOKE ALARMS ARE REQUIRED**
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