HomeMy WebLinkAboutPERMIT 543 Big Thompson Ave Replacing AC 2019-08-26[kk1LEIVED Town of Estes Park Permit Number M-191 d9
ReceiVed iiSt.U0 26 2019 App ication for Miscellaneous Permit Application Expires
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Y\Department of Builchng Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517eneralInformation&lispcction Line (970)577-3726 *FAX (970)586-0249 •www.estcs.org Permit Expires I
Job-Addres%r”4eY6i1Th&vyjDj,y//1 (iLoe
Owner Name:)Jke,-Aer )1/1Jc,4&EJcovneft Phone:9&52 .5i 0
Address:///30 LTh/U3 /ey Stai Code’
Contractor/Applicant:4jr n/LC_.__Town License #:33 Phone:_____________
Address:4 //D1 )
(SseLCode
13 Long-term Residential 30 days)13 Short-term Residenti3O days)Commercial
13 Replace Furnace 13 Gas Line (ft.)
13 Replace Boiler 13 Replace Windows
13 Replace Hot Water Heater jnstall Air Conditioning
13 Minor Plumbing C Temporary Structure Use________________o Minor Remodel Time Period
_________________________
C Fireplace Insert —circle one:Gas,Wood,Pellet;C Other
Description of Work:lc p •p
Valuation (Total Cost of Material &Labor):$]--C-()
certify this application is true and corrccl and agree to perlonu the work described according to plans/specitications submitted,reviewed and approved,anti comply withlocalordimmamices,state and federal taws as well as building codes.I ccrtm that I have the property owner’s authority and pernmiasiomi to apply for this permit.Additionally,IIJNOERSTANDTHATIAMflESPONSIBLEFORANYFEESOREXPENSESiNCURREDFORPLANREVIEW,PERjMITh,INSPECTIONS AND OTHERIEESASSOCIATEDWITHTHISAPPLICATION.Note:The work authorized by this permit requires the building be prov’dcd with smoke alarmi complying
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Office Use Only
Inspection Checklist:
C Address Posted C Equipment Access C T &P C Smoke DetectorsCContractorsLicensedCEquipmentListedCGasPipeCRoughInspectionCPermitPacketAvailableCEquipmentClearancesCVentCFinalinspectionCSafeAccessCPanandDrainCCombustionAir
iEimnents:
rrermitFee:-4 fi
Census #donstruction Type:Occupancy:
County Tax:‘/5 3 Oiiuildinithl7.Date
Total:6 .ZtC--’
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AUG 6 2019
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