HomeMy WebLinkAboutPERMIT 800 Big Thompson Ave Replacing Gas Heater Units 2018-02-23vu 0,7.
Received Date 24%ZZ?’Town of Estes Park 0o,°e
Permit Number M-O&111B
Received By 1w Application for Miscellaneous Permit Application Fxpiresgl
Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Pnrk,CO 80511 _j /Information (970)577-3726 *Inspection Line (970)577-3731 *FAX (970)586-0249 *www.estes.org Permit Expires D/C!(S
JobAddress:°‘I4OhPSQN1 NL E’itS PP.RX CO £O5’UMk1S 1b.-4Lk
Owner Name:LESL-IPJ PEfJ&Phone:‘V10 4OZ-OQO”
Address:z9,?N.L4€C\oGE ouLo.R Co
(Street)(City)(State)(Zip Code)
Contractor/Applicant:
________________________________________Town
License #:
_______Phone:______________
Address:
(Street)(City)(State)(Zip Code)
El Long-term Residential (30 days)El Short-term Residential (<30 days)0 Commercial
El Replace Furnace El Gas Line (ft.)
El Replace Boiler El Replace Windows
C Replace Hot Water Heater C Install Mr Conditioning
El Minor Plumbing C Temporary Structure Use_______________
Minor Remodel Time Period
__________________________
El Fireplace Insert —circle one:Gas,Wood,Pellet;C Other
Description of Work:
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QE”\jJALL1 Cf6r’JINC PQ’t\flLL &A-9-PY”L (A5 t&I.PoseL t\kl3’Z
Valuation (Total Cost of Material &Labor):$
I ceni’this application is true and correct and agree to perform the work described according to plans/specifications submitted,reviewed and approved,and comply withlocalordinances,slate and federal laws as well as building codes.I certi’that I have the property owner’s authority and permission toapply for this permit.Additionally,IUNDERSTANDTHATJAMRESPONSIBLEFORANYFEESOREXPENSESINCURREDFORPLANREVIEW,PERMITS,INSPECEtONS AND OTHER
FEES ASSOCIATED WITJLTHIS APLICATION.Note:The work authorized by this permit requires the building b9re’.iffithskealaThIrcemojving
with municipal codes.,,,Z 2 /
Signature
______________________________________
Date Print Name
Use On **
Inspection Checklist:
0 Address Posted [1 Equipment Access U T
O Contractors Licensed U Equipment Listed U Gas Pt U Rough Inspection
O Permit Packet Available U Equipment Clearances U Vent U Final InspectionoSafeAccessUPanandDrainUCombustionAir
Comments:
E,vc,,vzggwa 6qu,t64 ,4M’Xm€jc pj,Permit Fee:g ‘T7 z
Ceasus#Construction Type:Occupancy:
County Tax,(gte 00
Building Official Date
tcft-&t -Cl Total:443 ‘2-fr
y
2EFNS TC
FEB28 2018
U:\Building Division\Forms-Logspps_Permits_lRC_Misc\Mistellaneous\Misce1laneous 2012.03.29.doc