HomeMy WebLinkAboutPERMIT 642 Aspen Ave Water Heater & Furnace 2016-01-04office 00/—
Received Date 2c/e%,%4..Town of Estes Park Copy Permit Number M-tSSnC
Received By tSP Application for Miscellaneous Permit Application Expires_______
Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Esles Park,CO 80517
General Information &Inspection Line (970)577-3726 *FAX (970)586-0249 *www.estes.0r2 Permit Expires
_____________
Job Address:6,z7 4Ct1
Owner Name:c,),i vi ‘?Vt&e2t Phone:3o7 -.-‘V-
Address:Io Q[vr i-I-6/37<
(Street)(City)(State)(Zip Code)
Contractor/Applicant:/_y,s ‘r eøvi Sr Town License #:
______Phone:
72 c)4
Address:/3 C)/?ac))Lc)CC)
(Slreet)(Eity)(State)(Zip Code)
Long-term Residential (30 days)C Short-term Residential (<30 days)U Commercial
Replace Furnace D Gas Line (ft.)
D Replace Boiler C Replace Windows
Replace Hot Water Heater C Install Air Conditioning
C Minor Plumbing C Temporary Structure Use______________
C Minor Remodel Time Period
___________________________
o Fireplace Inserl —circleone:Gas,Wood.Pellet;C Other
Description of Work ptcP q a tQcsl-C Vck e cJ 4-tt 14 tuaL..ltQeJ-_J Cwce Wk Qot AVfta4e 4u\;k xecjPtz -YQe
Valuation (Total Cost of Material &Labor):$J j’z.j,q/
certi this application is true and correct and agree to pertbrm the work described according to plansispeciflcations submitted.reicwed and approved,and comply with
local ordinances,state and federal laws as well as building codes.I certify that I have the propeny owner’s autliurily and permission to apply for thispermit.Additionally,I
UNDERSTAND THAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES iNCURRED FOR PLAN REVIEW,PERMITS,INSPECTIONS AND OTHER
FEES ASSOCIATEI?WITH TIllS A’PLICATION.Note:The work authorired by this permit requires the building be provided with smoke alarms complying
with municipal code ./
Signarure L’Date o1/oL///Print Name SLt /7c 5
***Office Use Oniy
Inspection Checklist:
C Address Posted El Equipment Access C T &p El Smoke Detectors
C Contractors Licensed U Equipment Listed U Gas Pipe U Rough Inspection
C Permit Packet Available U Equipment Clearances U Vent U FinaL Inspection
C Safe Access C Pan and Drain U Combustion Air
Comments:
PermltFee:/1/.26
Census Construction Type:Occupancy:
County Tax:/4,12
Build Date
Total:/2 £.7
**SMOKE ALARMS ARE REOUIRE1P
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