HomeMy WebLinkAboutPERMIT 1560 Big Thompson Ave Replace AC 2019-12-02•U1tOJi
Received Date
______
Town of Estes Park PernaitNumlier M-(D -q
Received By Application for Miscellaneous Permit Application Expires
bepartnient of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO K0517
General Information &Inspection Line (970)577-3726 *FAX (970)586-0249 *www.estes.org Permit Expires )2.—
Job Address:t (L)O ic3 tn tan
Owner Name:P 4k0 C Phone:3O3 —coz-czql
Address:S(0o g ‘A-a-Zs4’s &oSl7—
(Street)L)(City)(State)(Zip Code)
Contractor/AppIicant:_&MA4\‘ttO&%&...ca)Town License#:çO Phone:t11OS±&tt ?o
Address:lint t cnr’e-r 4v C (2.(A)
(Street)(City)(State)(Zip Code)
C Long-term Residential (?30 days)C Short-term Residential (<30 days)C Commercial
C Replace Furnace C Gas Line (ft.)
C Replace Boiler U Replace Windows
C Replace [lot Water Heater C Install Air Conditioning
C Minor PLumbing C Temporary Structure Use_________________
C Minor Remodel Time Period
______________________________
C Fireplace Insert —circle one:Gas,Wood,Pellet;Other
Description of Work:?eLu ‘r-ctce (a).—c-uc (ccf tp
Valuation (Total Cost of Material &Labor):S
I certt’this application is true intl correci and agree to perfot ni the work described according to plans!speciflcattons submitted,reviewed and ippioved,and comply with
local ordinances,state and fuderal laws as well as building codes,I cciii N that I have the property owner’s authority and permission to apply lbr 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 TIllS APPLICATION.Note:The work authorized by this permit requires the building be provided with smoke alarms complying
with municipal codes.
Signature Date Fruit Name
__________________________________________________________________
***Office Use Only ***
Inspection Checklist:
C Address Posted C Equipment Access C T &P C Smoke Detectors
C Contractors Licensed C Equipment Listed C Gas Pipe C Rough Inspection
C Pcntiit Packet Available C Equipment Clearances C Vent C Final Inspection
C Safe Access C Pan and Drain C Combustion Air
Comments:
Permit Fee:.3 2?.2-.5
Census #Construction type:Occupancy:
County lax:
Building 0 ial Date.12-zL—,9 Total:
1-’
**SMOKE AILARMS ARE REOUIRED **
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