HomeMy WebLinkAboutPERMIT 664 Aspen Ave Wood Stove 2011-11-18uf fic c
Received Date €311 • ( (1
o Town of Estes Park PY Permit Number M- 03 49 -(1
Received By 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) 577-3731 FAX (970) 586-0249 w.estesnet.com Permit Expires
6-6 It the-AtI i'l-Cre- E S'iLes ( VI i 6s, Job Address:
•
Owner Name: e..64e0 •Tiecexh. hisa Phone: 616c 3 ).-7 7
Address: 6trq A-0-e 13.fzi. Pa/16 ea 577
(Street) (City) (State) (Zip Code)
i ,..j /1
Contractor/Applicant: 4/(11 -:"I a/4)1.4, r) /411-c th it;441 Town License #: /47 Phone: W/q3ef/
Address: ii Oei P.604,1,t,,-t a, 0 (L'iot Fs' tn et. '4 M17
(Street) (City) (State) (Zip Code)
a Long-term Residential (?. 30 days) 0 Short-term Residential (< 30 days) El Commercial
• Replace Furnace 0 Gas Line ( ft.)
• Replace Boiler • Replace Windows
El Replace Hot Water Heater • Install Air Conditioning
• Minor Plumbing • Temporary Structure Use
• Minor Remodel Time Period
• Fireplace Insert — circle one: Gas, Wood, Pellet; en Other
Description of Work: .;17 itic . -6,0 icroo t rate
,
1 /..../(4.13 /e !/
011 S kee 1q41-14 /q7210
Valuation (Total Cost of Material & Labor): $ p
ilv . (AI
I certify this application
local ordinances, state and
UNDERSTAND THAT
FEES ASSOCIATED
with municipal codes.
Signature tOta(4-1-A
is true and correct and agree to perform the work described according to plans/specifications submitted, reviewed and approved, and comply with
federal laws as well as building codes. 1 certify that I have the property owner's authority and permission to apply for this permit. Additionally, I
I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW, PERMITS, INSPECTIONS AND OTHER
WITH THIS APPLICATION. Note: The work authorized by this permit requires the building be provided with smoke alarms complying
, I -, izi
I 4 r, A. Date ii 1d WI 1( Print Name )91 idtet e t V # (4/41 1
*** Office Use Only ***
Inspection Checklist:
0 Address Posted 0 Equipment Access 0 T & P 0 Smoke Detectors
0 Contractors Licensed 0 Equipment Listed 0 Gas Pipe 0 Rough Inspection
0 Permit Packet Available 0 Equipment Clearances 0 Vent 0 Final Inspection
0 Safe Access 0 Pan and Drain 0 Combustion Air
Comments: Permit Fee: 50. C
Census # ii
12 ti
Construction Type: Occupancy: County Tax: 5 40
Building 0111 Date
( --e. //4/\---- Total : ef: .
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