HomeMy WebLinkAboutPERMIT 2250 Blue Spruce Ct Furnace & AC 2015-02-18office Copy
Received Date ,2e/5-- ezz--/%6' Town of Estes Park Permit Number M- 02-10
Received By aP Application for Miscellaneous Permit Application Expires 8/ 00/5
Department of Building Safety 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517
General Information & Inspection Line (970) 577-3726 * FAX (970) 586-0249 * Ni.wIr.estes.org Permit Expires 5-
Job Address: ...7). 5-6 3/1-ie Sp ru e. e et& 4
,
Owner Name: guy ; ei, ,1-hr 1-1/ at j he r Phone: 9 7b lif/- ,S,,,7,
Address: AA5 2:)/(1 Sprti ec, e-t . Es)M„i-.k_ z'i . hs / 7
Contractor/Applicant:
,..._ ......
Address: / & F.
(street) (City) (State) (Zip Code)
, I , k9eil (14-1\rog
AI i-,--, .e r; 0 Ali "IA' i•-//4 , Ht: Town License #: 16hone: 97 4''6eg(
„
.6-: a rekil t),I.-- lioir t F
, I” i 1-iisr, Z'o , h 5,c2)
(Street) (City) (State) (Zip Code)
0 Long-term Residential (> 30 days) 0 Short-term Residential (<30 days) 0 Commercial
Replace Furnace
Water Heater
— circle one: Gas, Wood,
( ft.)
Windows
Conditioning
Structure Use
II Gas Line
• Replace Boiler
0 Replace Hot
74Ieplace
...4r
stall Air
0 Temporary
Time Period
Pellet; 0 Other
• Minor Plumbing
• Minor Remodel
• Fireplace Insert
Description of Work: 19 / s ) l , , (..
q e p faCr cz , rla e if -, /1-7 s---t-A lick, ' e____
Valuation (Total Cost of Material & Labor): $ ,-] 7,2, 4 . 6 0
4
I certify this application is true and correct and agree to perform the work described according to plans/specifications submitted, reviewed and approved, and comply with
local ordinances, state and federal laws as well as building codes. I certify that I have the property owner's authority and permission to apply for this permit. Additionally, I
UNDERSTAND THAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW, PERMITS, INSPECTIONS AND OTHER
FEES ASSOCIAT D WITH THIS APPLICATION. Note: The work authorized by this permit requires the building be provided with smoke alarms complying
with municipal codes.
A
Signature ti Date /
2 /
"" / / t' Print Name P'' I'll' Lri1310 -°/ fr - d-1 4--e P
*** Office Use Only ***
Inspection Checklist:
0 Address Posted El 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 CI Final Inspection
0 Safe Access 0 Pan and Drain 0 Combustion Air
Comments:
Permit Fee: / 8 / . .25
Census # Construction Type: Occupancy:
County Tax: 29.9'0
Buildin eial-c- Date
olte ,2e;)•51 Total : if f6 2/ /./5 - --I
**SMOKE ALARMS ARE REQUIRED**
P A I
..e4:vs-/c7z/z5-
11Serveralcomm devlBuildingTorms\ApplicationslOver the Counter Page I of I Revised 3/29/2012 - CB