HomeMy WebLinkAboutPERMIT 131 Boyd Ln Gas Fireplace 2019-06-20Received Date
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Town of Estes Park Permit Number M________
Received By 4k Application for Miscellaneous Permit Application Expires 42/24Z9
Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517 4 /,
General Informahon &Inspection LIne (970)571-3726 *FAX (910)5864249 www.estes.orp Permit Expires /
Job Address:IS
OwnerName:4O4€_SC2UW’.L4CLX(Phone:78C’{’5 -DtZ
Address:Se
(Street)(City)(Slate)(Zip Code)
ContractorlApplicant:‘j -‘€i-&\vt’4’nntc ‘—(Town License #:ccO PhoneAlO -Sk3L -Th
Address:IZc c Cc
(Street)(City)(State)(Zip Code)
,Eftong-term Residential (?30 days)C Short-term Residential (<30 days)C Commercial -.
C Replace Furnace C Gas Line (ft.)
o Replace Boiler C Replace Windows
o Replace Rot Water Heater 0 Install Air Conditioning
O Minor Plumbing 0 Temporary Structure Use_______________
o Minor Remodel Time Period
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,ZFireplace Insert —circle on4ZWood,Pellet;D Other
DecripWork:fr\g p b—ct <tvg fr%(OU)ka’Sj
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Valuation (Total Cost of Material &Labor):$
I ceffify this application is e and correct and agree to perform the work described according to pians/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 owners authority and permission to apply for this permit Additionally,I
IJNDERSTA THAT SAM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW,PER4MTf 8,INSPECIIONS ANT)OTHER
PEES ASS WITH THIS APPLICATION.Note:The work autbrlzed by this permit requires the building be provided with smoke alarms complying
::::1c :-Date(S)I9PtN o:
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\Office Use Only
Inspection Checklkt:
1]Address Posted C Equipment Access U T &p U Smoke Detectors
C Contractors Licensed C Equipment Listed U Gas Pipe C Rough Inspection
C Permit Packet Available 0 Equipment Clearances D Vent 0 Final Inspection
C Safe Access C Pan and Drain C Combustion Air
Comments;Permit Fee:‘$ej.s41g5
Census #Construction Type:Occupancy:County Tax:
I
Building Offid Date
.
Total:49&5
**5MO ALARMS ARE REOUU{ED**
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