HomeMy WebLinkAboutPERMIT 1881 Bradley Ln Boiler 2019-10-10Received Date
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Town of Estes Park Permit Number M-2&1 —12
Received By 4A,Application for Miscellaneous Permit Application Expires 1/0/19
Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517 A I
Information (970)577-3726 *Inspection Line (970)577-3731 *FAX (970)586-0249 *;v-.v’v.estes.org Permit Expires hi —
Job Address:/?/B/2cui’t /ç4,fe
Owner Name;tirOô P Phone:
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Address:(f(g,.csyci2 j%Dr150Ait$Co
(Street)(City)(State)(Zip Code)
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Contractor/Applicant:E-Rtt-ffi UCk\kisj ILAL Town License if:93 Phone:’flC Z24’i24s
Address:+Th XAwoFw.E ov CO
(Street)(City)(State)(Zip Code)
U Long-term Residential (30 days)6hort-term Residential (<30 days)D Commercial
C Replace Furnace C Gas Line (ft.)
ØReplacc Boiler C Replace Windows
C Replace Hot Water Heater C Install Air Conditioning
C Minor Plumbing C Temporary Structure Use_________________
C Minor Remodel Time Period
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C Fireplace Insert —circle one:Gas,Wood,Pellet;C Other
Description of Work:
Valuation (Total Cost of Material &Iabor)L IY‘
I certify [his application is trueand coirect and agrce to periom the ‘cork described according w planssptciflcatiuns submitted,reviewed and approved,and comply with
local ordinajices.state and federal laws as well as building codes-I certify that I have the property o”ners authority and pemlissinn to apply forthis permit.Additionally,I
UNDERSTAND THAT I AM RESPONSIBIE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW,PERMITS.INSPECTIONS AND OTHER
FEES ASSOCIATED WITH THIS APPLICATION.Note:The work uthor’ized by this permit requires the building be provided with smoke alarms complying:::::ioioyPflnI Name K.
***Office Use Only ***
Inspection Checklist:
U Address Posted U Equipment Access U i &P U Smoke Detectors
U Contractors Licensed U Equipment Listed U Gas Pipe U Rough Inspection
U Permit Packet Available U Equipment Clearances U Vent U Final Inspection
U Safe Access U Pan and Drain U Combustion Air
Comments:Permit Fee:45
Census #Construction Type:Occupancy:
County Tax:57 loO
Building 97t&l -//Date/.7 -/Total:333,S5
V
I OtT I 0 20H
U:\Guilding Division\Foniis-Logspps_Permits_lRC,,MlsMlscdbneous\MIscelIaneous 2012.03.29.doc
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