HomeMy WebLinkAboutPERMIT 1670 Brook Ct Furnace 2013-10-10Office
Received Date -/-i Town of Estes Park Permit Number M--/
Received By Application for Miscellaneous Permit Application Expires //Lij 4DepartmentofBuildingSafety170MacGregorAvenueP.O.Box 1200 Estes Park,CO 80517
/‘/General Information &Inspection Line (970)577-3726 *FAX (970)586-0249 *www.estes.org Permit Expires 7’
Job Address:/7 ‘4.
OWnerName:-1 -eO.s-I.yfr-J Phone:?C S
Address:/7’2
(Street)(City)(State)(Zip Code)
Contractor/Applicant:&c ys Town License #:71 1,Phone:36
Address:i-c /2c,7(Street)(City)(State)(Zip Code)C Long-term Residential (?30 days)C Short-term Residential (<30 days)C Commercial
Replace Furnace C Gas Line (ft.)U Replace Boiler U Repiace WindowsCReplaceHotWaterHeaterUInstallAirConditioningCMinorPlumbingUTemporaryStrnctureUse_______________C Minor Remodel Time Period
_________________________
U Fireplace Insert —circle one:Gas,Wood,Pellet;El Other
Description of Work:
-c..r,ce mL,(-cc’cce ,-e /y f(cx
Valuation (Total Cost of Material &Labor):$>coj:
I certiL’this application is true and correct and agree to perform the work described according to plans/specifications submitted,reviewed and approved,and comply withlocalordinances,state and federal laws as well as building codes,I certi’that I have the property owner’s authority and permission to apply for this permit.Additionally,IIJNDERSTANDTHATIAMRESPONSIBLEFORAYFEESOREXPENSESINCURREDFORPLANREVIEW,PERMITS,INSPECTIONS AND OTHERFEESASSOCIATEDWITHTHISAPPLICATION.Note:The work authorized by this permit requires the building be provided with smoke alarms complyingwithmunicipalcodes.
Signature
________________________________________
Datet/c)/(3 PcintName
***Office Use Only ***
Inspection Checklist:
C Address Posted C Equipment Access C T &P C Smoke DetectorsCContractorsLicensedCEquipmentListedCGasPipeCRoughInspection jCPermitPacketAvailableCEquipmentClearancesCVentFinalInspection2Al1//1f0tCSafeAccessCPanandDrainCCombustionAir
Comments;
Permit Fee:8 25’Census #Construction Type:Occupancy:
CountyTax:
Date
Total:‘7
**SMOKE ALARMS ARiJLIKED C’
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