HomeMy WebLinkAboutPERMIT 575 Audubon St Boiler 2018-07-25r’::cLrNV7L
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Receivdd DatLJL 25 20’Lt Town of Estes Park Permit Number M-
Receivf Application for Miscellaneous Permit Application Expires 1 2.i (7
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 *www.estes.org Permit Expires/c /5
Job Address:575 Audubon St
Owner Name:KC Foley Phone:720-224-5678
Address:P0 Box 3958 Estes Park,CO 80517
(Street)(City)(Slate)(Zip Code)
Contractor/Applicant:Mountain Valley Plumbing &Heating,Inc.Town License #:453 Phone:970-586-1085
Address:854 Dunraven Street,Estes Park,CO 80517
(Street)(City)(State)(Zip Code)
Long-term Residential (?30 days)C Short-term Residential (<30 days)C Commercial
C Replace Furnace C Gas Line (ft.)
Replace Boiler C Replace Windows
C Replace Hot Water Heater C Install Air Conditioning
C Minor Plumbing C Temporary Strncture Use________________
C Minor Remodel Time Period
____________________________
C Fireplace Insert —circle one:Gas,Wood,Pellet;C Other
Description of Work:Replace Boiler
Valuation (Total Cost of Material &Labor):$
9899.00
I certify this application is true and correct and agree 10 perform the work dcscrihctl aceortting to plans/specitications submitted,reviewed anti approved,and comply with
local ordinances,state and federal laws as well as holding codes.I certify that I have the property owner’s authority and permission to apply for this permit.Additionally,I
UNI)ERSTANI)THAT I AM RESPONSIBLE FOR ANY FEF.SOI{EXPENSES INCURRED FOR PI.AN REVIEW,PERMITS,INSPECTIONS AND OTHER
FEES ASS0CIArED WITH THIS APPLICATION.Note:The work authorized by this permit requires the building be provided with smoke alarms complying
with municipal codes.
Signature Tara Sonnenberg Dale 7/25/2018 Print Name Tara Sonnenberg
***Office Use Oniy
Inspection Checklist:
C Address Posted C Equipment Access C T &P C Smoke Detectors
C Contractors Licensed C Equipment Listed C Gas Pipe C Rough Inspection
C Penit Packet Available C Equipment Clearances C Vent C Final Inspection
C Safe Access C Pan and Drain C Combustion Air
Comments:PermitFee:/g i.
Census #Construction Type:Occupancy:
Connty Tax:
BuIidinJfli L2 Date //Total:o ‘-Lf 7
**SMOKE ALARMS ARE REOUIRED**
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