HomeMy WebLinkAboutPERMIT 1224 Brook Dr Wood Stove 2013-11-05Recejvd Date c’iy,,-Town of Estes Park Permit Number M-/j -/3
Received By r Application for Miscellaneous Permit Application Expires .4’Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517GeneralInformation&Inspection Line (970)577-3726 *FAX (970)586-0249 *www.estes.org Permit Expires 1//2Z2/..
JObAddress:2:L—\-cu,\i_
OWner Name:Phone:c i\
Address:nocNL
(Street)(City)(State)(Zip Code)
Contractor/Applicant:c_st1 Town License #:
_______Phone:
“9-Z
Address;c 4)(Street)(City)(State)(Zip Code)—ØLong-term Residential (?30 days)£3 Short-term Residentia’(<30 days)£3 Corn merciai
C Replace Furnace C Gas Line (ft.)C Rcplac Boiler C Replace WindowsCReplaceHotWaterHeaterCInstallAirConditioning
U Minor Plumbing U Temporary Structure Use_______________O Minor Remodel Time Period
__________________________
C Fireplace Insert —circle one:Gas,Wood,Pellet;mOther
Description of Work:.ç-xQ\cct\ccr.-c)j ç)Q\\rL c
Valuation (Total Cost of Material &Labor):$ç,
Tcertify this application is true and correct and agree to perform the work described according to plens/specioations submitted,reviewed and approved,and comply withlocalordinances,state and federal laws as well as building codes,1 certify that I have the property owner’s authority and permission to appy for titis permit.Additionally,IUNDERSTANDTHATJAMRESPO’iSEBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW,PERMITS,IMPECTIONS ANt)OTHERFEESASSOCIATEDWIThTHISAPPLICATION,Note:The work authorized by this permit requires the building be provided with smoke alarms complyingwithmunicipalcodes.
Signature Date\(3 Print Name
***Office Use OnJy **
Inspection Checklist:
C Address Posted C Equipment Access C T &P 0 Smoke DetectorsCContractorsLicensedCEquipmentListedCGasPipeCRoughInspection ,O Permit Packet Available C Equipment Clearances C Vent C Final.Inspection 2-013 luf vCSafeAccess0PanandDrainCCombustionAir‘
IST.O KE LARMiAi{EJLQLJIRED
3—11-0
Census #Construction Type:Occupancy:
Permit Fee:
Date
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