HomeMy WebLinkAboutPERMIT 593 Audubon St Heater 2009-12-0212-01-09;04:27PM;
Received Date Z0 1 Town of Estes Park
;970+586+8249 # 1/
Offi
ce CODy
Permit Number M- 7-3 -09
Received By C 1"..' Application for Miscellaneous Permit *_ Application Expires 5.3 -
Department of Building Safety 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517
General Information & Inspection Line (970) 577-3731 * FAX (970) 586-0249 * www.estesnet.com Permit Expires
AMMEIMMW AMMW ,
Job Address: D / 5 A u_8.4_ k., „_, 3 ,Ic 3- I cl- .-- °6)-5-
Owner Name: 3 c--... Ltr-tNc-1 e Y S 0 r--‘ Phone: Si - Si -{ t
Address:a E -1,5_:..C /2._.-- &65-
Contractor/Applicant:
lio b
(Street) (City) (State) (Zip Code)
Ir. tn. c.- 1 /2-\ 4
)--\ Town License #:3/ Phoneg 6..._..g 1 1S
Address: 6— r\ C., 4 - S4, a I ''S '4". - C-b 213 i
(Street) (City) (State) (Zip Code) 4
0 Long-term Residential 30 days) 0 Short-term Residential (< 30 days) 0 Commercial
0 Replace Furnace
Water Heater
- circle one: Gas, Wood,
0 Gas Line ( ft.)
Windows
Conditioning
Structure Use
• Replace Boiler • Replace
II Replace Hot • Install Air
0 Temporary
Time Period
Pellet; EirOther
• Minor Plumbing
0 Minor Remodel
171 Fireplace Insert
Description of Work:
• __----,
r..— n 5-1- a k...1rN '-k --\-- `r\ ea-4- e +r.-.1 i' ---- a.- Y- 4._ e •
_
Valuation (Total Cost of Material & Labor): $ )..
" I certify this application is true and correct and agree to perform the work described according to plaus.11-pecifications submitted, reviewed
local ordinances. state and federal laws as well as building COdes. I certify that I have the property owner's authority and permission to
UNDERSTAND THAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW, PERMITS,
FEES ASSOCIATED WITH THIS APPLICATION. Note: The work authorized by this permit requires the building be provided
With municipal codes.
Signature 0 _Fe 40.-et4_-_-(A_-4 ,,,fitc.(--1-0,7 Prim Name rk.e...y- ‘i. k )4,..A-1
and appioved, and comply with
apply for this permit. Additionally, I
INSPECTIONS AND OTHER
with smoke alarms complying
c= GC U. ,X__.
—
*** Office Use Only ***
Inspection Checklist:
0 Address Posted 0 Equipment Access CI T & P CI] Smoke Detectors
O Contractors Licensed 0 Equipment Listed 0 Gas Pipe 0 Rough Inspection
El Permit Packet Available 0 Equipment Clearances 0 Vent 0 Final Inspection
0 Safe Access 0 Pan and Drain 0 Combustion Air
Comments; Permit Fee: (e)3.-Z-
Census # 72 Li Construction Type: Occupancy:
--i.3 County Tax: q. O) 7
Building 0 ), w-. Date
G(,6- 13--"Z"
Total : GI 3 22-
**SMOKE ALARMS ARE REQUIRED**
Wsza, tiggpiIdev113pti oNplacidalis the Counter Page 1 of I Revised 7/142006 - CB
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