HomeMy WebLinkAboutPERMIT 597 Audubon St Furnace & AC 2012-08-17Ret-eivettDateCr;data_ i r-r Town of Estes Park c41' COp Permit Number M- HD
Received By AppliCation for Miscellaneous Permit Application Expires(Z N i5
artniela 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 ExpiregO? q • 1 q
Joh Address: / 7 ilt,i_of;?4,,,)51: -s- 7--. p ,.9,2,4‹ (7.e:2 g.,O. (5--/ 7 i /
Owner Name: et9/4/./4.44 Fie-r4 Phone: 4770 3 '7.'7 5.6"<-7
Address: 6 efec, .-:..-t-,,4 4,. 8 i e&---/ 77-4..),41 4 7 --,ri CO .5e), - 41-7
(Street) v (City) (State) (Zip Code)
Contractor/Applicant: 444415 g- /6&-f--___4e-4G- Town License #: 6 75"- Phone16-4 7 ri V
Address: 00 kg rix ion" t,,ye3 . /44/2,K C-4., ?'66--/ 7
(Street) (City") (State) (Zip Code)
0 Long-term Residential (> 30 days) 0 Short-term Residential (< 30 days) 0 Commercial
IgReplace Furnace 0 Gas Line ( ft.)
0 Replace Boiler 0 Replace Windows
0 Replace Hot Water Heater. 0 Install Air Conditioning
0 Minor Plumbing 0 Temporary Structure Use
0 Minor Remodel Time Period
0 Fireplace Insert - circle one: Gas, Wood, Pellet; 0 Other
Description of Wojk:
gqi4 ez- F-d /z/v4e.-1 WWI 4 (it_ d,4-td/71-/bAdiet-j'-
Valuation (Total Cost of Material & Labor): $ So to . ,
I certify this application is true and correct and agree to perform the work described according to plans/specifications submitted, reviewed and approved, and comp:y with
local ordinances, state and federal laws as welt as building codes, I certify that I have the property owner's authority and permission to apply fur this permit. Additionally, I
UNDERSTAND THAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW, PERMITS, INSPECTIONS AND OTHER
FEES ASSOCIATED WITH THIS APPLICATION, Note: The work authorized by this permit requires the building be provided with smoke alarms complying
with municipal c ides.
Signature Date f ---/z---/zpriiit Name gii/2-1k (:).e)/C 12. -a,
41" Office Use Only *"
Inspection Checklist:
0 Address Posted 0 Equipment Access 0 T & P 0 Smoke Detectors
0 Contractors Licensed 0 Equipment Listed 0 Gas Pipe 0 R Inspection
0 Permit Packet Available 0 Equipment Clearances 0 Vent anal Inspection Ni ouitift)
0 Safe Access 0 Pan and Drain 0 Combustion Air ,
/ ! i -1.----
Comments: Permit Fee: I . 65
Census # Construction Type: Occupancy:
County Tax:
Buil , ing Official ... Dale
. • . • • mr.„•
Total: 1 t f,a5
**SMOKE ALARMS ARE REQUIRED**
11S,:n :CO kt..i1110 lic\ B011(1;1.1,4 the Counter Page 1 of 1
Revised 6/13/2006 - CO