HomeMy WebLinkAboutPERMIT 1440 Cedar Ln Boiler 2013-11-08-‘-p
11—08—13:15:29 ;From:Protech Plumbing &HeatinTo:5860249 :9105868195 #1/11
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copy
Received Date ‘j16 Town of Estes Park Permit Number M-2tC_1±
By c4(i ‘Application for Miscellaneous Permit Application Expires
Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517 /
General Informaticm &Thspectton Line (970)577-3731 *FAX (970)586 0249 4’www cstv.net corn Permit Etpires _‘I
JobAddress 44 -S3[LLO(,_€7O&
OwnerName:lora zioj %.$14S Phone:4s -
Addrcss;-5’50-3r,oer-cL ..
(Street)(Ciw5 (State)(Zip Code)
Contractor/Applicant;Pr c\te 1,I’th (4 .Town License #:5?q Thone;S2-9J’1S’
Addresst 52 mkc5)lh4 C-Les Pcv Cp
-(Street)•..(City)(State).(Zip Code)
frtong-term Residential 30 days)fl Short-term Residential (<30 days)C Commercial
O Replace Furnace El Gas Line (ft.)
Replace Boiler C Replace Windows
C Replace Hot Water Heater C Install Air Conditioning
oMinor Plumbing El Temporary Structure Use_______________
oMinor Remodel .Time Period -.
oFireplace Insert —circle one;Gas,Wood,Pellet;C Other
Description of Work:--.ut
Valuation (Total Cost of Material &Lnbot);$,
S..1 _JjlTr
I certify this application Is true anti correct and agree to perform the work descnbed according to plans/spccifieat-sons sebmitted,reviewed and approved,and comply with
local ordinances,state end federal laws as well as building codes.I certify that I have the property owner’s authority and permisainu to apply for this permit:Additionally,I
UNDERSTAND THAT I AM RESPONSmLE FOR ANY FEES OR EXPENSES iNCURRED FOR PLAN REvELVY,PERMITS1 INSPECTIONS AND OTHER
FEES ASSOCIATED WITH THIS APPLICATION.Nose:The work authortzsd by this permit requires the building be provided with smoke alarms c6snplylng
with municip I codes.
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Thaw U4 N C-J’e’&UtLUI_——
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Office Use Only
Inspection Check1it:
0 Address Posted C Equipment Access C T &P C Smoise-Detectors
C Contractors Licensed C Equipment Listed El Gas Pipe çl 3tgh Inspection
C Permjt Packet Available C Equipment Clearances C Vent TWFinal Inspection Cl 7-7(1 5
C Safe Access C Pars and Drain C Combustion Air
Comments:Permit Fee:/3 ¶zs
Census 1t Consfruction Type:Oczpancy:County Tax:2b ,0/
Yiiifldisg a a ---Date?P43 1f -O -Tot&-
SMQE ALARMS ARE RLQUIRED**
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