HomeMy WebLinkAboutPERMIT 175 Cherokee Ct Boiler 2011-09-28Received Date
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:z8 Town of Estes Park COPY Permit Number M_________
Received By Application for Miscellaneous Permit Application Expires
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 ,
Job Address:175 Cherokee Court ‘“4 0 -‘V7 ‘o’a
Owner Name:Berqsten,Reuben Phone:970-577-6944
Address:175 Cherokee Court Estes Park CO 80517
(Street)CO-k-(_4.A.c-FO (State)(Zip Code)
Contractor/Applicant:i4”2e Town License #:3t’Phone:53--22j 3
Address:i?(.4-:-,/--t
(Street)(City)(State)(Zip Code)
El Long-term Residential (30 days)El Short-term Residential (<30 days)EJ Commercial
El Replace Furnace El Gas Line (ft.)
El Replace Boiler El Replace Windows
El Replace Hot Water Heater El Install Air Conditioning
El Minor Plumbing El Temporary Structure Use________________
El Minor Remodel Time Period
__________________________
El Fireplace Insert —circle one:Gas,Wood,Pellet;Other
Description of Work:
Build a chase on the roof,around the flue of a natural gas fired boiler (appearance of a chimney)
Valuation (Total Cost of Material &Labor):$1,000
I certify this application is true and correct and agree to perform the work described according to plans/specifications submitted,reviewed and approved,and comply with
local ordinances,state and federal laws as well as building codes.I certify that I have the property owner’s authority and permission to apply for 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 codes.
Siahjre i_i Date //rint Name /24 c4
***Office Use Only ***
inspection Checklist:
El Address Posted El Equipment Access El T &P [1 Smoke Detectors
El Contractors Licensed El Equipment Listed El Gas Pipe [I Rough Inspection
El Permit Packet Available El Equipment Clearances El Vent El Final Inspection
El Safe Access El Pan and Drain El Combustion Air
Comments:.Permit Fee:7
Census #Construction Type:OccupaRcy:
I..{County Tax:00
Building Ofli -Date7I/7 g —/(Total:
*MOJEALAJfS ARE REQUIRED**
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