HomeMy WebLinkAboutPERMIT 435 Columbine Ave Furnace 2008-11-0348/30/2088 02:37 9705883190 MT VALLEY PAGE Di
Received bate
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Town of Estes Park Permit Number M 2
Recchvslsy Application for Miscellaneous Permit ApplltlonEPiresS3i,2S
Department of Building Safely 170 MacGregor Avenue P.O.Box 1200 Estee Park,CO 80517 1
General Intorniation &Inspection LIne (970)577-3731 •FAX (970)586O249*www.estesnet.com Permit Ecplres 0
JobAddress:43 %u...-LTjjço
OwnerName:f.%w P.
Address:y A (‘c)
(Stroct)(.ily)(Stare (Zip Code)
Contractor/Applicant:dy /4M1J;s7.town License #:
Address:?64’C Co
___
(Street)(City)(Stale)(Zip Code)_
U Long-term ResIdential (30 days)l-51i&t-term Residential (<30 days)‘C Comrnercal
Furnace U Gas Line (ft.)
U Replace Boiler C Replace Vindows
o Replace Hot Water Heater C Install Air Conditioning
O Minor Plumbing U Temporary Structure Use________________
O Minor Remodel Time Period
___________________________
o Fireplace Insert —circle one:Gas,Wood.Pellet;C Other
Description of Work;t1
Valuation (Total Cost of Material &Labor):$SYoS &C’
I certify Iltie 4ppliutiotI i true and correct ard ogroc to perform the work described accordinB to plan1speciticiorions submitted,reviewed and approved,arid comply with
local ordinances,state and fedetat laws as well as buildiii codee,I certify that I bow the property owner’,authority md permission to apply for this peniiiL Additionally,
UNDERS’EAND’FHAI I A RECFOMIBLE FOR ANY rEjS OR EXPENSES INCURRED FOR PLAN REVIEW,PERMITS,INSPECTIONS ANT)OTHER
FEES ASSOCIATED W1T14 THIS APPLICATION,Note:The work authorized by this permit requires the building ho provided with smoke alarms complying
with municipal codel.
Signature /7€tT paw /qAØ Print Name
______________________
***Office Use Only ***
Inspection Checklist:
Address Posted C Equipment Access C T &F C Smoke Detectors
C Contractors Liccnsed C Equipment Listed C Gas Pipc C Rough Inspection
U Permit Packet Available C Eqiiipttient Clearances C Vent C Final Inspection
C Safe Access C Pan sad Drain C Combustion Air
Commen Permit Fee:a Z S
Censats I Construction Typo:OccupaDevi ,County Tax:
Tot fl t.to
**SMOKE ALARMS ARE REOU1RED**
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