HomeMy WebLinkAboutPERMIT 502 Columbine Ave Furnace 2018-04-17pr 16 2018 02:33PM Pmtsch 9705868349 page 2 (Aice
RecelvedDate 4t7 Town of Estes Park UjJy
PcrniitNumberM_______
Received By c )i’d Application for Miscellaneous Permit Applica1io.EzpirestOl4th
Departsest of BeNding Safety 170 MacGregor Avenue P.O.Box 1201)Eates Park,CO 80517 ‘_7,__)I aeral Ininatlea &bapetfian Ike (970)577-3726 •FAX (970)586-0249 •www.ntes.orl!Permit Ezphn ‘I
Job Addrts 502 Columbine Avenue Estes Park,00 80517
Owner Nsa’:David B and Lisa A Couper Phone:720-347-5191
Address:331 Kanemoto Lane Erie CO 80516
(Street)(City)(Slate)(Zip Code)
ContnctorlA pplic*nt:Protech Plumbing &HeatArig Town License #:1588 Phone:970-5864195
Address:9 0 Comanche Street,Unit A Esles Park CO 80517
(Street)(City)(Stale)(Zip Code)I La flrm Residential 30 thys)0 Shod-term ResidentIal (<30 days)0 ConniercIal
IRiplaceFsrnace DGasLine(ft)
C Ri place Boiler 0 Replace Wiudows0RiplaceHotWaterHeater0InstallAirConditioning
I]M nor Plumbing 0 Temporaxy Structure Use___________
I]SI nor Remodel Time Period_________________
I]Fi spine Insert —cirde one:Gas,Wood,Pellet;0 Other
Description of Work:RepSace furnace
Valuation (Tot I Cost of Material &Labor):$
4587.00
I certi’this applic tion is tue and conect and agx to perfcnn the work deaibcd acccrdW’8 to plans/specifications submitted,revicwcd aid approved,aid comply withJocdordinaicca,te ad fedeni laws as well as building codes.I ccrtii that I buve the peupetty Owner’s abority aid pcnnissioe to agçly for this paint Additionally,IUNDU4SFAM)1 FIAT I AM RISPONSISLE FOR ANY FEES OR EXPENSES Ill CLIRRED FOR PLAN REVIEW,PERMITS,INSPECTIONS ANT)OThERFEESASSOCIA1El)WHit TillS APPLICATiON.Nc The work eatbetiwl by thu permit requires (be b.ddkg be provided with imehe shims coap4dngwithm.tdpslca Ia.
Signalme___A ?H24à&04116)1 8l’intNn Laurie A Martell,Admin Mat
***Office Use Only ***
Inspection Clx klist
U Address Pa ed CI Equipment Access CI T &P CI Smoke Detectors
U Connctors icensed U Equipment Listed U Gas Pipe 0 Rough Inspection0PamitPackIAvailableCEquiwentClearancesUVentI]Final Inspection
I]5th Access U Pan and Drain U Combustion Air
Contain:
Permitfee:11.£
Census #Consfruclioa Type:Oecapaney
CountyTax:ii,t((‘r/[1 To:
“I
J *SMO A A S ARE RE UIRED**
BY-
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