HomeMy WebLinkAboutPERMIT 502 Columbine Ave Furnace 2019-05-22Inspection Checklist:o Address Posted
o Contractors Liceru
El Permit Packet Ave
o Safe Access
Comments:
o Smoke Detectors
o Rough InspectioTi
ci i’fl&Inspection
kec4vtdllsi .22 Zfl’Town of Estes lark
RCJiLIA&By .....Application for Miscellat
Dcp4tment of Building Safety 170 MacGregor Avenue P.O.Box
General 4aformation &Inspection Line (970)577-3726 *FAX (970)S
Permit Number M-1p7—1?
eous Permit Application Expires ii ?1
00 Estes Park,CO 80517
i-0249 *www.estes.org Permit Expires ‘3 49
Job Address;502 DoIumbine Avenue Estf Park,CO 80517
OwnerName:D+id Band LisaACouper 720-347-5191
Address:1331 Knemoto Lane Erie CO 80516
(Street)(City (State)(Zip Code)
ContraetorIAppIicnt:Protech Plumbing &Heating fown License #:1588 Phone:970-586-8195
Address:950 Cotianche Street,Unit A Estes Park CO 80517
,(Street)((ity)(State)(Zip Code)
U Long-ten Residential (30 days)D Short-tenn Residentia (<30 days)I]Commercial
(Replace ‘unace El Gas inc (ft.)
Cl Replace Boiler C]Repi ice Windows
C Replace Elot Water Heater El Inst II Air Conditioning
C Minor P umbing C Tern orary Structure Use_______________
C Minor I emodel Tim Period
El Fireplac Insert —circle one:Gas,Wood,Pellet;C]0th r
Description of Work:Replace furnace
Valuation (Tqtal Cost of Material &Labor):$
4587.00
I certify (his application is ‘tie and correet and agree to performThe work described according to ph s/specifications submitted,reviewed and approved,and comply with
local ordinances,statcand cdcral laws as well as buildingoodes.I certify that I have the propcrty Tiers authority and permission to apply tOr this permit.Additionaily.I
IJNDERSTANO1’IIAT I LM RESPONSIBLE FOR ANY FEES OR EXPENSES INCLIRREI FOR PLAN REVIEW.PERMITS,INSPE(TIONS ANt)(JIIILK
FEES ASSOCIATED WI Ill TillS APPlICATION.Not,:The work authorized by this peru.require,the building be provided with smoke slanus complying
wIth municipal Coda.
signature .LcZtb24 A Ffa-tä&’Date 04/1611 8Vrint Name Laurie A Martell,Adtnin Assi -.--
J
***Office Use 0111:‘
ed
liable
U Equipment Access ci T &
0 Equipment Listed 0 Gas ipe
C Equipment Clearances 0 Vent
0 Pat and Drain C Corn ustion Air
Iccupmncy:
PeranitFee:III 2-5
Total:
\\Servcra\conmi
.**MOKE ALARMS ARE pFQUJpfl*2s .L
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rIp Mi tldiTw\lonhls Api,l ical itiii her the Counter l’agc I o Revised 3/29/2012-(‘13