HomeMy WebLinkAboutPERMIT 1175 Coyote Run Furnace 2015-10-22office
Received Date
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Town of Estes Park C®Y Permit Number M-227-i
ReceivedBy_44é Application for Miscellaneous Permit AppbcationExpires______
Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517
General Information &Inspection Line (970)577-3726 *FAX (970)586-0249 *www.estes.org Permit Expires
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JobAddressjj ?t Cn’o*r )‘c’r P C /ôccC/D
Owner Name:EC\}Phone:3Q.7)?C
Address:)nc.Rrcj (/Th/726
(Streëi)f
(City)(State)(Zip Code)
Contractor/Applicant:i9iitc E7E Town License bE Phone!3 ‘tYcJ2frtt —
Address:?()b0*
(Street).—(City)(State)(Zip Code)
13 Long-tepwkesidential (?30 days)1E%hort-terin Residential (<30 days)C Commercial
eplace Furnace D Gas Line (ft.)
13 RepJafl Boiler 13 Replace Windows
-Riplace Hot Water Heater 13 Install Mr Conditioning
C Minor Plumbing C Temporary Structure Use_______________
13 Minor Remodel Time Period
__________________________
C Fireplace Insert —circle one:Gas,Wood,Pellet;C Other
Description of Work:0 {Cfl’(\
Valuation (Total Cost of Material &Labor):$I—f 00 C2.&
I certi’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 cefti that I have the property owner’s authority and permission to apply for this permit.Additionally,I
UNDERSTAND THAT lAM 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
:::tt—e-----t-DatdL4’i4rintName 4fl4prLL crJb&
Office Use Only ***
frspection Check]ist:
13 Address Posted C Equipment Access C T &P 13 Smoke Detectors
C Contractors Licensed C Equipment Listed C Gas Pipe C Rough Inspection
C Permit Packet Available C Equipment Clearances C \‘ent U Final Inspection
C Safe Access C Pan and Drain U Combustion Air
Comments:Permit Fee:t 7.25
Census 0 Construction Type:Occupancy:
County Tax:iS.oo
Buildin Date4°j1jJZEZ(”Ac/Z /e Total:4 i/o.2 5
**SMOV ALARMS ARE REOUIRED**P4I
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