HomeMy WebLinkAboutPERMIT 1910 Crags Ct Furnace 2015-05-18Received Date .2e7/5://e Town of Estes Park Permit Number M- 095-- /:
Received By at' Application for Miscellaneous Permit Application Expires / /5—
Department of Building Safety 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517
General Information & Inspection Line (970) 577-3726 • FAX (970) 586-11249 • vm-w.estes.orp Permit Expires a)/ 5
Job Address: 19 in n-09.5 a.
Owner Name: LI R Ch (A..r..irl Phone: -`:7)86-; -4i 53 i +ed. 0-1071414_13./ ,.-A--
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Address: i . S 0 q h <,b hod-ctrva-\.i Pii E.---4 Park i co ft.xci 7
Contractor/Applicant:
Address: i 1 (..S .
(Street) (City) (State) (Zip Code)
-7,-- Pidati1 OU20_11ai1i 'cal -ki.• • Town License 44: (c p-7,-) Phone: :_--..ii,.,,-q,ss2/
1-4 LC'. (dl) E .i.,• kill< cc) :;,...).517
(Street) (City) (State) (Zip Code)
I Long-term Residential (> 30 days) El Short-term Residential (-‹ 30 days) • Commercial
RI Replace Furnace
Water Heater
— circle one: Gas, Wood,
0 Gas Line ( ft.)
Windows
Conditioning
Structure Use
• Replace Boiler U Replace
• Replace Hot • Install Air
• Minor Plumbing
0 Minor Remodel
• Temporary
Time Period
• Fireplace Insert Pellet; • Other
Description of Work: ___ r u rracs2_ Reptacavu-n, -1--
Valuation (Total Cost of Material & Labor): $
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 he presided with smoke alarms complying
with municipal cod .
X\40.124 AeX Signature Date 'i_..'/Print Name
** * Office Use Only ***
Inspection Checklist:
El Address Posted 0 Equipment Access 0 T & P 0 Smoke Detectors
0 Contractors Licensed El Equipment Listed 0 Gas Pipe Rough Inspection
El Permit Packet Available 0 Equipment Clearances El Vent Final Inspection Cf.--(0 4514.
0 Safe Access El Pan and Drain 0 Combustion Air ). 'l f
Comments:
Permit Fee: I 83. z.
Census # Construction Type: Occupancy:
County Tax: 6-,0i07- 4 7 .7
6-4 57/ g Total : dfilt9 ifg6
-\ Buildin
C441k.1
--- Date
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**SMOKE ALARMS ARE REQUIRED**
P A I
5-/65-Aes
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Revised 3/29/2012 - CB