HomeMy WebLinkAbout639 Stoneham Ct - Applications/Furnace - 07/10/2015JUL-10-2015 01:51PM FROM- T-059 P.001/001 F-100
PCity Q.F . Planning, )eve 10puterIG4kT111vsporlation
ort �,•'• �.� �A N 2(31 N. College Ave (',0. Uox 500
1=o1't Collllls, CO UU52{i
Phone 970-416-27,10 Six
OVER-THE-COUNTER TER PERMITS.ONLY
This aliptication•Is to bo USeCi to -apply for tho following porrnits only (t hock all lhrtt apply). CI Air ConcliliollinfS
[] Den,olitiOtl (irlter!or ngn.rtr•uclural) Q 1=iectlical Alteration (not servico change) 0 Gas Lighler ID Gaf; Log
❑ t IeatincJ Unit 0 Lawn "prinkler U Agobile 1-lon•te replacement • b Roofilg CI PSevver l.,ine I_S i'1.rotcr-vol(ka ti
❑ Ventilation 0 Water 1-jeater Q V\hr ter.l-.ir1e7 Cl Woc)(ypollet Stove (rnusf be I=1'A certilieil,•prgvide msike, Ittodel r.u,d
n1anufirclt ri er).
Cotl•'Dlete all apf7)icablc Ir f91111 1011 On ihO avi lh:attion. Incgntpletta applicalians will nqf bq ttt oeptgrf:
Application
AW.otrce (un of?ly
Job Site Acldre5c Vulue of Corlll:rucliOil (I,11)gr, rnnferierl,, prorll)
hrol)erty owner' llle /1fldress City/Slate ~ -�-- - --
;��'p1 /Q
JW' MeL Zip Phone
— S�or1eharn -C± A:,,,�, Tonle Address -
Contractor
Fuldress
COrltr•aCt0l' City. of•Fl:,.Colllm Stiles 'rj)x It • --
SBICt^ tak ntm bet. /s r qu/mc! GY d// crig(rr7c(Or
' ,,A ;
City
Zit I>hOnc: i��� CCU. ��J. ��.�>)��_._���.•'/_ Y/_��_�;?
City/State; 711) / i'llonc ^- -
Are you P(JybuJ taxes here or by report? f=1 I li r l::I ftt�l.�i7rl' Are YOU ,hying with your trust a•Cr:ounl'7 t:] 1'cs Ia No
IS this a resiclential or cottlmercial project'? ;' ReSicl4nt!al l� Cgrfrmerdal ~- -�- -�� --- --- .......
"
If resid(ndal, is It;. X`!ngit I�anlily Detached U Conclo/townholne (sinSle farnily attadreci) IJ
G Mu!lifainily (apartment) M Cal-age[)ttplex.
If comrnOrdal, l:i it: -0 t;t,rrlt ' n Nir Q Cluu'CII U I•lol'el/Motel 0 Modica! Orrice 0,Ci(tirn l::i Retail
L`I 11MUIurant U oUler (explain) _
IC this building 1S(1 OIM of a1Je qr more? D Yes CI No '!f Yesl 1tiiU /-1idy flood to caitr)ct
IF this is for a'CI'I:nlotitlori Permit, what year was the lil.fiidillg rnnstrUcLecl? / tsar c)UOq
&"I'dor 10 X 17b; Ycih bl 111 reed 00 inbestos dsstzs ff)gp( to suGp)/h rr,/!•I/ 1/iis �rpG/rcrrliop.
De.scriplion of wol.l<
^7f lawn spritililer/bael<flow prcventcr, nlxlse list: livens^-ec� Pjciittber• If Fuse-fiuno. q/C ntusf Ilse IiCensvrJ Glcctric;i+an.
SubCofl l'raCC9!'9: 1,;51' the (:ol)7/V0k r �➢/7)l7 of, (,Yty of q Cktllr5)S /iCYv)Sr? df —
rlecerician 'Plumber a
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I hereby acl(nowledge Ulat l: have read thi apt?IiCatiotl �I1d state th;
Cattply Witalf regt!h'enients tontalned herLin aril city erclinanres n )d 4o shove information is coq,plerc arril Correct. ! ag,ee to ,..
pu711it is twl;I'viill, t Until. it IRIS been Sxtirt and issuecl, ale laws ru)trtaftng builcLr •_S rorrstrurtlun. I Icnuw t.itat°a
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