HomeMy WebLinkAboutpitkin.eh.273504401009 (1998) Fireplace RegistrationAspen/Pitkin Environmental Health Department
Fireplace/Woodstove Permit
$ 30.00 Fee
Parcel ID # of Property: 3
Parcel ID # is required in order to accept application (available from Assessor, 920-5160)
Street Address of Property 9efD a4VI `Y A0
Legal Description of Property OWL C ELK �S'�l,BO/Y Slaty
Name of Owner of Property
Owner's Mailing Address 26Q EAi IN S S£N 00 814011
Owner's or Applicant's Phone # Applicant's Name -<&'t
1. Type of Work: New Construct .1
Remodel ❑ Addition ❑
2. Structure Type: Single Familyon Duplex ❑ Condo/Townhouse ❑
Apartment ❑ Commercial ❑ Other ❑
For new construction remodels or additions
List the fireplaces, woodstoves, gas log sets, gas appliances or other devices that will be installed.
D..-- Rr Mndel #
1 ytir vi urr •cc
woodburning fireplace
,,as los fireplace
'as loQ fireplace
11111AI O
B
RM 1HR.S&VR Y IYIA
Q /i�igfc' D U� /& ° S14=
6"��n L�
certifiedwoodstove
,� tified woodstove
other device
gas fireplace a liance(attach spec
sheet)
gas fireplace a liance(attach spec
sheet)
gas fireplace ap liance(attach spec
sheet)
gas fireplace ap liance(attach spec
sheet)
gas fireplace a liance(attach spec
sheet)
gas fireplace a liance(attach s
ee sheet)
has fireplace a liance(attach s
ee sheet)
Qas fire lace ap liance(attach spec
sheet)
If this is a remodel or addition to an existing structure:
List the fireplaces, woodstoves, gas log sets, gas appliances or other devices you alreadyhave:
funcertified
e vi urvux n -
s log fireplace
fire lace appliance
rtified woodstove
oodburning fireplace
woodstove
other device
Signature of Applicant CD�=
Env Health Dept. Approval
For office use only: AT NA Logged
Department Comments:
Will device remain?
Date✓ eceipt #
Date5 ? Date Paid %D ( �S
Building Permit #
Printed on Recycled Paper 7197