HomeMy WebLinkAboutAPPLICATION Vacation Home Life Safety Inspection 651 Columbine AveTown of Estes Park
Vacation Home Life Safety Inspection Appli
Vacation Home Physical Address:6
Owner Name:Divld D-y’i.g (‘fl Zui.c1de I!
Mailing Address:12 (t-m’5 O.£5k1
(Street)(City)
Email Address:Ci Y2L1 lI (Y11 1.
Property Manager/Local Representative:52fl Q,-i,)J 12.‘Qj-f’fl’)-
Email Address:i i2’d.dt ft 42 r-47!.
F
(please write legibly)Phone:7 0 23I
Number of Bedrooms (per Larimer County Assessor Data and Vacation Home License Application)
Identify Sleeping Areas other than Bedrooms (den,office,family room,etc)“1
Description of Work:2015 IRC AMENDMENT Section 327 LIFE SAFETY SURVEY
I the homeowner,or Property Manager acting on behalf of the homeowner,certify the information on this application
is true and correct.I understand by signing and submitting this application,I agree to have the above property
inspected by the Building Official to ensure compliance with local ordinances,state and federal laws as well as
building codeCAdditionally,I-sn erstand that I am responsible for any fees associated with this application.
Signature:
___________
Print Name 4dti Date:3/2%/%02
(Homeowner/Pmporty Manager)
***OFFICE USE ONLY***
Permit Fee:
j
-$200.00
County Tax:I $0.00
BuildingOfficial:Date:7-DO tz_(ZOZJL_._L.Ø$2oo.oo
LSI Checklist
Initials:Date:Issue permit number:VHLS:EXPIRES:—________________
Email handouts/permit number to Owner/PropMgrtfown Clerk
Inspecon Scheduled_CCalendar/Laserficherrown ClerkICD-VHLS Database)
Inspection follow up to Owner/PropMgrrrown Clerk (via Laserfiche)
Final Inspection Scheduled (Calendar/Laserflcherrown Clerk/CD-VHLS Database)
Results of FinaHnspçtion entered in Laserfiche
Issue CO to Owner/PropMgrrrown ClerlProperty File
FieldApprovedforCertificateofOccupancy by:.Date:—
RETURN TO:townclerkestes.org,Town Clerk’s Office,P.O.Box 1200,Estes Park,CO 80517
RECEIVED
MAR 25 2022ation
TIMI
(State)(Zip Code)
(please write legibly)Phone:9 7G 2 3 —S g is
Updated 07/2021
INSPECTION RESULTS
Date of Inspection
Time of Inspection
Property Address *
VHLSS Permit
Number
Type of Inspection *
Inspection Status *
Inspection
Comments:
EXTERIOR
Interior
Bedrooms
Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Bedroom 5
EE & RO
Smoke Alarm
within room &
15' of Doorway
5/5/2022
1:00-3:00
City
Estes Park
State / Province / Region
CO
Postal / Zip Code
80517
Country
Larimer
Street Address
651 Columbine Ave
Address Line 2
VHLS-002-22
Initial Inspection
Re-Inspection
All initial inspections and 1 re-inspection are included in the application fee. All inspections performed beyond
these two will be assessed a $100 fee PER inspection.
Approved
Approved address identification, illumination.
Window wells clearance, ladder, EE&RO
Exterior fire pit (wood) shall comply with Fire Department requirements
Private septic systems require
Handrails, Guardrails, Illumination
Smoke Alarms in each sleeping room & within 15ft of doorway.
Approved CO detector within 15' of sleeping room.
House/Garage Seperation
No holes or penetrations in garage firewall.
Boundary Map and VH info sheet
ok ok
ok ok
Approved CO
Detector within
15' of Doorway
NA
Fuel Gas Appliances
Kitchen
Bathrooms
ok ok
In approved locations or dedicated spaces.
In compliance with required clearances to combustibles.
Provided with required combustion air.
Connected to an approved venting system.
Cook stove Anti-Tip device
GFCI requirements in electrical outlets
Fire Extinguisher
GFCI requirement on electrical outlets.