HomeMy WebLinkAbout240SSt_M-083-17_FAReceived Dater
Received By
Permit Number. M- '
Department of Building, Safety 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517
General Information & Inspection Line (9'70) 577-3726 * FAX (970) 586-0249 * www.e.stes.org Permit Expires
Job Address.
Owner Name:
Address:
Contractor/Applicant:
Address: yO
Town of Estes Park
,:pupy
Application for Miscellaneous Permit Application Ex.pires 4 /
(Street)
(Street)
O Long-term Residentia
0
yS
_
0 Sho
(70 cif
(State)
(Zip Code)
Town License / Phone:
(Z-:" A4frfl C710572
(City) (State) (Zip Code)
.en Residential
30 days) 0 Commercial
0 Replace Furnace
0 Replace Boiler
/>FfiReplace Hot Water Heater
0 Minor Plumbing
0 Mi or Reniodel
0 Fireplace Insert — circle one: Gas,
ood,
O Gas Line ( ft.)
El Replace Windows
0 Install Air Conditioning
O Temporary Structure Use
Time Period
Pellet; 0 Other
D seription ofWork:
Valuation al Cost of Matetial & Labor):
1 this application rue and orrecL and agree to perform the work described accord ng to p!ans1speclftcatLos submitted, reviewed and approved., and comply
wth
cal 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 'ITIAT 1 AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW, PERMIT'S, INSPECTIONS AND OTHER
FEES ASSOC .... ED WITH. THIS, PPL,ICATI9N. Note: The work authorized by this permit requires the building be provided .with smoke alarms complying
• •'th muni)Sal rode?.
Signature
Ll Print Name
Inspection Checklist:
El Address Posted
0 Contractors Licensed
0 Permit Packet Available
0 Safe Access
Comments:
Census #,
*** Office Use Only ***
O Equipment Access
O Equipment Listed
0 Equipment Clearances
0 Pan and Drain
0 T & P
O Gas Pipe
O Vent
0 Combustion Air
0 Smoke Detectors
0 Rough Inspection
0 Final Inspection
41i0ding Official
Construction Type:
Date
7
Occupancy:
11,111
Permit Fee:
County Tax:
Total :
7,k
" 1117.deViLlilltdlitiltitorinstettpr4reariinVslOvertiteCotintei:,"
Page 1 of 1
Revised 5/21 /2012 - CB
L.
-3 /1:14 RESIDENTIAL PFRMIT INSPE(1.71.110.1N..R.
JOB ADDRESS:
N/11T #: iIJ
OWNER
PH( )N.1:`:' (411
:TONI-1'R A ( FOR „..k. 4 IL \ "at1.7 •
DF,S(RIPTR)N W(DR K:
FAHAJRE TO 4( '01111,1„Y 1TH ANY OF THE IW» 1RF MENiS ON lIE FROM(OF THIS CARD MAY DELA Y I NSPECT
FOUNDATION SYSTEMS / SIl'E REQUIRENIENTS
FOOTINGS / PIERS IIFER, GROUND F(T)OTING
SETBACKS FIELD I NSPECT ION ' SETBACK CFRTIT.IFI( A'r'E FOR PI,A NNI NG
E( ) IlThi..)ATIC)N WALL, LIFER G ROI. IND t'LAIND,ATION WAI
El F A I ION EI E1,D INSPECT:T.10N ELEVATI()N CERTIFICA'ILI FOR PLANNING
DA IMP PROOFING / WATER PROOFING Ff..)LiNI)ATI(..)N DRAIN
RADON SYSTEM PASSIVE ONLY INTERIOR 1)ADS / FOOTINGS
LINDERGRO1 INI) WATER SERVICE
FOUNDATION WALL INSULATION HYDRONIC SYSTEM UNDERSLAB
tiNDERSFAB SEWER (SANITATION DIED
EXTERIOR MEMBRANE SYSTEMS
:HEAR WALLS / HC)1_,D DOWNS JIR INFILTRATION BARRIER
WAFER RESISTIVE BARRIER. WINDOW INSTALL/FLASHING
SI I.ftC Ui STONE 1.„A"ICH MIDROC)F
BUILDING ROUGHS
OAS I'IPING ROUGH FLUE 'VENTING .ROILIGH
RO PL,UMBIN(T3 ROL/GIL
FIR ROUGH HY1TRON1C PIPING
ELECTRICAL, RCI)U(31.-I ORE 81:J1)(1:KING FIRE STI()P
ERA [NO RAFTER / WA[,FLOOR INSUL„AT1ON
R YW Si-i(T)WER PAN 1INER
TOWN AND NON TOWN ENTITIES APPROVAL FOR OiDCUPANCY / USE
RI NC FIFIAL PLANNING DEPARTMENT
SA .Nit ATION DEPARTMENT WATER .1DEIPA RTMENT
PL).B1...,1C WORKS COUNTY WIT DH RE
PO"W ER FIRE
DIVISION OF BUILDING SAFETY FINAL APPR(:IVAI.,,S
,UM.BING I IN A! I HV AC FINAL
ROOF FINAL, .OLLELDING FINAL, Ze:2,/ "7-12-7-2-Lag'
TEPNIC
IMPORTANT 'TELEPHONE NUMBERS
Inspecti pin Requests 970-577-3731
970-577-3721 •
S,tfely Div 970-577-3722
EP Sanitation 970-586-2866
Locate
Water Illiqa.1.1
Public Works
UT Sanitation
SOO-922-1987 Xcel
970-586-3608 ' State Elec tric al
970-577-358.8 Five .1..)qq.
970-586-4544 1 'I!y Wildfire
800-772-7858
9703577-3.589
970-577-0900
970-498-5303
X: BuildingDept\ Forrns \ R3 - U 1 S N -OFF-C ARD.doo