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Home My WebLink AboutPERMITS 1120 Country Club Drive Addition 2007-02-09/ed Date_______Town of Estes Park R Permit Number 8rv tived By C4?Long-Term Residential Application /Building Permit Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517 Application Expires General Information and Inspection Line (970)577-3731 •FAX (970)586-0249 •www.cstesnet.com NOTE:Use this Form for Long-term Residences 30 days or more.Permit Expires “\ Job Address:i/24)(JI’UTC’((Iii r Condo:&No D Yes;Lot Size:“sff) Lot:C Block:S SubdivisiomcJLJA#E5((LIE ‘a Parcel #:Z’Si4O7U..’5 Owner Name:EL41LIE.-i’idAJ’jJUaT phone:Pfl)/JI /O7 Address: (Street)(City)(State)(Zip Code) Contractor:£t .caz&az CCAT 3’)kM Town License #:(X5Phone87d)ZZ7C5atY Address:c4óE £ST6 P2ex (Street)‘(City)(State)(Zip Code) The Following Applies to New Work Only —Complete all that apply:U New Building C Alteration M Addition Master PIan# Building Use(s):qwner/Residence C Rental —30 days or more 0 Accessory Dwelling Existing use:L&S142Z_5IM.uposed use:SN-tt_#of New Dwellings:C’#of New Kitchens: ______ Sewer:C Estes Park Sanitation Upper Thompson Sanitation C Private Septic —Requires Applicant to first go to the Health Department. Plumbing [nvolved:U No WYes —State and Town Licenses Required;Plumbing Fixture Worksheet Required. Fixtures:Add C Relocate C Replace C Demolish Water Service:Existing C New -#of Meters:I -Meter Size:inches Electric Involved:C No X Yes —State &Town License Required.State Permit and Inspection Required. Service:Existint1 New:C Overhead C Underground;#of Meters:M(er Size:—amps;Temp Meter:C No C Yes Type of Heat4’Gas C Furnace Fuel Gas InvolvcCUNo ‘Ysl Qualifications and System Sizing Required.“4]Elcctric.—’X Boiler Type:g Natural Gas I]LPG #of Gas Appliances I Outlets: Building #Floors Basenei3t (sf)V Floprjst)2nd FoprJSO Garage /Carpprt (Sf)Porch w/Roof Deck w/o Roof Height:Fin 14/4 Fin (nSC Fin Attached (sfl kI/a (sf) 1 Ft.I Unfin Unfin Unfin Detached Job Description:I Total Valuations Labor &Materials) .ANmOM to naxa1-WrctcnA_-Is tL9±)J42-98.8O I certify this application is true and correct and agree to perform tire 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. Contractor C Owner C Owner’s Agent C Tenant Signature 4YAL t Date 3 7 Print Name bit ILMA ?4&JAV ***Office Use Only *** Job Description:Application Information 4o rflO’4 Approved Disapproved Fees Public Works ApDlicabIe Type of IOccupancy Class(es):Watertoffe(s):I Construction:I 2c03 lRc_R->Light&Power Occupant Load(s):IFloor Load(s):IRoof Load:z’t-ccT.tttAn4Ct4 Planniag C4cSi1t-4c Variances:iO 3 ¶J.¶5W3’?4jQciLt.c C Fire Department Building I Setbacks I Front .TSides I Rear —I River Plan Review 5I3.QOJ I I Z5 VSI N’D—DL Zqning I Hazards I Census It County Tax 399.zo‘,.,_‘‘I Geo Wildfire Flood It’ I I Certificate of Occupancy Buildin,çOfticial Date/fLat—Total iLviio’j ‘t. Received Date _________ Town of Estes Park Pernt Number ___________ Received By Application for Building Permit e./Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517 General Information and Inspection Line (970)577-3731 *FAX (970)586-0249 ‘www.estesnet.corniComflev/ Job Address:1121.)áYU&(tek’a—&b N?JL’E_-Lot Size:sf/ac Lot:S Block:3,Subdivision:cIX41tCi(CCL6 ESPAiE Parcel #:psgL4ovcc’s Owner Name:ELAILL C)EUT Phone:4,(,’/O3’7 Address:1121)XJ1U1(CLLJS DEJIJE.-1.2) (Streei)(City)(State)(Zip Code) Contractor/Applicant:&AL ZaEK si4 NE5i6H Town License #:tP,Phone[’j7d ZZ7 —2-E3’D Address:k5 US 14.TE4 PACk Pit7(treet)(City)(State)(Zip Code) pproval on non Town entities is the responsibility of the permit applicant.Please obtain the appropriate approval(s)ofhefollowingauthorities,as advised/highlighted by the Building Official.Each authority will have its own requirements, )olicies and procedures,and fees which are distinct and separate from Municipal requirements and fees.Permits will not w issued prior to obtaining required approvals. I.SANITATION DISTRICTS Upper Thompson Sanitation District COMMENTS:EQL.1S YLA.A c—1 Estes Park Sanitation fl New Construction Adding,Relocating or Vacating Plumbing Fixtures Adding Square Footage to Existing Buildiag Footprint ________________________________________ fl Adding or Vacating Septic System Sand/Oil Interceptor I Grease Interceptor Note:New Interior Grease Traps are prohibited by the \ii Building Department and the Health Department. Date 2.LARIMER COUNTY HEALTH DEPARTMENT COMMENTS:__________________________ fl Commercial Food /Drink Preparation Li Alcohol Sales (On Premise)fl Day Care (6 Or More Children Under Age 18)fl Septic System fl Sewer Lift Stations fl Public Swimming Pools /Spas /Hot Tubs Approved Date 3.STATE ELECTRICAL BOARD fl New Construction with Electrical - Addition /Remodel with Electrical 4.STATE ENGINEER -fl Water Welt 5.STATE DEPARTMENT OF REVENUE Li Tax Exempt \Servera\Canm_.Dev\Building\Fomis\Applications\Buitding Page I Revised 06/08/2006 -CB Cl) occN 01 —CC LI...St1 “o-o—t-%IJOFO OcnCaE.uoN-t 0 I I - I a a h vt4 tflA