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HomeMy WebLinkAboutELKHORN_335_B-9500_FINAL-APPROVED_2013-10-09Received Date Town of Estes Park Cupy Received By,411 Commercial Application / Building Permit Department of Building Safety 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517 Permit Number Application Expires J41 General Information (970) 577-3726 • FAX (970) 586-0249 ■ w ww .Aste .nre/CammunitvDev Jopmprpk Note: Use this form for Non-residential and Mixed -use Buildings Permit Expires 0/ " Job Address: 3 3 55-1 !\ too (A) 4 v Z Lot Size: sf/ac Lot: Block: Subdivision: Parcel #: Owner Name: E. ST 5 V A i fy Pc., I( Ri ne: -7e7 / c g,(T m. Contractor: U1Al) 14 L Z /( C (''(A4'j f J- U f r Town License #: a Phone: 9 70 S 0 6 3 l (� 9 ,� Address: r a i'b LA 0 C-1 d 4 / �d e s , Address:_ 3 35-/ J D lZ./1 V E, Email Address (REQUIRED): oo t Lo figt 1p121< co 0;.77 The Following Applies to New Work Only — Complete all that appyr: ❑New Building Building Usefsl: Existing: Proposed: ❑Alteration ❑Addition Existing Fire Alarm Existing Fire Suppression New Fire Suppression 0 Yes 0 No 0 Yes 0 No 0 Yes ❑ No Sewer: 0 Estes Park Sanitation 0 Upper Thompson Sanitat Plumbing Involved: Fixtures: Water Service; on 0 Private Septic — Requires Applicant to first go to the Health Department. ❑ No 0 Yes —State and Town Licenses Required ❑ Add 0 Relocate 0 Replace 0 Demolish ❑ Existng 0 New - # of Meters: Meter Size: Inches Electric Involved: Service: ❑ No 0 Yes — State & Town License Required. State Permit and Inspection Required. ❑ Existing 0 New 0 Overhead 0 Underground; 0 New Sprinkler System Line # of Meters: ; Meter Size: amps; Temp Meter. ❑ No 0 Yes Phase Volts Tvoe of Heat: 0 Gas 0 Electric BuitcFng Height: Ft. Job Description: # Floors ❑ Furnace ❑ Boiler Basement (sf) Fri Unfin 1'r Floor (sf) Fan Unfin Fuel Gas Involved: 0 No 0 Yes — Quailflcatlons and System Sizing Required. Type: 0 Natural Gas 0 LPG # of Gas Appliances / Outlets: 2"6 Floor (sf) Fin Unflln Garage / Carport (sfl Porch w/ Roof Deck w/o Roof (sf) Attached (sf( Detached -7 560 certify this application Is true and car t and agree to perform the work described according to puarhs/s ,eriticatons subovuted„ reviewed and approved„ and comp, with Ioca� orddnances, state and federal Laws as we: as bud&ding codes. I certify that N have the property owners authority and permission to apply for this permit. AddEtiona:ly, 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 / l%1/ �0 Owner 9 0 Owner's Agent 0 Tenant / ' q l /�V�K Date f- 5--/ 3 Prdnt Name m fr/� t< D0:J A N V r�.. l• ,us f)1 AV Signature Job Description: „Yap oPervf peu0A licr, IL.I't,r.Oniti Applicable Code(s): Occupant Load(s),:. Type of Const. ; Occupancy Classless. Flood p.oad(s): Vona es (attached): Pdre Alarm System Setbacks Front Side Rear Zomlr^!g Census sl B rPr� r � � Hazards Roof 'load: Pro e Suppressoon System River. Geo Wildfire flood Dare 64,0 moon "- i� Total Valuations (Labor & MVIateriatls) $ Department Public Works Water „Ight & Power Piann:ng euildrng Plan Review PCounty "Fax Cert. of Occupancy I Other rota pproved „r Disapproved Fees oR Vl �r %I a.i64Atl, w,r� 9riu RaRarupl+_ irtHloer�¢rycar�t`�rRTMlrl �tlrrtVw.lrrtg;,, iatt'hk�o.rg4s lC.e'l.viedi'I • Xl gi'" Offkie Received Date — og Town of Estes Park copy Permit Number Received By C.:ill( Commercial Application / Building Permit Department of Building Safety 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517 Application Expires General Information (970) 577-3726 • FAX (970) 586-0249 • toy Note: Use this form for Non-residential and Mixed -use Buildings Permit Expires Job Address: 3, 3 1-6 RA) Avz Lot Size: sf/ac Lot: Block: Subdivision: Parcel M. Owner Name: E VAllfY Po 8 ( 16619-R1 OLCA-One: F21) 5-8G 9D egrr Address: 335- ig FloRA) A IP/ co' g2577 Contractor: 1)0N Pk 14 - A tQc (4016A-0 V Town License #: / 30Phone: 7o S -86 3 ?.‘9 LA 0,1 liZd Es ms R4 K co .(3,.5-7 7 Address: d. qb Email Address (REQUIRED): i-loo cxfl Applies to New Work Only — Complete all that app : ONew Building Building Useisl: Existing Fire Alarm Existing: Proposed: 0 Yes 0 No The Foliowin Sewer: 0 Estes Park Sanitation OAlteration DAddition Existing Fire Suppression 0 Yes 0 No New Fire Suppression 0 Yes 0 No 0 Upper Thompson Sanitation 0 Private Septic — Requires Plumbing ipvolves): 0 No 0 Yes —State and Town Ucenses Required Fixtures: 0 Add 0 Relocate 0 Replace 0 Demolish Water Service: 0 Existing 0 New- # of Meters: Meter Size: inches Applicant to first go to the Health Department. Electric Involved: 0 No 0 Yes —State & Town License Required. State Permit and inspection Required. Service: 0 Existing 0 New 0 Overhead 0 Underground; 0 New Sprinkler System Line # of Meters: ; Meter Size: amps; Temp Meter: 0 No 0 Yes Phase Volts Tvoe of Heat: 0 Gas 0 Electric Building Height: Ft. # Floors ob Descr non: F iAcE 0 Furnace 0 Boiler I -- Basement (sf) Fin Unfin 1st Floor (sf) Fin Unfin Fuel Gas Involved: 0 No 0 Yes —QualifkatIons and System Siring Required. Type: 0 Natural Gas 0 ((PG # of Gas Appliances / Outlets: 2nd Floor (sf) Garage / Carport (sf)-7Porch w/ Roof Fin Attached (sf) Unfin Detached Deck w/o Roof (sf) 60 ° I certify this application is true and cor ct and agree to perform the work described according to plans/specifications subrriltted, reviewed and approved, and comply witto Local ordinances, state and federal laws as wet as budding codes. 0 certify that 0 have the property owner's authority and permission to apply for this permit-, Additionally, I UNDERSTAND THAT 0 AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW, PERMITS, INSPECTIONS AND OTHER FEES ASSOCIATED WITH THIS APPLICATION. 411kContractor I:1 Owner 0 Owner's Agent 0 Tenant Signature Descrlption: die Applicable Code(s): Occupant Load(s): Variances (attached): Setbacks Zoning roffLcia Front Census # A)s D,tiolk I ITotal Valuations (Labor & Materials) $ Date (/ Q5--13 Print Name 0/1 Ate k DOA) /AN() L ,41.4454i9L, drilbe40 Type of Const. Flood Load(s): Fire Alarm System Side Rear Occupancy Class(es): Roof Load Fire Suppresslon System River Hazards Geo Wildnre Flood Date let & Power Planning Building Plan Review County Tax Cert. of Occupancy Tr% Iota , V Disapproved Fees 424 ,Serverli 3ittiongDeltiNtiorinsand kektreinces_ifittifitinglitipptications\Coniutiettitat Building oennifiCominercial IBILfi King Ptn 20I APPlit.OVIED,doie Revised 9119f2t1I,3 KT COMMERCIAL PERMIT INSPECTION RECORD JOB ADDRESS 335-T PERMIT # 2? -9s-oc, OCCUPANCY GROUP CONST. TYPE OCCUPANCY LOAD SPRINKLER OWNER 7? Zi.aQielgY CONTRACTOR .42-49illiC/Agnielift5/1///41HONE 970 -596-3474,1 DESCRIPTION OF WORK ieliee. 42z, //isaz_ P•e•-/teprtz._ THIS CARD MUST BE POSTED AND VISIBLE FROM THE FRONT OF JOBSITE AND MUST BE PROTECTED WITH PLASTIC OR OTHER WATERPROOF MATERIAL. SETBACKS FOOTING UFFER GROUND FOUNDATION DRAIN PIPE/RADON DAMP PROOFING/WATER PROOFING (FOUNDATION BASEMENT WALLS) PLUMBING UNDERGROUND INSIDE BUILDIN SEWER SERVICE & UNDERGROUND OUTSIDE OF BUILDING (SAN DIST.) WATER SERVICE ROUGH MECHANICAL ROUGH PLUMBING ROUGH GAS FIREPLACE ROUGH ELECTRIC (STATE INSP.) ROUGH BUILDNG ROOF IN PROGRESS ROUGH INSULATION DRYWALL FINAL EXT WALLS (VENEER) & OPENINGS COUNTY HEALTH INSP. (SEPTIC, FOOD/ALCOHOL SERVICE, DAYCARE PLANNING DEPT PUBLIC WORKS DEPT FIRE DEPARTMENT ELEVATOR (STATE CERT INSP.) SPRINKLER (STATE CERT INSPd ACCESSIBILITY (HANDICAP) FINAL ELECTRIC (STATE INSP.) FINAL TOWN 'WATER DEPT. NETER INSTALL) FINAL JOB COMPLETED 1 ALL INSPECTIONS MUST BE REQUESTED lY CALLING 577-3731 BY 4:00 P.M. THE PRECEDING V ORK DAY. INSPECTIONS CAN ONLY BE REQUESTED BY THE CONTRACTOR PERFORMING THE WORK TO BE INSPECTED. ALL INSPECTION REQUESTS MUST INCLUDE THE CONTRACTOR'S NAME AND TOWN LICENSE NUMBER, JOB ADDRESS, TYPE OF INSPECTION(S), AND PERMIT NU ER. FAILURE TO CO 'LY WITH ANY OF THESE REQUIREMENTS MAY DELAY INSPECTIONS. ever : . . inspectio etc1commercial iinspection card,doc Rewied 06/07/2006 - CB Received Date Received By IIV Iwu TOWN . F STES `` Department of Building Safety Permit Number 4,1r OWNER'S AC OWLEDGEMENT FO If a commercial or residential project includes demolition or renovation work, the property owner(s) must contact the Colorado Department of Public Health and Environment to obtain either a State Demolition Permit or a State Asbestos Abatement Notification/Permit. The Colorado Dept. of Public Health and Environment 4300 Cherry Creek Drive South Denver, CO 80246-1530 Phone: 303-692-3100 Fax: 303-782-0278 e-mail:w.ww.cdohe.state.co.us This form must also be completed and signed by the owner prior to issuance of a Town of Estes Park Building Permit. I C C:t&Axzi, Pe-e1)4-4,41-- (owner) agree to contact the Colorado Department of Public Health and Environment to determine the state requirements for any work on my property located at (address): 335--- 1 understand that I am accepting full legal responsibility for all Colorado State requirements and liability associated with the project. Signature of Owner (970) 577-3726 r1 P.O. Box 1200 170MacGregor Avenue Telephone Estes Park, C 80517 uom" w � 3 gu�um Form (rlem n mmmnmri mtrsbmo,A, '"w''Kf V .N r' u ll m m,1 i���'� �wr�u@��lmuir ��. �� uL����rw��mr a� ��wDw�rm^m. �„nm�w;�nmmmwrw«'n���. amrmwm°nrr� FOR 1"'Iwm°�urrar �c�mu��®r@��imne " Received Date Q11 „k " - °^; „V ~,Gi '"'" .` Received By Gd P 011 1100000 twill 1111111111 11,1,000000 Permit Number ...,, ..„„or To N OF ESES PARK Department of Building Safety ER'S ACKNOWLEDGEMENT FO If a commercial or residential project includes demolition or renovation work, the property owner(s) must contact the Colorado Department of Public Health and Environment to obtain either a State Demolition Permit or a State Asbestos Abatement Notification/Permit. The Colorado Dept. of Public Health and Environment 4300 Cherry Creek Drive South Denver, CO 80246-1530 Phone: 303-692-3100 Fax: 303-782-0278 e-mail: www.cdphe.state.co.us This form must also be completed and signed by the owner prior to issuance of a Town of Estes Park Building Permit. f C P (owner) agree to contact the Colorado Departtnent of Public Health and Environment to determine the state requirements for any work on my property located at (address): 33.5 E . Ci;, 1 understand that I am accepting full legal responsibility for all Colorado State requhemnents and liability associated with the project. Signature of Owner E • 4-1,--eAAAJ-€ Address s--Ps i Yk o City State Zip Date Telephone (970) 577-3726 P.O. Box 1200 170 MacGregor Avenue Estes Perk CO 17 Serrer13 bwldmpdepl Handoua Owner Acknoo ledpemem Form Orrner Acknoo ledpemem "so'r11 athtrPIUPHA'b °V' D Re% he( 0 p, 0 2 II1�' r • Date Requested '(47611A10 I, Permit#Pici I 3 ( Inspector � q� Date Inspected 7\ JOB ADDRESS REQUESTED BY TOWN O EST SP Building Division RK E:IORC�,,,.,C Mkt TOWN LIC. # /2 3 3 CONTACT INFO. 6 — (4-st 8 — O Z)' TYPE OF INSPECTIONS (4e14/1/ P row' WORK SHALL OT . -OCE D U TIL ''PROV When corrections have been made, call for re -inspection: 970-577-3731. General questions: call 970-577-3726. $100.00 Re -Inspection Fee Assessed 0