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
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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