HomeMy WebLinkAboutPERMIT.CO 8705 1575 Fall River Rd, rebuild SFD after fire 2009-04-21Building # Floors Basemen
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Town of Estes Park
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rt I Department of B safety MacGregorAvenue P.O. Box 1200 Ees Park, CO 80517 Application Exp
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Permit Number
General Information and Inspection Line (970) 577-3731 • FAX (970) 586-0249 ■ www.estesnet.com
OTE: Use this Form for Long-term Residences 30 days or more. Permit Expires
Job Address: /,�1 75- ,°/ llri-•
Nees ,4 Souls
Lot: _ Block: Subdivision:
Owner Name: J h-7
Address: /5 5 r. ii ,Q ,r- Pd.
(Street)
Contractor:
Condo: I,g No 0 Yes; Lot Size: J'?, '7(. ski j
Parcel #: 36233-40-479
Phone: 1'76 .. 2/5. 7237
-Sfb:s Park do gels/7'
(City) (State) (Zip Code)
Town License #: Phone:
Address:
(Street)
(City)
(State) (Zip Code)
The Following lies to New Work Only — Complete all that apply: )New Building 0 Alteration 0 Addition Master Plan#
Building Use(s):O er / Residence 0 Rental —30 days or more 0 Accessory Dwelling
Existing use: ' f"derd ' ,% Proposed use: ree..arrienftha.+/ ; # of New Dwellings: / ; # of New Kitchens:
Sewer: 0 Estes Park San' ion ISU�er Thompson Sanitation 0 Private Septic — Requires Applicant to first go to the Health Department.
%lumbing Involved: LJ No, es — State own Licenses Required; Plumbing Fixture Works eet Required.
Fixtures: P Add 0 Relocate IS Replace 0 Demolish Water Service: 0 Existing 0 New - # of Meters: Meter Size: inches
Electric Involved: 0 No RI Yes — State & Town License Required. State Permit and Inspection Required.
Service: RI Existing 0 New: 0 Overhead 0 Under round; # of Meters: ""' ; Meter Size:
amps; Temp Meter: 0 No 0 Yes
e of Heat: PI Gas l 0 Furnace Fuel Gas Involved: 0 No M Yes — Qualifications and System Sizing Required.
;
0 Electric Boiler Type: flit Natural Gas 0 LPG # of Gas Appliances / Outlets:
1g Floor (sf) 2"d Floor (sf) Garage / Carport (sf) Porch w/ Roof Deck w/o Roof
Fin Fin &i/ A Attached _ (sf) (sf)
Unfin Unfin Detached g 3 8
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Total Valuations (
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I certify this application is true and correct and agree to perform the 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.
0 Contractor ❑ Owner 0 Owner's Agent 0 Tenant
Signature ) , ice , ° r I �� Date Print Name
*** Office Use 0
Job Description: }� �'^q� I
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Occupant Load(s):
Occupancy Class(es):
Floor Load(s):
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Revised 11/03/2005 - SA
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Date Requested 1( (6/(-"' Permit #
11/
Date Inspected
REQUESTED BY
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/2 Inspector .,.
TOWN OF ESTES PARK
Building Division
INSPECTION R
TOWN LIC. #
CONTACT INFO.
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TYPE OF INSPECTIONS
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WORK SHALL NOT PROCEED UNTIL APPROVED
When corrections have been made, call for re -inspection: 970-577-3731.
General questions: call 970-577-3735.
$100.00 Re -Inspection Fee Assessed ❑
Date Requested
Date Inspected
Permit #
Inspector
TOWN OF ESTES PARK
Building Division
INSPECTION RECORD
JOB ADDRESS I r \'S
REQUESTED BY
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TOWN LIC. #
CONTACT INFO. 0 2, (i
TYPE OF INSPECTIONS
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WORK SHALL NOT PROCEED UNTIL APPROVED
When corrections have been made, call for re -inspection: 970-577-3731.
General questions: call 970-577-3735.
$100.00 Re -Inspection Fee Assessed 0
Date Requested
Date Inspected
JOB ADDRESS
REQUESTED BY
TOWN OF ESTES PARK
Building Division
INSPECTION RECORD
TOWN LIC. #
CONTACT INFO.
TYPE OF INSPECTIONS
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WORK SHALL NOT PROCEED UNTIL APPROVED
When corrections have been made, call for re -inspection: 970-577-3731.
General questions: call 970-577-3735,
$100.00 Re -Inspection Fee Assessed CI
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John Moynihan
Name and Address of Owner (s)
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575 Fall River Road
Estes Park, CO 80517
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