HomeMy WebLinkAboutPERMIT B-8960 1575 Fall River Rd, deck 2010-10-13A I� Cym llti}�I� 'y i ,. uly9"0��
:
Town of Estes Park ' 11
. � it �� �����,��"��(����,"�1�I„tii�� Permit Number
Received Date �'�t�
Received By w 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.estesnet.com
NOTE: Use this Form for Long-term Residences 30 days or more. Permit Expires - t
ii
Job Address: I S i F I( i v4.:1. (L �V
Lot: Block: Subdivision:
Condo: No ❑ Yes; Lot Size: sf/ac
Parcel # °', cocca .
Phone: - r
Owner Name: ) r" h r7 11 O ' l r) 0, -- V\
Address: i S,' L L R `t u -c.d" (Z 6
(Street)
Contractor:
Address:
1
The Following
to
ew Work
Building Use(s): Ownerl/ Residence OnlyE Rental daaaaaa all 'ffaore 1 Acc❑e ryJ well ng 0 Alteration/► i », :
pp �: - Completeapply: ft.; di* - n Master Plan#
;dot-
Existinguse: Proposed-.1 �' # of New Dwellings: ngs: Addition # of New Kitchens:
Sewer: ❑ Estes Park Sanitation ThompsonPrivate Septic
u . ���,�, ���
(�YiJpper Sanitation ❑ - Requires Applicant to first go to the Health Department.
lu u w in _ ;,nvolv:+l: 81No 0 Yes - State and Town Licenses Required; Plumbing Fixture Workshheet Required.
Fixtures: 0 Add 0 Relocate ❑ Replace 0 Demolish Water Service: ❑ Existing 0 New - # of Meters: . Meter Size: inches
Electric Involved: "�No 0 Yes - State & Town License Required. State Permit and Inspection Required.
Service: 0 Existing 0 New: 0 Overhead ❑ Underground; # of Meters: , ; Meter Size: - , amps;
Temp Type of Heat: 0Gas oiler Type: ❑ Natural Gas 0 LPG s #of Gas Appliances / Outlets: g N o❑Yes
vp❑ Furnace Fuel Gas Involved: o ❑ Yes - Qualifications and System Sizing Required.
❑ Electricii
# Floors Basements Ri It
Garage / Carport (s Deck
,,"pin Attached
Unfin , Detachwr ""o
51. ea k.. <D
(City) (State) (Zip Code)
Town License #: Phone:97 v oZl 5
7
Building
Height:
Ft.
(Street) (City)
1" Floor (sf)
Fin
Unfin
2' Floor (sf)
Fin
Unfin
(State) (Zip Code)
Porch w/ Roof
(sf)
Job Description: /1/.15 mce e,.) , "„W) . 0cc, ,4W oV C.
q, Total Va9uahons (Labor & Materials)
i �l c)� � ' q: °"�u.rs' � mom, $ "atlrW , S$ CrR.Y''ll' 9 . 00
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 t _
Date Print Name c7IIh t!1 � � �` ""` � `+ � n C1`. v"1
Job Description:
*** Office Use Only ***
6 C
/, ^,, w is az/6 -
Mies:li ble
lhipe of
Construction:
�17
Occupant Load(s):
Public Works
Occupancy Class(es): Water
Approved Disapproved
Fees
5 p, 7--r , „ Light & Power
Floor Load(s):
Roof Load:
*Planning
Variances:
Setbacks
Zoning
From
Built i'(tg Official
Hazards
Wildfire Flood
'F" "" "'Wv Fire Department
P Building
Rear
Census #
River
Date
( -(o'
1
Plan Review
County Tax
Certificate of Occupancy
Total
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