HomeMy WebLinkAboutPERMIT B-10522 Moraine Ave, restroom 2016-11-02Recek&d Date 4- (,)N;
, I I
Received By cik/t""") C erci I Application / uilding Per t
Department of Building Safety 170 MacGregor Avenue P.0, Box 1200 Estes Park, CO 80517
Town of Estes Park
Otl,00
3,3PV
r*"1'2 -2
Permit Number
/
Application Expires
General Information (970) 5'77-3726 " FAX (970) 586-024.9 6 vv„ysto,est,,,e,,,s/,,212/_,CcirpreunityLD,e,veloimigot,
Note: Use this form for Non-residential and Mixed -use Buildings Permit. Expires
b Address:
ot: Block: Subdivision:
C
ParcelSf
(
Owner Name: t..4" Phone:
Address: 1 L'AL) 013 le) (72 Kt-) bt
Lot Size: sfiac
Contractor: • 111- C Town License #: CLL Phone:
Address: 01(413... ,F-L4_20
mail Address (REQUIRED):
_
The Following Applies to New Work Only - Complete all' th apply:
iIrig Use(s):
Existing: R'41,Jc Proposed;
New BuildTWg
xisting Fire Alarn
Yes C3 No
C.;
Alteration
Existing Fire Suppress
0. Yes rJNo
Additkr1
New Fire Suppression
fl Yes Cl No
Sewer: 0 Estes Park Santation 0 Upper 'Thompson Sanitation 0 Private Septic Requires Apo ica it to first go to the Health Department
Plumbing Involved: 0 No 9.Yes - State and Town Licenses Required
Fftres: 0 Add pa Relocate CI Replace 0 Demolish
Water Service: 0 Existing. 0 New - # of Meters; Meter Size; inches
Electric Invoyj 0 No i,eYes -Stote & Town License Required. State Permit and Inspection Required.
Servk (irixisting LI New 0 Overhead 0 Underground; New Sprinkler System Line
It of Meters: ; Meter Size: amps; Temp Meter: ID No 0 Yes Phase Volts
Type of Heat: 0 Furnace
0 Elec. „ oiler
Fue
uliding Height
Ft.
escriptiom
cement (sf) 1" Floor (sf)
Fin Fin
1ntin
volved: No Yes Qualifications and System Sizing Required.
- NatorNaturalGas 0 IPG # of Gas Appliances / Oi
2nd Floor (sf) Garage / Carport (sf) Porch w/ Roof Deck w/o Ro
Fin Attached (sf)
Unfin Detached
Tolal Valuation' (Labor
'‘)(i
aterials $
1 cevofy his applicationapptcaBon s true and correct d agee 10 peformthe 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,' UNDERSTAND
THAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW, PERMITS, INSPECTIONS AND OTHER FEES ASSOCIATED WITH THIS APPLICATION.
Contra tor 0 Ow er 0 Owner's Agent 0 Te ant
Signature L t 2 L?LDate Print Name „ I
(sf)
ob Descliptiom
/415( C,FS („/,06. t )
Applicable Code(s):
Y 2 Trr,.:le„,li:S
Occupant Load(s):
Varial5„67,: (attache
Setbacks
Department
Type of Const. Ocupanry Class(es)
JLoaHl-
FrontSide
Zoning Census 4
Rear
Ruhlic Works
a er
Fo urrP'il'es4on:f;y' stem
Rhrer
Hazards Geo Wildfire Flood
Building Official Date
Light & Pc
Planning
Bud dOg
„IF
Flan Review
County Tax
Cer_ of Occupancy
th er
Total
Approved Disapproved
Fees
3 er
t.t.Scs•vrt r 511.3 uildmgDepa'orrn,,araiReferenccs LllJylAjltI. 71 13t,dding C.:°".".01tIvittt10u! Oding I011." 20 I A PPROV EOAK,
isc20r' I 9/20 K
JOB ADDRESS_6______
OC:CUPANCY GROUP
OWNER
DESCRIPTION OF WORK_
7
ERC1AL PERMNSPECT1ON RECORD
PERM1 #409 Z07.---
CONST TYPE OCCUPANCY LOAD SPRINKLER
C()NTRACJDR
D_O tri,5
'FIIIS CARD MUST BE POSTED AND VISIBLE FROM THE FRONT OF BNISITE AND MUST BE PROTECTED WITH
PLASTIC: OR OTHER WATERPROOF MATERIAL.
sETBACKS
FOOTING
UFFER GROUND
FOUNDATION DRAIN PIPE/RADON
DAMPTROOFING/W.ATER. PROOFINQ_(FOUNDATION BASEMENT WALLS)
PLUMBING UNDERGROUND (.INSIDE BUILDING)._
SEWER SERVICE & 'UNDERGROUND OUTSIDE.OF 1.31..TILDING,(SAN
WATERS.ERVICE
ROUGH MECHANICAL
R(.711..jGH PLUMBING.
ROUGH GAS
FIREPLACE
R01):(3KELECTRIC (STATE INSP..),
ROUGH BUILDNG
ROOF
ROUGH INSULATION
IN PROGRESS .......
FINAL
DRYWALL
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 INSP.)
ACCESSIBILIT_L(HANDICAP)
FINAL ELECTRIC (STATE INSP,j
FINAL TOWN WATER DEPT. (METER
FINAL JOB COMPLETED
'
ALL INSPECTIONS MUST BE REQUESTED CALLING 577-3731 BY 4:90 P.M. THE
PRECEDING WORK 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 NUMBER. FAILURE To COMPLY WITH ANY OF THESE
REQUIREMENTS MAY DELAY INSPECTIONS.
\\server I \ huiPdingdept \clAinspecBon forms, crOcommerciM Btspeclicffi c‘trd,cloc Revised 06/0712006 - CB