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PERMIT Wood Stove M-0115 3501 Fall River Rd 2010-10-13
0[T—13—2010(WEO)08:42 P.001/001 Office Copy Revolved Date 29i,cp.r Town of Estes Park Permil Number M-Q ii rl C) By y-Application for Miscellaneous Permit Application Eipires ..Department at Building Safety 17(1 MacCrq;tw Meant P.O.Bas 1200 ltstes Park,CO 80547 7—0 11Generalllll)rI milieu &Inspection lAne (970)577-3731 °AX (970)586-O249’%VW’W.ecI1RtIC!.L:Qrp Permit Expires i-i’ Job AddressggC rXkQC dC ee S (p2 ..00-001 Owner Narnc \\SJNsi 04 ‘4 (A1ctt..Phone:P\&o39 Address C5&Li \recEck N (Street.)(City)(Slate)(Zip Code) Contractor/Applicant:F R-EP—4’LE %u PPLt_Tuwn License #:(Lj 6 Phone:HYB Cto1 Address:L’IcS ‘“-.Fr CoS 1305Z -.(Street)rClty (State)(ZIP Code) E,Long-ierm Residential 30 days)0 Short4enn Residential (<30 days)P Commercial — C Replace Furnace Gas Line (It) C Replace Boiler C Replace WindowsoReplaceHotWaterHeaterCinstallAirConditioningoMinorPlumbingCTemporaryStructureUse.o Minor I{eniodej Time Period -— O Fireplace Insert —circle one:Gas,Wood,Pellfl Qther 14tesñPuonofwor1e&\wos c&rcfl,c - Valuation (Totni Cost of Materiel &Labor): I ccrtiry this applkatlou is true ariU catted and are to pcr(bmi the work Uc Hbccliiccordihg In plaiislspeclfleaU nina need.revicired and appw%’cd,and comply with[cciii uttilnaticot,sate and federal laws as wail as lntildlng codes.I easily that I hwvc tue piopetly ownar’s authority and permission to apply for Lhis permit.Additionally,1VJNDEIZS’l’ANP THAT I AM RESPONSIBLE roji ANY PKI*1 OR EXPENSES INCUR-RED FOR PLAN REVIEW,PERMiTS,INSPECTIONS AND OTHERFEESASSOCIATEDWITHTHISAPPLICATION.Nate:The work uLaharIzed by ilds vrtiilI requires the building ho provided with smoke alarms complyingv1thmunictpid‘dqiSignatnitC2Cj_OQVCflt .tiate Print Sonic 3Oc L_5s3L . Office Use Only ** inspection Checklist: tI Address Posted 0 Equipment Access C T &P 0 Smoke Detectors0ContractorsLicensedCEquipmentListed0GasPip:0 Rough InspectionCPermitPacketAvailableCEquipmentCleartmccsCVeinCPinetinspedtion0SafeAccessCPunandDrainCCombustionAir Cumments: Permit Pee:g ,7_Census if Construction Type:Occupancy:t-{3cç County Tat:10.i7BuildIng0cliiiDate44’k—.fO-t-1-iO roaiil: SMOJ(!&1ARMS ARE:.REQUIRED** 8 14-a z rn H 0-n II I C mO o ct i C> ni D C/ ) LD H rn o Cl ) -< I 0 0 0 0 P U) CD C,0 fl CD CD Cn Co CD U) (n CD El CD C) G) C o > < r (I )yS D 0 oc - ) 0- ,C. Cz () 1 J I —I— D -o -. 1 C) 1 cm C)- L 0 \j J N a C \\ c Cl ) -Dm C)0z m C)0 -I 0 wZ cm öC I ) 0 0 z I - C Cl ) CD C,5 -v CD S 3 r• I • IRJIC 1111)ii\T1[iLJL iPTh1iR/IIiIuJf lu iJ(‘HJI(1)I’1 IRJL (iplR?ifD J1O1R AD )‘iE_•OcC(1PRMLr]r LM:D CCI if Ai C L CUt CONT ]15flH j QCOhj IC LQii1J /E]p,../fi xü1i_.DcTi[jDT Oi J 4_— ___________ TIPfl[‘ID MUJT I1U P 9flEltv AN1D)iflLi JiR(D)I TPf oiir OP UJT 4PJJU)WflJt Ill D1fThfP W1iTL:L]LkPD OR O’T[1R WAIDRPROOP I7TJjJL, SETBACKS FOOTING UFFER GROUND FOUNDATION DRAIN PIPE /RADON DAMP PROOFING/WATER PROOFING (FOUNDATION BASEMENT WALLS) PLUMBING UNDERGROUND1INSIDE BUTLDING) SEWER SERVICE &UNDERGROUND OUTSIDE OF BUILDING (SAN DIST.,I WATER SERVICE R(XJGII MECHANICAL ROUGh PLUMBING RUGHOAS FIREPLACE ROUGH CflUC1STATE INSP ROUGH BUILDNG EXTERIOR WALLS (VENEER)&OPENINGS FIRE BLOCKING /FIRE STOP ROOF MU)FINAL ROUGH INSULATION DRYWALL z--___PP(ST&TF CERT INSP. COUNTY W]LDFWF FINAT.PT PCTPT(’(STATE fl1S FINAL JOB COMPLETEI) __ I)‘---:- ALL 1tThSkECTIoNS T A CiJiüfl4G tJ-3”/3i B 4:O(i’..W ThE ECYEFThTG WORK)AY INSPECTIONS CAN ONLY IE REQUESTED BY THE CONTRACTOR PERFORMING TR WORK TO BE INSPECTED.AJEL INSPEC11ON REQUESTS MUST INCLUDE THE CONTRACTOR’S NAM AN1) TOWN LICENSE NUMBER,JOB ADDRESS,TYPE OF INSPECTION(S),AN1 PERMIT NUMBER FAILURE TO COMPLY WITH ANY OF THESE REQUIREMENTS MAY DELAY INSPECTIONS. Revised 11/03/2005 -SA U ‘C Iez:,,.: TWN D L9f PARllrmtne©t lloili L 77=37 LPII ie rfi Clllly 1.Request inspections ONLY at 577-3731.Inspections may be requested at anytime.The following infonnation isnecessarytoscheduleaninspection:1)job address;2)permit number;3)type of inspection(s);4)AlIl ectiniasmustbecelledhiionlia“X peetian RJina by 4:00 p.m..tlas preceding worik day. 2.This card and the permit must be posted on the job site for all inspections. 3.Town approved plans must be on the job site for all inspections. 4.Work shall not proceed until the inspector has approved the necessary inspection.Unauthorized construction mayresultinmaterialremoval. 5.Permits will become null and void if the authorized,work is not ready for the first inspection within 180 days of thepermitissuedate,or if more than 180 days elapses between inspections. 6.A re-inspection fee may be assessed when:1)Inspection card and permit card are not posted;2)The approved plans are not available;3)Access to the site is not provided for the inspector;4)Inspections are requested prior to the work being ready;5)Previous corrections are not properly made.Additional inspections will not be made until reinspectionfeesarepaidandthereceiptiswiththisinspectioncard. 7.Setback and footing inspections will not be performed by the Town unless all lot corners are clearly staked orprovideastampedletterfromaprofessionallandsurveyor/engineer certifying setbacks. 3.All concrete reinforcing steel must be in place before inspections are performed..The appropriate sanitation district must be contapted to make taps and “sewer service line”inspections of all ‘nd ground plumbing outside of buildings. to.The Town Water Department must be contacted (586-3608)to make water taps and service line inspections. 11.Electrical permits and inspections are provided by the State (577-3589). 12,Twenty—four (24)hours notice is required from time of final inspection approval to issuance of a Certificate of Occupancy (C.O.).Failure to request final inspections and meet all permit conditions will prohibit the issuance of a C.O.All fees must be paid prior to requesting final inspections including contractor licensing Do not eaU for a final inspection until an approved contractor affidavit has been approved by the Municipal Clerk. 13.Utility Locate 00-922-l987 -Xcel 800-772-7858 -Health Dept 970-577-2050 14.Department of 3uilding Safety 577-3731 or 577-3728 -Fax 586-0249 PERMIT # /7 / Rrqia 1110312005 -SA