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Home My WebLink AboutPERMIT B-11254 Chage of Use 165 Virginia Dr #1 2020-01-07ReceivedDate j Town of Estes Park PermitNumber Bii7_51 Received By_________IBC Application I Building Permit Division 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 •www.estes.org SEE REVERSE SlOE BEFORE PROCEEDING Permit Expires ______________ Job Address:ft.641g1ns44 I’)Pi.Lt’iIf E’sf’Vacation Home?B’No Li Yes ttBedrooms_____ Lot:—Block:Subdivision: ____________________________________________ Parcel 4: Owner Name:3’2 &t’(\Phone:9 7o -c& Address:.::t;3’vpt’7k ii’eet)(City)(State)(Zip Code) Contractor:‘‘iZx cst’tCrs /Jg,qwj9CLg t’C-p& r Town License 4:Phone:____________________ Address:c(&O 2l4’/cad ,)i?t(t tflctni (Street)(City)(State)(Zip Code) Email Address (REQUIRED):h g pircf-riff I’mc The Following Applies to New Work Only —Complete all that apply:S New Building S Alteration S Addition Master PIan# Building Use(s):‘twner I Residence U B &B U Short-term Rental —Less than 30 days. Existing use:&‘11wlfJC,3(Proposed use:4ç.c1Efrdtj iA-(;Is of New Dwellings:ft of New Kitchens: Sewer:‘tstes Park Sanitation ,D Upper Thompson Sanitation U Private Septic —Requires Applicant to first go to the Health Department. Plumbing Involved:U No VYes —State and Town Licenses Required Fixtures:Add U Relocate U Replace U Demolish Water Service:U Existing 0 New -ft of Meters:Meter Size: ______ inches Electric involved U No ‘%‘f’es —State &Town License Required.Stote Permit and Inspection Required.Phase Volts ______________ Service:à,isting U New:U Overhead U Underground;ft of Meters:;Meter Size:amps;Temp Meter:U No U Yes Type of Heat:U Gas U Furnace Fuel Gas Involved:U No U Yes —Qualifications and System Sizing Required. .Electric U Boiler Type:U Natural Gas U LPG ft of Gas Appliances /Outlets:_______ Building Height:ft Floors Basement (sf)1’Floor (s 2’Floor (sf)Garage /Carport (sf)Porch w/Roof Deck w/o Roof Existing Grade Fin ___________ Fin ____________ Fin ____________ Attached ________ (sf)(sf) Ft.#Bdrm Unfin Unfin Unfin Detached )ob Description:/]/-Sto_’e. .I To4-Valuations labor &MaterialslAc4phi&nci —Icfr Smi’(t3’£4acr I $‘ic’5 (It)-+0 (x..o i certify this applicatio 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 buiiding 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 TIlls APPLICATION. 0 Contractor P’5wner 0 Owner’s Agent U Tenant Date Print Nam rff)yi Office Use Only lob Description: Dept.Approved Disapproved Fees 7 Applicable code(s):Registered VII I Registered LVII?Public Works Water Bedrooms/Occ.Load Floor Load:Elevation ft/Roof Load/Pg Light &Powerpsf Planning variances: Building Plan Revew Front Side I Rear I River ‘county TaxSetbacks cert.of Occupancy Zoning -Lot Size Hazards:Gea Wildfire Flood Fire Permit Fire Impact Building Official Date Total U-./Building Divisioa/Forrns.Logs/IRC Application pg I Revised 7/25/2019-ks ii t ‘I Signature Received Date _______ Town of Estes Park Permit Number CU-_________ Received By Change of Use Permit Application Application Expires ________ Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517 Information (970)577-372 *Inspection Line (970)577-3721 *FAX (970)586—0249 *www.estes.org Permit Expires _____________ Job Address:/45 1J1 Mie -1/net Si gk EL(Septic?V or N Owner Name:tØv 4)S4s Phone:g’)YL6 Address:/tJJrnI /Ait /Jnd I (SUket)(City)(State)(Zip Code) Applicant:.PcTV’Ik9 441?x)_C Town License #: _______Phone:47e Address:(/33 Au (Street)(City)—-(State)(Zip Code) E-Mail Address: Current Use (s) Proposed Use (s) Description of Work:1 #of Existing Bedrooms:udio ‘CiC1tTotalafterConverston:(‘) Valuation (Total Cost of Material &Labor):S I certify this application is true and con-ect and agree to pcrfonn she work described according to piams specifications submitted,reviewed and ap3rovcd.and comply with ioca ordinances,state and federal laws as well as building codes.I certify that have the property owner’s authority and permission to appv for this permit.Additionally.IUNDERSTANDTHATIAMRESPONSIBLEFORANYFEESOREXPENSESINCURREDFORPLANREVIEW,PERMITS,INSPECTIONS AND OTHER FEES ASSOCIATED WITH THIS APPLICATION.Note:The work authorized by this permit requires the building be provided with smoke alarms complying with municipal codes. Date Print Name S44I % —***Office Use Only *** Comments: Permit Fee: Zone District Construction Type Occupancy: County Tax:Existing Proposed_________ Building Official Dale Total U:\Building Division\Forms-Logspps_Pem,its_IRC_Change of Use\Change of Use PerrnitApplieation-IRC.doc a I C —-E —J II L... -C _13 ii. Page 1 of I / \\t file:///C:/Users/User/AppDatalLocal/MicrosoftJWindowsllemporary%2Olnternet%2OFiIe...12/18/2019 r I 4Li: :E:--[ w.I e-I at.-..’4IL N I ii -. j .4 S ii’‘4 II I It ‘fr r • - I -i -j I-.; &)E1&a ____________________ fz—krj ç r I.;, 1 4’/ A __— ‘F’ 0 S,— -r3Ie p11 L )Oi ‘2 & 0 ‘F t &—“,.‘7 V I -k:-st•1)