HomeMy WebLinkAboutPERMIT 1980 Baldpate Ct Site Evaluation 2017-08-10-__-________
QéPc’I PerinitNumber
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Received By ztc-S Long-Term Residential Application/Building Permit
Division of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517
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General Information (970)577-3726 •FAX (970)586-0249 •www.estes.org ,
NOTE:Use this Form for Long-term Residences 30 days or more.Permit Expires •‘jU
Job Address:
Lot:Block:Subdivision:(—.t’ce4_tpc,cp kci..Us
Owner Name:i-’Lk4J5.&kLCOtR(Y
Address:Vk%O M.OPpert—(r.Ews fwc
Contractor:
Address:
(Street)(City)
Condo:%No Li Yes;Lot Size:
___________sf/ac
Parcel #:________________________________
_Phone:fl2C ‘fl04
(o
(State)(Zip Code)
(Street)(City)(State)(Zip Code)
Emailaddress(REQUIRED):SY\OI..O&QZL13 qü.tcoA,corn
The Following Applies to New Work Only —Complete all that appTy:Li New Building Li Alteration Li Addition Master Plants
Building Use(s):Li Owner /Residence Li Rental —30 days or more Li Accessory Dwelling
Existing use:Proposed use:;Uof New Dwellings:;P of New Kitchens:
Sewer:Li Estes Park Sanitation Li UpperThompson Sanitation Li Private Septic —Requires Applicant to first go to the Health Department.
Plumbing Involved:Li No Li Yes —State and Town Licenses Required;Plumbing Fixture Worksheet Required.
Fixtures:Li Add Li Relocate Li Replace Li Demolish Water Service:Li Existing Li New -ft of Meters:.Meter Size:inches
Electric Involved:Li No Li Yes —State &Town License Required.State Permit ond Inspect/on Required.Temp Meter:Li No Li Yes
Service;Li Existing Li New Li Overhead Li Underground Uof Meters:Meter Size:amps;Phase Voltage
Type of Heat:Li Gas Li Furnace Fuel Gas Involved:Li No Li yes —Qualifications and System Sizing Required.
Li Electric Li Boiler Type:Li Natural Gas Li LPG ft of Gas Appliances /Outlets:_______
Building Height:P Floors Basement (sf)1’Floor (sf)2”d Floor (sf)Garage /Carport (sf)Porch w/Roof Deck w/o Roof
Fin Fin Fin Attached (sf)(sf)
Ft.ftBdrm Unfin Unfin Unfin Detached
iobDesjripUon:,_
-ó/cK aui*’ccJr 1Tota,7ons(Labor&Materials)
I have submitted the MInImum Submittal Checklist for Residential Constwction PIans-2015 IRC with this application.
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 owners authority and permission to apply for this permit.Additionally.I
UNDERSTAND THAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES IN UR ED FOR PLAN REVIEW,PERMITS,INSPECTIONS AND OTHER FEES ASSOCIATED WITH THIS
APPLICATION.1 Li Con5actor )wner Li Owner’s Agent Cl Tenant
Signature’Ct Date_________Print Name UsA L.I-A.CCoCIAJ.C1(’-
.I;nIn.Thr
Job Description:Dept.Approved Disapproved Feesft,ijV,5 77Cfrfl 0,12
Applicable Codes):I Type of Const.I Occupancy class(es):Public Workszo,-rsC N/t water
Occupant Load(s):Floor Load(s):Ro6f Load:Light &Power
Planning
Variances:Building
Plan Review
Front Side I Rear I River coun TaxSetbacks
Zoning Censusif Hazards Geo Wildfire Flood rD3Totl
Building Official Date
AUG 1 0 2017
J
ZOO/y:.szii
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Receivedoate
_________
Town of Estes Park
‘2 Co—IApplicationExpires
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Town License #:Phone:
C:\Users\Jacki wiedow\.Desktop\Jacki\Long-term Residential Building Permit 2011 APPROVEDdoc Revised 4/5/2017-KT