HomeMy WebLinkAboutPERMIT 2210 Arapaho Rd Windows & Siding 2012-09-10Received Da
Office
IC Town of Estes Park Copy Permit Number
Received By
partment of Building Safety 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517
General Information (970) 577-3726 • FAX (970) 586-0249 • www.estes.org
NOTE: Use this Form for Short-term Residences (Rented less than 30 days).
Application Expire: 2). \,1) )
Permit Expires3.6 1q
Short-Term Residential Application / Building Permit
Job Address: 2:- Z- i: C, AP.-#:-.;)A-t•10 V-1::, . --- r Ca . Be' ST ( I Condo: 'No iTh'es; Lot Size: L ..'i ( sf/ac
Lot A Block: Subdivision: Z.) L SE:3. Li :, ),--1 Parcel #: 34 o i Z -..;-tc, • Ocf) a_
:Z t-L- .:.-
Owner Name: "r-o+'( 4- 1 ,,,\J„,i L.7._-=' 1-.1„a, p..vc?.._ i c__ .:_...... Phone: (°1 7c) .5-7 7 - 0 9 S '''-
Address: 2-2- t 0 P.lia-6.• '1"......1-40 R.t> 1.7-- . • IC> .C.3 90 -17 e 1
(Street) (City) (State) (Zip Code)
ec 1.... - 7ok Z -5 - Otlt 1 i
F7S.'A-4 C A._ R.- 'F'ee..4 -"c" 7/2.- Town License #: Phonek ci 7 0) Z3 1 - 19. Coq Contractor: [ R-A- "-.4,
E. , ,-).-/ J. p (0 . So S! 1 Address: 2 1 S F.-L., a.- e el iz. El -a:, -
(Street) (City) (State) (Zip Code)
Email Address (REQUIRED): 7 c. R. i---...A...,c...E:e4Tb ......--,-.4.... C_ . (.._ 6. ..,---..,
The Following Applies to New Work Only - Complete all that apply: 0 New Building P.Alteration 0 Addition Master Planti
Building Usels): X Owner / Residence 0 B & B El Short-term Rental - Less than 30 days.
Existing use: k•Es• br---2.,:-.< -a. Proposed use: "6,4-...--•-r=1... ; 4 of New Dwellings: - # of New Kitchens:
Sewer: o Estes Park Sanitation 0 Upper Thompson Sanitation 0 Private Septic - Requires Applicant o first go to the Health Department.
Plumbing Involved: $3 No U Yes -State and Town Licenses Required
Fixtures: 0 Add 0 Relocate 0 Replace 0 Demolish Water Service: 0 Existing 0 New - if of Meters: . Meter Size: inches
Electric Involved lij No 0 Yes - State & Town License Required. State Permit and Inspection Required. Phase Volts
Service: D Existing IA New: EI Overhead 0 Underground; # of Meters: ; Meter Size: amps; Temp Meter: 10 No E Yes
Type of Heat: X. Gas 0 Furnace Fuel Gas Involved: E No 0 Yes - Qualifications and System Sizing Required.
Type: y Natural Gas E LPG 14 of Gas Appliances / Outlets: 0 Electric Boker
Building
Height:
Ft.
# Floors Basemene(f f)
Fin
1.s ` Floor (sf)
Fin
f d Floor (sf)
Fin
Garage / Carport (sf)
Attached
Porch w/ Roof
(sf)
Deck w/o Roof
(sf)
Detached Unfin Unfin Unfin
(q ) Job Description:
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I certify this application is true and correct and agree to perform the
local ordinances, state and federal laws as well as building codes. I clzrt
UNDERSTAND THAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES
APPLICATION.
IS Contractor 1:1 Owner
,—__-_..
Signature 411/9 ( el, Date
INCURRED
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PLAN
Print
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REVIEW, PERMITS, IN sill CTIONS AND OTHER FEES ASSOC t TED
0 Owner's Agent o Tenant
Name SC't4-(-1 Tt.R-,x----.4.-4----L'-r 7-4:z%
.
Office Use Only
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fiNiat NM flak" I
ption ,--.
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iirlfgpit _,_
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if k 7 eAilA/LA a ek) S Ai Dept.
N o -Cii(uc7 -theeft elfyiAlic.5
Approved Disapproved Fees
p I i ca . , ode(s):
Za69 5 ..ree C 1(% ('VIP )
Type of Const.Occupancy Class(es):
if -3 Crie C
Public Works
Water
Occupant Load(s) Flood Load(s): Roof Load: ---___ Light & Power
Planning
17'aTr5: blxise wRiii6 , i c 4- A - V/ /A/CS frm-r de
keg va 6.6
Fire
Building A/ 54V
Setbacks
Fr9,11/--- .).
/..___.
Sid.-i . Rear s„...--.... ...__--
A/
Riyer 6_7,,
/
Plan Review
County Tax VA 19) • .--
Zoning ALCerrs-Gs /4 / i
Hazards — Geo Wildfire Flood Cert, of Occupancy
Building Official Date Lo J(91 15
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Received Da
Received By
Permit Number
a
TOWN OF ESTES PARK
Department of Building Safety
OWNER'S PERMISSION FOR PROPERTY
IMPROVEMENTS
If the lessee/tenant of a property wishes to make improvements, the property owner(s) must give
written permission for such improvements. This form must be completed and signed by the
owner prior to issuance of a building permit.
I Atjw tvi ok-- (owner) agree to allow the improvements to
my property located at : 2211)
SO S OvArte
(address) as proposed by the tenan.t,
OS141 Lk.) (tenant & business name).
I understand that I am accepting full responsibility for all code requirements and liability
associated with the project. Should any problems arise that can not be resolved with
the applicant, Town Staff will notify the owner who is ultimately responsible for all
atfiviiy on hi /her property.
AAAA.r•
Sic feature
(t112--
Owner Da e
2.2o
Address
6tA4_ c' C6Chl
City State Zip
Telephone
(970) 577-3731 + P.O. Box 1200 + 170 MacGregror Avenue • Estes Park, CO 80517
Updated 1117/2008