HomeMy WebLinkAboutPERMIT 831 Big Horn Dr Bathroom Addition 2010-09-15Received Date .O’,i Town of Estes Park Permit Number 21k
Received By c Long—Term Residential Application I Building Permit Z°(1
Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517 Application Expires 3 —
General Information and Inspection Line (970)577-3731 FAX (970)586-0249 •www.estesnet.com zo t2—
NOTE:Use this Form for Long-term Residences 30 days or more.Permit Expires 3 -
Job Address:f))Hz’-PJ Di-11)C Condo:No D Yes;Lot Size:Yc1.sf
Lot:Block:Subdivision:
________________________________________
Parcel #:3i-’’)c 4 o
Owner Name:D/kJ l Q /tJ9 Ci 5L LAO,)E,.J ri Phone:‘770.7 7.C )9 j,
Address:5 7’V’C
(Street)(City)(State)(Zip Code)
Contractor:f.C).-’-t.)6&..Town License #:
________Phone:__________________
Address:
(Street)(City)(State)(Zip Code)
The Following Applies to New Work Only —Complete all that apply:EJ New Building LI Alteration LI Addition Master Plan#
Building Use(s):.Owner /Residence LI Rental —30 days or mo LI ccessory Dwelling
Existing use:S f-ic.Proposed use:‘F.#of New Dwellings:
______
#of New Kitchens:
______
Sewer:Estes Park Sanitation LI Upper Thompson Sanitation LI Private Septic —Requires Applicant to first go to the Health Departmenl.
Plumbing Involved:LI No Yes —State and l’own Licenses Required:P]umbingFixture Worksheet Required.
Fixtures:Add LI Relocate LI Replace LI Demolish Water Service:Existing LI New -#of Meters:.Meter Size:inches
Electric Involved:LI No Yes —State &Town License Required.State Permit and Inspection Required.
Service:Exisling LI New:LI Overhead LI UndergrournL_tnf Meters:;Meter Size:—amps;Temp Meter:,J No LI Yes
.ype ofea:Gas tiJ LI Furnace rIl Gas InvobnlNo LI Yes —Qualifications and System Sizing Required.
LI Electric (oPL)Boiler
I
Type:LI Natural Gas LI LPG #of Gas Appliances /Outlets:_______
Building #Floors Basement (sf)1st Floor (sf)2’Floor (sO Garage /Carport (sO Porch w/Roof Deck w/o,Eoof
Height:Fin
_________
Fin ?Fin ?ho Attached -(sf)(sfl 51
Ft.Unfin )(Unfin Unfin iIt4)Detached j ,-
Job Description:cii_oi6-vJ’.Total Valuations (Labor &Materials)
FLlci /“l-d-E,..b,rTHQ-.c7 )$i-I $c,OoO
I certify this apication is true and correct and agree to perform the work described aording 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,I
UNDERSTAND THAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW,PERMITS,INSPECTIONS AND OTHER
FEES ASSOCI ED WIT .HIS A ICA
LI Contr or er I]Owner’s Agent LI Tenant
Signature ‘.Date__icint Name —iD P t_/3-.A /E’\.)T /
a...***Office Use Oniy
Job Description:Application Information
4 (3,içL4 Approved Disapproved Fees
Public Works
glible IType of IOccupancy Class(es):Water
:I Cbnstruction:I
1Do,j o-c 1
I (i..c_)Light &Power
Occupant Load(s):I Floor Load(s):I Roof Load:
LtOps.c_i4fA Planning
Variances:Fire Department
Building /I I
Setbacks I Fro I!Plan Review ‘)2.
Zoning I Hazards Census #County Tax 2-0 00GeoWildFloodq3CertificateofOccupancy
Buildin Official Dateg/
-
Total 1o3,5(p
V
\\Servera\comm_dev’Building\Forms\Applications\Building Page 1 Pevised 7/14/2006-CB
Received Date ,Town of Estes Park Permit Number_________
ReceivedBy Application for Building Permit
Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517
General Information and Inspection Line (970)577-3731 *FAX (970)586-0249 *www.estesnet.com/Comflevl
job Address:‘3 1 .Lot Size:V’-4 sf4
Lot:Block:Subdivision:M OO,JT ‘Jlt)3 Pi K.Parcel #:______________________
Owner Name:Dii “L5 L-LLft1 Phone:‘flQ S 77 (DQ9L
Address:¶3
(Street)(City)(State)(Zip Code)
Contractor/Applicant:Town License #:Phone:____________________
Address:
(Street)(City)(State)(Zip Code)
Approval on non Town entities is the responsibility of the permit applicant.Please obtain the appropriate approval(s)of
the following authorities,as advised/highlighted by the Building Official.Each authority will have its own requirements,
policies and procedures,and fees which are distinct and separate from Municipal requirements and fees.Permits will not
be issued prior to obtaining required approvals.
1.SANITATION DISTRICTS
El Upper Thompson Sanitation District COMMENTS:I I \kk
Estes Park Sanitation
El New Construction t --z-c
El Adding,Relocating or Vacating Plumbing Fixtures
Adding Square Footage to Existing Building Footprint
__________________________________________________
El Adding or Vacating Septic System
SandQii Interceptor /Grease Interceptor Note:New Interior Grease Traps are prohibited by the
-
Building Department and the Health Department.
Approved Date
2.LARIMER COUNTY HEALTH DEPARTMENT COMMENTS:________________________
Li Commercial Food /Drink Preparation
LI Alcohol Sales (On Premise)
El Day Care (6 Or More Children Under Age 18)
El Septic System
El Sewer Lift Stations
El Public Swimming Pools /Spas /Hot Tubs
Approved Date
3.STATE ELECTRICAL BOARD
El New Construction with Electrical
El Addition /Remodel with Electrical
4,STATE ENGINEER
El Water Well
5.STATE DEPARTMENT OF REVENUE
El Tax Exempt
\\Servera\comm_Dev\Building\Forms\Applications\Building Page 1 Revised 06/08/2006 -CB
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