HomeMy WebLinkAboutPERMIT 1260 Big Thompson Ave Temporary Gas Line 2012-11-02C(State)(Zip Code)
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Receivdt’De CfZ-//6 Z Town of Estes Park
Received By zi’Commercial Application I 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.eslesnet.com
Note:Use this form for Non-residential and Mixed-use Buildings.
1•?Job Addres:/t 0 b’1,T4 ‘ii’ti
Office
Copy Permit Number
,)ygo 7
Application Expires ._2_‘‘.
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Lot:Block:_Subdivision:Ct2 r&F.7ct tiSj Parcel #:51c14 O5 Gi
Owner Name:(///C .J é e:732 17?
Permit Expires .‘-‘14
Lot Size:ST3Ajyac
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Address -‘/L’C ./1 -“i ‘‘i”7 V’‘State)
Contractor:-/-‘(f:s-ZE79 Towit License #:—/Phone:
Addr 2—//v”‘c /,i /
(Street)(City)
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(Zip Code)’
-577)
The Following Applies to New Work Only —Coninlete all that apply:DNew Building DAlteration DAddition
Building Use(s):Fire Alarm System:C No C Yes;
Existing:Proposed:;Fire Suppression System:C No C Yes;
Sewer:C Bites Park Sanitation C Upper Thompson Sanitation C Private Septic —Requires Applicant to first go to the Health Department.
Plumbing involved:C No C Yes —State and Town Licenses Required;Plumbing Fixture Worksheet Required.
Fixtures:C Add C Relocate C Replace C Demolish Water Service:C Existing U New -ft of Meters:Meter Size:inches
Electric Involved:U No U Yes —State &Town License Required.State Permit arid Inspection Required.
Service:U Existing U New:U Overhead C Underground;#of Meters:;Meter Size:amps;Temp Meter:U No U Yes
Type of Heat:C Gas U Furnace Fuel Gas Involved:U No Yes —Qualifications and System Sizing Required.
U Electric U Boiler Type:Natural Gas C LPG #of Gas Appliances I Outlets:
Building #Floors Basement (sf)1°Floor (sf 2 Floor (sf)Garage /Carport (if)Porch w/Roof Deck w/o Roof
Fleight:Fin Fin Fin Attached (Sf)(Sf)
Ft.Un fin 11nfi ii Unfin Det ached
Job Deschption:Total Valuations (I.abor &Materials)
I I )
Signaturu
I cartify this application is true and correct and agree.to perform the work described according to plans/specifications suomitted,reviewed od approved,and comply with
local ordinancet,state and federal laws as well as building codes.I certify that I hae the property owner’s authority md nermuission to apply for this perrm:.Additionally,I
UNDERSTAND THAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW,PERMITS,INSPECTIONS AND OTHER
FEES ASSOCIATED WITH THIS APPLICATION.
C Contractor C Owner C Owner’s Agent C Tenant
n [‘riot Name 4-r4 F-\f.—..1.-—.—-’—
***Office Use Only
Job Description:,U,O&,4-y r‘V Fees
Publics rks
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Applicable Type of Occupancy Class(es):water t N__—1
Code(s):9 Construction:—-
C /j light &Pow
Occupant Load(s)://LFl0or oad(s):JftRoof Load:
Planning/
-.{//I
Variances:7 Fire Department
Building
Setbacks Front Sides Rear River Plan Review —
Zoning Hazards Census #County Tax
Ceo Wildfire Flood
,Certntncate of Occupancy
Buildi Official .Date//;,7’4 7/I-c2Z Total 4 &
\\Serverl3\huildingdept\lort’Applications\Building\Commercial Building permit\Consmercial Building Perrnitdoc NOV02 2012 RevmsL’d 6/28/2111(1 -(‘B