HomeMy WebLinkAboutPERMIT 1450 Big Thompson Ave Finish Courtyard & Convert Gym 2010-10-15Received Date 20 to. f o. i S Town of Estes Park
Received By Commercial Application / Building Permit
Department of Building Safety 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517 Application Expires
General Information and Inspection Line (970) 577-3731 • FAX (970) 586-0249 • www.estesnet,com
Note: Use this form for Non-residential and Mixed -use Buildings Permit Expires
(City)
Contractor: )&1ci0444.-- ewe, -Town License #:t : • Phone. °--4017-
Address: laAy S » c4 . 5Lg C� 8,017
Street C' (State) Code
The Poll ry wi A lids to14ew Work Onl —
Phone:
Permit Number V - 2 i (,C}
Buying Use(s):
Existi • AA;LO h109tdy N+a�al$ P sad:
Sewer: ' • tes Park Sancta Son C r Tho srsmrt Sanitation 0 Private Se:tic — R Tres A
o'` r "es-) tate and :own Ioenses ClIV ; ixiune o
Fixtures: 'W' Add 0 Relocate 0 lace 0 Demolish Water Service: Exist' ❑
/Beet le hivolved: 0 No Yes — State & Town License Required. State Permit and Inspection Required.
(State) (Zip Code)
❑ New: ❑ Overhead O Und
M+gc of Aeat: Etas
0 Electric
Building # Floors
Height:
Jab Description:
13 Furnace
Boiler
Basement (sf)
Fin
Unfin
Com leteall that a ONew Btttldin 0Alteration
1 Floor (sf)
Fin,
Unfin
Addition
Fire Alarm System: No 0 Yes;
Fire Su cession stem: No ❑ Yes•
licant to first o to the Health department•
et eq
New - # of Meters Meter Size:
nd• # of Meters: ; Meter Size: amps: Temp Meter: No 0 Yes
invoivett 0 No llYes — Qualifications and System Sizing Required
Gas 0
of Gas Appliances /
Natural (act) LPG Garage Carport (sf) Outlets:
Roof Deck Floor w/o Roof
Fin ljelL, Attached (sf) (sf)
Unfin ' Detached
7b1111 Valuations (Labor& MAtckiats)
local certifythisapplication
is federal laws �worm the work according to planes fications submitted, ° `��~e�f�
ordinances,well as building
ePP soda to reviewed and approved, and comply with
codes. I certify that !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 THIS APPLICATION.
pitContra0 Owner 0 Owner's Agent 0 Tenant
Signature _ - Date/ 1_PrintNanieDal, !' '
,�+. -iZ
*** Office Use Only***
Job Description: Application Information
Applicable
Code(s):
Type of Occupancy Class(es):
Construction:
Occupant Load(s): Floor Load(s): ! Roof Load:
Variances:
Setbacks Front Sides
Zoning Hazards Census #
Geo Wildfire Flood
Building Official
Public Works
Merverakomm_dev\Buildingy'ormslApplications\Building Page I
Revised 7/I2/2007 - CB
ERCIAVRESIDENTIAL FIXTURE UNIT VALUES89105
(New Commercial/Residential Construction, or Commercial/Residential Remodels) •
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OWNER NAME: Z3613 04/rta t37)S TEL: 334,
CONTRACTOR NAME:. t &4rt<,L,.,.. 401,?.X5i'i!ti�.c
v-r-e T,dJ..............3j,.?-,7--4%O52
.
PHYSICAL ADDRESS (Lot, Address) . . t 1. r, , i-eeKe; c eJ , VC -
MAILING ADDRESS' VA-111Cir
FIXTURE TYPE DEMO • EXISTING ROUGH -IN NEW TOTAL # X FIXTURE VALUE
Bathtub & Shower Combo - x 8 =
Bathtub only - x 4 =
Shower only - x 4 =
Drinking fountain (cooler) x 1 =
Drinking fountain (public) - x 2 =
Kitchen sink • - x g = .
Lavatory x 2 =
Laundry trays - x 3 =
Service sink - x 3 =
Urinal, pedestal flush valve - x 35 =
Urinal, wail or stall - x 12 =
Trough (2' unit) - x 2 =
Water closet, flush valve - x 35 =
Water closet, tank type - x 3 =
Dishwasher - x 4 =
Washing machine ne N`4,,,,t) - x 5 =
Hose bib - x 6 =
Other: - x =
Other: x
A field Inspection by Water Department personnel is required to verily existing/demo fixtures BEFORE any work
DO NOT WRITE BELOW THIS UNE: FOR OFFICE USE ONLY
Total number of fixture units: X $ per unit = $ Total amount due
Comments:
BY: DATE:
WATER DEPARTMENT, TOWN OF ESTES PARK
1tServeralcomnLdev\Building\PuamsWerious FarTus%Fixture Unit Value Sheet- revised 2.doc Revised 9R301 CB