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HomeMy WebLinkAboutPERMIT 1450 Big Thompson Ave Convert Bedroom & Add Grease Interceptor 2011-03-04Rec vell-Date Zbi t, 0 3 - Town of Estes Park Permit Number ° 2..0' Received By Commercial Application / Building Permit •; I Department of Building Safety 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517 Application Expires 0 c1 -CO 3 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 Job Address: 'f' it Exit 5© a Lot: Block: Subdivision: Owner Name: ey k Z., 0," " Address: / / � ® - lii-e<= ) " ;PJ 4 lie" (Street) (City) Contractor: f 23 001CC t -' L .. Address: Street (City f i � as Town License #: Lot Size: sf/ac Parcel #: Z / 9 7- ex;i3 Phone: "" (State) 7 (Zip Code) 34f Phone: / 7c' - 7 L75/ 7 State) (Zip Code) The Following Applies to New Work Only — Complete all that apply: ❑New Buildi Building Use(s): Existing: w Sewer: Estes Park Sani umbin Involved: ■ No Proposed: on ❑ Upper Thompson Sanitation 0 Private S es — State and Town Licenses Required; Plurxaf ❑Alteration ❑Addition Fire Alarm System: l No 0 Yes; Fire Suppression System: No 0 Yes; tic — Requires Applicant to first go to the Health Department. in Fixtures: 0 Add Relocate 0 Replace Demolish Water Service: ure Works et Required. Existing 0 New - # of Meters: Meter Size: inches Electric Involved: 0 No Yes — State & Town License Required. State Permit and Inspection Required. Service: Existing 0 New: 0 Overhead Under ound; # of Meters: Gas ❑,Furnace Fuel Gas Involved: 0 Electric Boiler T +e: 0 Natural a s 0 LPG # of Gas A..liances I Outlets: ; Meter Size: amps; Temp Meter: 0 No 0 Yes No 0 Yes — Qualifications and System Sizing Required. *** Office Use Only *** Job Descrip '� -�W Zil 4 tiJ�i� ;�I Application Information Approved Disapproved Fees Public Works Applicable pp Code(s): T e of r nst uc on: O cu .. ancy Class(es): Water/i/' Light & Power Occupant Load(s): Floor Load(s): Roof Load: Planning Variances: Fire Department Building Setbacks Front Sides Rear River Plan Review Zoning Hazards Geo Wildfire Flood Census # County Tax Certificate of Occupancy Building Official Date Total \lServer 11Th uildingdepiTorms\Applicatiuns\BuilldingVCommercinl Building perit\Commercial Buildin Revised 6121V20lu • ('B Town of Estes Park Water Department 2011 Fixture Value / Dwelling Unit Estimate Plan Review Date: 3/10/2011 Owner Name: Bob Jurgens Property Address: 1450 Big Thompson Ave Contact: Del Kendall (970) 227-6092 Phone: (970)0586-2358 Dwelling Units Single Family Dwelling Unit - (SFDU) Multifamily Dwelling Unit - (MFDU) Accommodations Unit - (AU) Non -Accommodations Fixture Value Units (FVU) Roughed -in plumbing shall be included Bathtub & Shower Combo Bathtub only Shower only Drinking fountain (cooler) Drinking fountain (public) Kitchen sink Lavatory Laundry trays Service sink Urinal, pedestal flush valve Urinal, wall or stall Trough (2' unit) Water closet, flush valve Water closet, tank type Dishwasher Washing machine Hose bib Other Other 2010 Price per FVU $536.00 minimum 6 FVU SFDU's MFDU's $ AU's Existing New Existing New FVU's $4,288.00 Charge for "New" FVU's Connection Charge(s) $ Meter Charge(s) $ Contract Fees $ Reviewed by: David Devine Price per Unit DU's $10,713.00 $ 7,499.00 $ 6,428.00 Total Demo FU's FV 0 x 1 1 1 x Total FVU's Sub -Total $ 6,968.00 Credits Includes Demo" FVU's S Total Charges f �2„�6�8�"$00 �° �� � s 0/.) r' �Q �41t u) e� Total Total j 2011 Water Tap Fee Calculation Sheet fP TOWN OF ESTES PARK Water Department 577 Elm Road P.O. Box 1200 Estes Park, CO 80517 970-577-3608 Owner Service Address Included NCWCD? 10-digid parcel ID # Calculated By: Date: Permit Number: Bob Jurgeus 1450 Big Thompson I yes I I no DD 3/10/2011 b-9020 L0 / A". .,. ,, n00%_. //. .._._ u._.r ,, ..... .r.. ff f/ // _f_:. O s ,/ _... d/. RESIDENTIAL Unit Cost Quantity Total PF Water SDC (1.0 ERU) $5,263.00 x WR Water Rights (1.0 ERU) $5,450.00 x PF Water SDC Accessory Dwelling Unit (0.4 ERU) $2,105.00 x WR Water Rights Accessory Dwelling Unit (0.4 ERU) $2,180.00 x ME Meter Size 3/4" $295.00 x MA Labor/Tap $195.00 x FF Filing Fees -Outside Town Limit App $21.00 x ($21 for first 4 pages, $5 for each additional page) WR Contract Line Agreement x Sub -Total ...Jd L.l //v/1.... ..... ., ... oo .:.. ..., . / .....1.. ,.. .... ..... ..... , ... ,, o, .,, MULTI -FAMILY Unit Cost Quantity Total PF Water SDC (0.7 ERU) $3,684.00 x WR Water Rights (0.7 ERU) $3,815.00 x ME Meter Size 3/4 inch $295.00 x 1 inch $410.00 x 1-1/2 inch $865.00 x 2 inch $1,135.00 x 3 inch x 4 inch (subject to current pricing) x MA Labor/Tap 3/4 inch $195.00 x 1 inch $210.00 x 1-1/2 inch $330.00 x 2 inch $390.00 x WR Contract Line Agreement x Sub -Total / , ,. .. 9 _.... ,,, ,, , ..._.,, ,.._... .. o, t. .f. ,r / / ACCOMMODATIONS (no kitchen per Town Utilities Policy Manual) Unit Cost Quantity Total PF Water SDC (0.6 ERU) $3,158.00 x WR Water Rights (0.6 ERU) $3,270.00 x ME Meter Size 3/4 inch $295.00 x 1 inch $410.00 x 1-1/2 inch $865.00 x 2 inch $1,135.00 x 3 inch x 4 inch (subject to current pricing) x MA Labor/Tap 3/4 inch $195.00 x 1 inch $210.00 x 1-1/2 inch $330.00 x 2 inch $390.00 x WR Contract Line Agreement x Sub -Total NON -ACCOMMODATIONS / COMMERCIAL must have fixture value unit sheet attached PF Water SDC WR Contract Line A•reement Minimum =>6 Fixture Units) $3216.00 PF Water SDC Residential WR Water Ri'hts Residential PF Water SDC Accesso Dwellin, Unit WR Water Ri.hts Accesso Dwellin• Unit PF Water SDC Accommodations WR Water Ri. hts Accommodations 3 inch ; sub ect to current •rici . 4 Inc su.ject to current pricing Unit Cost $263.00 $273.00 $295.00 $410.00 $1,135.00 $210.00 Quantit Sub -Total TOTAL CHARGES Unit Cost Quantit $5,263.00 I $5,450.00 $3,684.0 $3,815.00 $263.0 $273.00 $295.00 $410.00 $1,135.00 aims TOTAL APPLIED CREDITS it,' GRAND TOTAL Water Rate Classification for Billing Urban Residential Nx Urban Commercial Pumped Flow Rural Residential Rural Commercial Bulk Water Total $3,419.00 $3,549.00 $2,104.00 $2,184.00 CI r rL/ESI E_ TO ;,.;L A TUn ; UNIT LUE (New Commercial/Residential Construction, or CommercialResidentiai Remodels) OWNER NAME ' J777:;1 ^ ¶ a u CONTRACTOR NAME 4t:ft-. ( :"1;4 PHYSICAL ADDRESS (Lot, Address) . r �"�.' p MAILING ADDRESS.............)/ cm, .,, :. .. .... .::N..:......... TEL: FIXTURE TYPE Bathtub & Shower Combo Bathtub only Shower only Drinking fountain (cooler) Drinking fountain (public) Kitchen sink "" DEMO Lavatory 55 9 Laundry trays Service sink 0 Urinal, pedestal flush valve Urinal, wall or stall Trough (2' unit) Water closet, flush valve Water closet, tank type Dishwasher Washing machine Hose bib Other: Other: 471, EXISTING ROUGH -IN ���.��� TOTAL # X FIXTURE VAI4JE x 8 = x 4= Ill 00 NOT WRITE BELOW THIS LINE: FOR OFFICE USE ONLY Total number of fixture units: , _ X $ per unit = Comments: WATER DEPARTMENT, TOWN OF ESTES PARK x 4= x 1 = x 2 = x 3= x 35 = x 12 = 2= 35 = x 4= x 5 = x 6 = x = Total amount du \\S \Vatic as f o tu[e Unit Value revised 2.doc Revised 9/23/08 CS lee J� 00 / / / I / I / .1X1) / \ . 41