HomeMy WebLinkAboutPERMIT 2051 Big Thompson Ave Service Sinks & Backflow 2008-08-06Received Date
Town Estes ark
Received By (0403 Commercial Application / uilding Per
Department of Building Safety 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517 Application Expires
General Information and Inspection Line (970) 577-3731FAX (970) 586-0249 a' www.estesnet.com
Note: Use this form for Non-residential and Mixed -use Buildings Permit Expir
Permit Number 0At 20.
Job Address: Lot SizeSo
:""" s
Lot: — Block: Subdivision: `:° )"
Owner Name: ' Phone:
Address: (Street) , It`
(Street) (City) (State) (Zip Code)
Contractor: Town License #: Phone:
Address:
(Street) (City) (State) (Zip Code)
The Following Applies to New Work Only — Complete
all that apply: phew Building Iteration ❑Addition
BuildingUse(s): Fire Alarm System: 0 No 0 Yes;
PpRequiresp
0 Estes Park Sanrt. ' n "a Upper 4, KIWI go
System: 0 No 0 Yes;
Existing:@ Proposed: Applicant Fire
Sewer:Thompson Sanitation 0Private Septic —p�t to first o to the Health Department.
f,iithbing Involved: U No des — tate and Town Licenses Required; Plumbing Fixture Worksheet Required.
Fixtures: 'e'''Add 0 Relocate 0 Replace 0 Demolish Water Service: 0 Existing 0 New - # of Meters: Meter Size: inches
Electric Involved: 1 No 0 Yes — State & Town License Required. State Permit and Inspection Required.
OverheadService: 0 0 Underground; # of Meters: ; Meter Size: amps; Temp Meter: 0 No 0 Yes
Type of Heat❑ Gas
II0 Furnace Fuel Gas Involved: 0 No 0 Yes — Qualifications and System Sizing Required.
Existing New:
0 Electric 0 Boiler Type: 0 Natural Gas 0 LPG # of Gas Appliances / Outlets:
Building # Floors Basement (sf) to Floor (sf) 2°"a Floor (sf) Garage /Carport (sf) Porch w/ Roof Deck w/o Roof
Height: Fin Fin Fin (t)
Ft. Unfin Unfin Unfin ' ° Detache
Job Description:
certify this application and g perform according to local ordinances, state and federal laws astwell as building codes, 1 certify that have the property owner's authority and permission to apply for this permit complyproved, and with Additionally,
11y, I.
UNDERSTAND THAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW, PERMITS, INSPECTIONS AND OTHER
FEES ASSOCIATED WITH TIDS APPLICATION
0 Contractor Owner 0 Owner's Agent 0 Tenant
*** Office Use Only *** Vq14k,
Job Description: u°^ P Application In ormation
"; a �" w"' t„
i '`:4„„,N : Vu °t?1 ° ° Public Works
Applicable Type of Occupancy Class(es):
Code(s): Construction:
Occupant
Roof Loa
Load(s): JFIoorLoad(s):
�.-, _......
Variances:
Zoning Hazards Census #
Geo Wildfire Flood
Water
Light & Power
Planning
Fire Department
Building
Plan Review
County Tax
Certificate of Occupancy
Approved Disapproved Fees
Received Date
Received By
Tow of Estes ' ark
icatio o i 'ing Permit
Permit Number
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/ComDev/
Job Address: Lot Size: sf/ac
Lot: Block: Subdivision: Parcel #:
Owner Name:
Address:
Phone:
(Street) (City) (State) (Zip Code)
Contractor/Applicant: Town License #: Phone:
Address:
e
(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
Et Upper Thompson Sanitation District
Estes Park Sanitation
❑ New Construction
❑ Adding, Relocating or Vacating Plumbing Fixtures
❑ Adding Square Footage to Existing Building Footprint
❑ Adding or Vacating Septic System
❑ Sand/Oil Interceptor / Grease Interceptor
Approved Date
2. LARIMER COUNTY HEALTH DEPARTMENT
❑ Commercial Food / Drink Preparation
❑ Alcohol Sales (On Premise)
❑ Day Care (6 Or More Children Under Age 18)
❑ Septic System
❑ Sewer Lift Stations
❑ Public Swimming Pools / Spas / Hot Tubs
Approved Date
3. STATE ELECTRICAL BOARD
❑ New Construction with Electrical
❑ Addition / Remodel with Electrical
4. STATE ENGINEER
❑ Water Well
5. STATE DEPARTMENT OF REVENUE
❑ Tax Exempt
MENTS
Note: New Interior Grease Traps are prohitited by the
Building Department and the Health Department.
COMMENTS:
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