HomeMy WebLinkAboutPERMIT 2051 Big Thompson Ave Gas Line 2013-09-30mtc;rosoili Word - NI:iseel.laneous 2042,03.29 - Saie44iie
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o vn of Estes Park coPY /4/-
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R ee o al 13v CAibr A )plication for Miscellaneous Permit
Department of Building Salet 170 NlarGo egil Aeime O. Bo % 1200 Estes Park, CO 80517
Genera infoo oualion & Inspedion Line (9 JO) 577-3726 * FAX (970) 586 0249 work 61, Pernik Expire S 0?
Jul) .lskcidicss :(41 () 4i tiP,„,) (P)
0 "iVII 27/7
205'
43,71" cc:
Clontr act oriAliplicant: 4222
Address:
(Sruiici
Lotig-t(rni Residential 30 (lays)
..44)
/91j p 1.1 0 . (
IC:"ity) (Sidic) (Zip Coidir
--21#142,6462;ie.:f;2',. 1.4014.41.1Liceue
ielry)
Short -tern). Residential (< 30 (lays)
962 Phone:, 5,3(7
(-)
(Stare) Codc)
:eial
O Replace Furnace
O Replace Boiler
O Replace Ilol Water Healer
• Nii1101" Phimbing
linoReinodell
,Firephice Insert circie oin
Gas Line (22,71,1t,)
Iteplace NVintiows
El install Air Conditioning
Teniporaly StruClritt e Use
4114inie Period
(is, Other
DesLijnun 04 Work. "271,i57722722(/24(i_i
Valuation (Total Cusi of Nt0cI al& Labor): S
thr.5 AppLcanon
Eckel') on-barn:urn mine and
UNDERSTAND THAT I
FEES w
with wupA ^
tsue and cot rect and agree to per Cium the work described according to pbuisIspeecatioak .5)11dt/idled, reviewed and imploded. and comply \Yob
fed...aid laws as iveli ak budding codes I restiEy Mai have the ploperty owner's iitithotityftl pet sansuir, se. apply Ina this.p uu A0,31olonAl!k' 1
Al RESPONSIBLE FOR ANY FEES OR EXPENSES INCII(R.R.ED FOR PLAN REVIEW, PER:MIES, ENSPECTIO.NS AND OTHER
Nide: The work. authorized by this permit requires. the building be provided Niiith smoke us complying;
-** Office Use Only ***
Inspection ChecklisL
.12 Address Posted
ContriKlors Licensed
Permit Packet Available
Safc .Acceiis
o E(144444e04 Access
• Equtpineni Listed
O Equipmeni Clearances
D 1ii and Drain
s s Construction ype;
BuirldS.942011:111-22
00,00,1110.1,00000
• T
• (,as Pipe
O Vent
• Cciubtisticii
C Smoke Deteciois
E Rough 'Inspection
0t-P14irr1-tittivettci4o.4.44 il44,424( P ar)
.Pernii[ Fee:
Cotfi), Tax:
-214 di el)
* *
0/24
V of I
tottitit 4,43,.111c4,412.i.1 t cottL ttcl
Revtscd 3'29 '2011 .
Date Requested
ate Inspected
Per t#
Building Division
3 b
JO ADDRESS
REQUESTED BY
( TOWN LIC. #
CONTACT INFO.
TYPE OF INSPECTIONS 6113
3
fro
LL
T
,t
Ti
0
V
When corrections have been made, call for re -inspection: 970-577-3731.
General questions: call 970-577-3726.
$100.00 Re -Inspection Fee Assessed El
Nficrosort /ord iViiscellaneous 201.2,03.29 - Sateline
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OffiCe
V k 1."(1 Dalc rCrl 'SO lPwn 01 Lstes Park P0 Number NI- /4/
Rrcci c B CA't Application for Miscellaneous Permit
Deparnurnl of Building S;ifet 170 MacGregor Avenue P,O, Box 1200 Estes Park, CO 80517
Ceueral infut moduli & Iuspec(ion Line (970) 577-3726 * FAX (970) 586-0249 * •oww,estes.urz Pertui Expii
Jo b (1 es s
0‘sYler N ine:
-24.Y7
, At.ldress:_
4 t'.',d 40
ri L±k, (ef Phone: (77)
rrr
(SIrcctrl
(2ont1 actorl:kpplicant: /7;,...1!) /-
Addl. es „:"5.7",T 4 '1 17 -1:',7"
ICCt)
L
°Lig lerin Rvside 30 dAys)
0 Replace Fui nace
Replace Boiler
• leplace Hot \Vote! 11.11cate1
O Minor Plumbing
Nlinor Remodel
O Fireplace circle one: Gas,
Description of Wolk.
r"'",
271 „le6.
_
raluat on (Total Cos[ ofMion i1 & LIboI).
pet nt) trus applicatiou rs true 11 OuI turd rbtT„see to
lobo] ordommes stare atrd feckt al lams aS well as Budd,
UNDERSTAND THAT AM RESPONSIBLE FOR
FEES Associxrp WE„TIFFITIS ICAT I ON
troth municipal bert;frr.
Inspecliou Checklisl:
0 Aciciess Posted
Contractoys Lleensed
Perntd Packet Available
0 SAle ccess
yY, -
:z.
„y.yit"
•1-"" t
(C0y) (SLIItC) (Z C
1223!) ense I bon .
3
Short -tern' Residential (< 30 days
Gas Line (-)ilit.)
EJ Replace NVindows
O Install Conditioning
O Temporary Structure Cse
lime Period
'Wood, Pellet; 0 Oilier
/-
IC a
1(527
ZroC [LISP')
pet rottu the work described accutchug plzursispebrfscauous suboutte0. r1vues,. ebt turd approved am], comply tt
mg (mitts I cm bfy thar 1 LiC,e 1111propetty owner br atoIrm try turd per mission to apply I'M Mrs pturno AM:tort:mark'
ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW', PERMITS, INSPECT IONS .ND OTHER
Note, The WOrk :iuthorized by ibis pturtoil requires the building be proaided wilb smoke alarms complyiug
0 Ecili:Tment Ace,)
o Equipnient Listed
Eciiiil)ment Clew ances
1:,ait
0.4111.11elliV:
Ccusus11
Cousdruc Hun 1). pc:
Occupancy.
KE ALAR
D t & P
D 0 IS Pipe
o Vent.
Cumbnstion A
Feo:
D Smoke IJetectois
Rou.,di Inspecholi lc' /74
p sc›
e.:7)
("';',2 0
ut TAX:
S ARi EQUIRF,
00".014-
7 typyyn!
I of
(ics l'ouns...y„10tgat[9)1.y0)1e1. Ccqu-ale
Prcrpe I of
Res-Jscd 3,r29/2(.)12
3/5/2013
,
ate Requested
Date Inspected
Building Division
Permit #
Inspector
JOB ADDRESS
REQUESTED BY
CONTACT INFO.
TOWN LIC. #
C 7 2 - g'
TYPE OF INSPECTIONS
( Pt
0
LL
1
T
TIL
p
When corrections have been made, call for re -inspection: 970-577-3731.
General questions: call 970-577-3726.
$100.00 Re -Inspection Fee Assessed D
ate equested SC KV,
Date Inspected
JOB ADDRESS
Permit #
Inspector
Building Division
REQUESTED BY TOWN LIC. #
CONTACT INFO.
TYPE OF INSPECTIONS
C L C
/1/
T
UT
P V
When corrections have been made, call for re -inspection: 970-577-3731.
General questions: call 970-577-3726.
$100.00 Re -Inspection Fee Assessed 1
ERCIAL PERMIT INSPECTION RECORD
JOB ADDRESS .205/ h'ci--(69,52rti PERMIT #
OCCUPANCY GROUP CONST, TYPE OCCIIPANCY LOAD SPRINKLER
OWNER 771 - /LOX? CONTRACTOR g 5 PHONE 970 -
DESCRIPTION OF WORK "de
THIS CARD MUST BE POSTED AND VISIBLE FROM THE FRONT OF JOBSITE AND MUST BE PROTECTED WITH
PLASTIC OR OTHER WATERPROOF MATERIAL.
SETBACKS
FOOTING UFFER GROUND
FOUNDATION DRAIN PIPE/RADON
DAMP PROOFING/WATER PROOFING (FOUNDATION BASEMENT WALLS
PLUMBING UNDERGROUND ONSIDE BUILDING)
SEWER SERVICE & UNDERGROUND OUTSIDE OF BUILDING (SAN DIST)._
WATER SERVICE
ROUGH MECHANICAL
ROUGH PLUMBING
ROUGH GAS
EPLACE
UGH ELECTRIC (STATE INSP.)
ROUGH BUILDNG
ROOF
ROUGH 'INSULATION
.DRYWALL
IN PROGRESS FINAL,
EXT WALLS (VENEER) & OPENINGS
COUNTY HEALTH INSP. (SEPTIC,. FOOD/ALCOHOL SERVICE. DAYCAR:L.71
PLANNING DEPT
PUBLIC WORKS DEPT
FIRE DEPARTMENT
ELEVATOR (STATE CERT INSP.)
SPRINKLERISTATE CERT IN5P )
ACCESSIBILITY (HANDICAP)
FINAL ELECTRIC (STATE INSP.)
FINAL TOWN WATER DEPT.1METER INSTALL)
FINAL JOB COMPLETED
ALL INSPECTIONS MUST BE .REQUESTED BY CALLING 577-3731 BY 4:90 P.M. THE
PRECEDING WORK DAY. INSPECTIONS CAN ONLY BE REQUESTED BY THE CONTRACTOR
PERFORMING THE WORK TO BE INSPECTED, ALL INSPECTION REQUESTS MUST INCLUDE
THE CONTRACTOR'S NAME AND TOWN LICENSE NUMBER, JOB ADDRESS, TYPE OF
_NSPECTION(S), AND PERMIT NUMBER. FAILURE TO COMPLY WITH ANY OF THESE
REQUIREMENTS MAY DELAY INSPECTIONS.
),Iserver I 3 \ hoikiMgdepOebVilspect ion. forms, eh: \commercralr insPeekcm cardAloc
Rd. 06107/200,1) -