HomeMy WebLinkAboutPERMIT 629 Birch Ave Repair Water Damage 2011-02-22office
_______
Town of Estes Park Copy Permit Number M -c.J,-
Received By c.Long-Term Residential 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 Long-term Residences 30 days or more.Permit Expires
____________
Job Address:a?13 )‘-“/(Condo:No LI Yes;Lot Size:
_________sf/ac
Lot:—Block:Subdivision:
____________________________________________
Parcel #:________________________
Owner Name:(t y/Phone:.so’3
Address:)-7,’(A)I L<j)k Cy j 9-L,#)o-’,/1
(Street)(City)/‘State)(Zip Code)
Contractor:y)7.:(h(V/tL .&i Town License#:/?7 Phone:i 7o ‘fff/r’Y/
Address:(/1 tIT i h ft ?9 /i f24k (e 97/‘/;—7 7
(Street)j (City)(State)(Zip Code)
The Following Applies to New Work Only —Complete all that apply:C New Building LI Alteration C Addition Master Plan#
Plumbing Involved:LI No ‘es —State and Town Licenses Required;Plumbing Fixture Worksheet Required.
Fixtures:LI Add LI Relocate.keplace LI Demolish Water Service:LI Existing LI New -#of Meters:.Meter Size:inches
Electric Involved:LI No EYes —State &Town License Required.State Permit and Inspection Required.
Service:Existing LI New:LI Overhead LI Underground;#of Meters:;Meter Size:amps;Temp Meter:LI No 0 Yes
Type of Heat:i Gas Furnace Fuel Gas Involved:ri No LI Yes —Qualifications and System Sizing Required.
LI Electric LI Boiler Type:Natural Gas LI LPG #of Gas Appliances /Outlets:
Building #Floors Basement (sO I
St Floor (sfl 2”’Floor (sf)Garage /Carport (sf)Porch wi Roof Deck wlo Roof
Height:Fin Fin J )1 Fin Ji Attached AL (sO (sO)Ft.I Unfin ‘‘Unfin________Unfin ‘Detached 1V’
Job Description:4 1t_t’i ..F ‘—i i...5 .-
Total Valuations (Labor &Materials)x,&Oi-,2-
I certify this application isfrue and correct and agree to pd’orm the woth described according to plans/specifications submitted,reviewed and approved,and comply with
local ordinances,state and federal laws as well as building codes.I certify that I 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.
1LContractor C Owner C Owner’s Agentc:.
__________________________
Date/(Print Name /2’))d4 e//.JIgIIatuLc —
L
***Office Use Only ***
Job Description:Application Information
Q4 1i-L (7..(.(’e-L rt,Approved Disapproved Fees
Public Works
ApQlicable IType of Occupancy Class(es):Water
Coae(s):Cñnstruction:,____
Light &Powerc4d-riqic,
Occupant Load(s):Floor Load(s):Load:
Planning
Variances:Fire Department
Building ‘3‘j I.
Setbacks I FronW Rear River Plan Review
Zoning Hazards ICensus #County lax OpCeoWildfireFloodL.j Certificate of Occupancy
DateBuilding?fflcial 2-i-l”(L
Total L)Q1fr4’
Received Date ‘10 1..01_.1t’
Building Use(s):LI Owner /Residence LI Rental —30 days or more LI Accessory Dwelling
Existing use:/?eS ic Proposed use:i X’;#of New Dwellings:
______
;#of New Kitchens:
_____
Sewer:.Estes Park Sanitation LI Unner Thompson Sanitation LI Private Septic —Renuires Applicant to first go to the Health Department.
C Tenant
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