HomeMy WebLinkAboutPERMIT 850 Black Canyon Dr Addition 2013-01-29OWE
Received Date ..2c7/9 f 9 Town of Estes Park COPV Permit Number a- 9341
ca7 Long-Term Residential Application/Building Permit
Division of Building Safety 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517
Application Expires
NOTE: Use this Form for Long-term Residences 30 days or more.
General Information (970) 577-3726 • FAX (970) 586-0249 www.estes.org
Permit Expires 7/23 7-0/4
Job Address: -r-i, B,L-Ite_g- Gilq1/4.tkiN Q. Condo No • Yes; Lot Size: sf/ac
Lot:1-NBlock: Subdivision: c2:)LACY- 6:1049(2;-4 Parcel #: ..3c2-(-4 1 -C)C- C-N-"(
Owner Name: YIP\ 14404, A 1 " '0 cA.,S evi-4 Nc-c-ii.-L-L-74- CORP Phone: 6$(41 - -3 (-17._
Address: .25.--Li -,&-Wic._ K- Cfrtsf Y. OM- tO kz "rel-) rt;INW_ CO ,F05-1 7
(Street)
(642_
(City) (State) (Zi Csade- --
Contractor: 631-7---,y), CO,r-Cci:LCAC TX/ 7.4 Town License #: 2? Ph e: 920 - -
Address: C7iSci WI L-OFt RE- le O Es-Ptle.c•-_ ( 0 czei,;1*-7
(Street) (City) (State) (Zip Code)
Email address (REQUIRED): Npri-pi-o-f-1 ?'', wEc-.11:34C-Q,c_ci1/41s-riz,.4c-nc-iNe . co .,-
The Following Applies to New Work Only - Complete all that apply: 0 New Building 0 Alteration )(Addition Master Plan4
Building Use(s): J:1-0-wner / Residence 0 Rental -30 days or more 0 Accessory Dwelling
Existing use; Proposed use: , # of New Dwellings: ; St of New Kitchens:
kwer: ,121-Estes Park Sanitation 0 Upper Thompson Sanitation 0 Private Septic - Requires Applicant to first go to the Health Department.
Plumbing Involved: 0 No ifl Yes - State and Town Licenses Required; Plumbing Fixture Worksheet Required.
Fixtures: 0 Add 0 Relocate 0 Replace 0 Demolish Water Service: liFExisting 0 New - # of Meters: . Meter Size: inches
Electric involved: 0 No ,21-Yes - State & Town License Required. State Permit and inspection Required. Temp IVIeter:VNo 0 Yes
Service: i,Existing 0 New 0 Overhead 0 Underground # of Meters: Meter Size: amps; Phase Voltage
Type of Heat: 0 GasCx.r5.-fmt 0 Furnace
0 Electric .213oiler
Fuel Gas Involved: 0 No 0 Yes - Qualifications and System Sizing Required.
Type: V Natural Gas 0 LPG ft of Gas Appliances / Outlets:
Building Height:
---Z-6- Ft.
# Floors
7--
Basement (sf)
Fin
I.' Floor (sf)
Fin
2rd Floor (sf)
Fin
Garage / Carport (sf)
Attached
Porch w/ Roof
(sf)
Deck w/o Roof
(sf)
Unfin Detached Unfin Unfin
Job Description:Total
A00 MO;-( •-11S-5 t,40 ,k4j - /(406.1 4 1-r7 £c
Valuations {Labor & Materials)
I S IS-0 000 -Zd-i&
I have submitted the Minimum Submittal Checklist for Residential Ciinstruction Plans-2009 IRC with this application. 4 114( i c.,. roan,- b ..... C. Ve
F certify this application is true and correct and agree to perform the work described according to plans/specifications submitted, reviewed and approved, and compl 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. a'Contractor 0 Owner 0 Owner's Agent 0 Tenant
il
Signature 11.\---"\l‘ ti Date ( -7; -(3 Print Warne N PrrYP-74 K ,PLE
-- Office Use
Job Description: J 0 /7/0 ot/ 70 Ae0c/S 9 i 5C F
Only ***
Dept. Approved Disapproved Fees
Applicable Code{s):
70 0 9 -rg- C
Type of Const.
-ZW C-
Occupancy Class(es): Public Works
“-C/e C Water
Occupant Load(s): Floor Load(s): Roof Load: Light & Power
/S 77 A-1' Planning --r/ 6:# s. ex7
Variances: / Building XIII /273. 75
Plan Review ic,"' 027.94-
Setbacks
Front Side
1 5 ''—.---,1
Rear River County Tax r./i 4 50. - cc)
_--
1V/A Cert. of Occupancy (
Zoning 6-„ i Census # _
, (Hazards/
—
4 Geo Wildfire Flood Total
Building 0 co Date
7", /ee.- ESL-7.0 A? -9 z -0 6. pA II D Z 6/ C. 69
i
XAlluildingDept fonnsandReferences_Building\Applications\BuildingTong-tent Residential Building Pennit \Long-tenn Residential Building Permit 2.011 APPROVED.doc Revised
6114/2012- KT
Received By
7/4±37or)/3