HomeMy WebLinkAboutPERMIT 2180 Blue Spruce Ct Storage Room 2010-05-26Receivdbate’.,/(O Town of Estes Park PeimitNumber1j4‘Received By .#.LongTerm Residential Application I Building Permit -‘Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517 Application Expires LL 7-i!;General Information and Inspection Line (970)577-3731 •FAX (970)586-0249 •www.estesnet.comNOTE:Use this Form for Long-term Residences 30 days or more.
Permit Expires ii .±1JobAddress:.‘‘B I ‘p cc e’Condo:3No D Yes;Lot Size:9 ‘stY,
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Owner Name:k’-’n /fr’,-.,-,Phone:q 7c 5 )J 3/Address:/6”-’/3 /,.
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(City)(State)(Zip Code)Contractor:(J it’Z—
Town License #:
Address:
(Street)(City)(State)(Zip Code)The Following Applies to New Work Only Complete all that apply:Cl New Building Cl Alteration Addition Master Plan#
Building Use(s):-Owner I Residence C Rental —30 days or more C Accessory DwellingExistinguse:
___________________
Proposed use:*o #of New Dwellings:
______
#of New Kitchens:-
Sewer:C Estes Park Sanitation Upper Thompson Sanitation C Private Septic —Requires Applicant to first go to the Health Department.
Plumbing Involved:l No U Yes —State and Town Licenses Required;Plumbing Fixture Worksheet Required.Fixtures:C Add C Relocate C Replace C Demolish Water Service:IcExisting C New -#of Meters:.Meter Size:inches
Electric Involved:C No lYes —State &Town License Required.State Permit and Inspection Required.Service:3 Existing C New:C Overhead C Underground;#of Meters:
;Meter Size:—amps;Temp Meter:C No C Yes
Type of Heat:C Gas ,C Furnace Fuel Gas Involvedj’Jo C Yes —Qualifications and System Sizing Required.
C Electric (C Boiler Type:C Natural Gas C LPG 41of Gas Appliances I Outlets:
Building #Floors Basement (sf),i’Floor (sO ,,—‘2d Floor (st)Garage /Carport (sO Porch w/Roof Deck w/o Roof
Height Fin Fin Fin Attached 2/(sf)(sO
Ft.Unfin Unfin-Unim DetachedJobDescription:.-c ‘e Total Valuations (Labor &Materials)I’c,4.Lj1.J-2 tti*a7 Is /1 5&VIcertifythisapplicationistrueandconectandagreetoperformthewrkdescr?ed 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]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.
,IClContractorOwnerClOwner’s Agent C Tenant:
____________________________
-Date
372 hrint Name .
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***Office Use Only ***(zfr&):.-Lo.s —c:v•
Application Information
Lot:l Block:-Subdivision:/1
(Street)
Parcel#:3 52 2.Oc3c.3 ‘/
17/4.7
Signature
Job Description:o
3(DD t170 M ::$7O(t’1rt1 /Vcfr
/Tg k1cr)ki &Cr2<ii
Occupant Load(s):
Variances:‘:soc\ç_G(
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