HomeMy WebLinkAboutPERMIT 170 Boyd Ln Insulation, Wiring, Steps, Drywall 2011-06-28Received Date Town of Estes Park PermitNumber________
Received By C Long-Term Residential Application I Itlding Permit
Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517 Application Expires i 2-C ço
General Information and Inspection Line (970)577-3731 •FAX (970)586.0249 www.estesnet.com 2 I
NOTE:Use this Form for Long-term Residences 30 days or more.Permit Expires I 2-Z-Q
?-,&2C(1(-Condo:DNo D Yes;Lot Size:6Z33sfJac‘—-/A Parcel#:)‘7 €_-c
________________Phone
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(St6t)/(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:New Building 4lteration 0 Addition Master Plan#
Building Use(s):Owner I Residence 0 Rental —30 da r-i cessory Dwelling
Existing use:
___________________
Proposed ;#of New Dwellings:;#of New Kitchens:
______
Sewer:0 Estes Park Sanitation 0 Upper Thompson SttT {vate Septic —Requires Applicant to first go to the Health Department.L)OL
Plumbing Involved:NO 0 Yes —State and Town Licenses Required;Plumbing Fixture Worksheet Required.
Fixtures:0 Add D’Relocate 0 Replace 0 Demolish Water Service:0 Existi i-#ofMeters:1 Meter Size:inches
Electric Involved:0 No ,JL’Yes —State &Town License RequireiStce_Permit and Inspection.Rred.
Service:‘Existing 0 New:0 Overhead 0 Undergrouiid;4*of Meters:;Meter Size:amps;Temp Meter:0 No DYes
Type of4leat:C Gas 0 Furnace Fuel Gas Involved:No C Yes —Qualifications and System Sizing Required.
Electric i’r C Boiler Type:C Natural Gas C LPG #of Gas Appliances I Outlets:_______
Building 4*Floors Basement (sf St Floor (sf 2nd Floor (sf)Garage /Carport (sf)Porch w/Roof Deck wfo Roof
V Ft.Unfin Unfin Unfin
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Job Description:r—-E(c —-‘ITOtal Valuations (Labor&Materials)7?pS,);V\I
I certify this application is true and correct and agree i?perform the work described according to plans/specifications submitted,ntviewed 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.
0 Contractor Owner C Owner’s Agent C Tenant
Signature Date 1./’Nmu r r :
—‘i—’-A A -.-.-....-—I
(U ***Office Use Only g
Job Description:Acc i.—[
Application Information
51$Z AVID lc4.SA4c1 0A Approved Disapproved Fees
Ovu.j tO $‘I4*-r Public Works
Cbnstruction:
llcabte J Type of
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Occupancy Class(es):Water
‘7r—3 Light &Power
Occupant Load(s):Floor Load(s):Roof Load:jf ()Planning
Variances:(.jEt-5 Fire Department
Building
Setbacks
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Fro Rear River Plan Review 5t(
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Zoning Hazards
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Census #Count.y Tax ((loGeoFloodt..(3L.f
Certificate of Occupancy
ffic”il DateBuildinA/fj (/(Total jLQi(
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Job Address:
(1Lot:Block:Subdivision:
Owner Name:
Address:/O_/
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