HomeMy WebLinkAboutPERMIT 459 Chapin Ln Remodel 2006-10-19Received Date ‘7)11 1 Town of Estes Park
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Received By Long-Term Residential Application I Building Permit
Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517 Application Expires 41I ‘I
General Information and Inspection Line (970)577-3731 •FAX (970)586-0249 •www.estesnet.com
4NOTE:Use this Form for Long-term Residences 30 days or more.Permit Expires ‘
Job Address:/‘(Fz,i i,J 7tE 5 P4/k CC Condo:‘No D Yes;Lot Size:•e sf/€
—-Lot:“Block:Subdivision:A\C)Parcel #:3 S —(3 C)(S f
Owner Name S4-Le_-Phone G2 (1 9
(City)(State)(Zip Code)
(Street)(City)(State)(Zip Code)
The Following Applies to New Work Only —Complete all that apply:D New Building Alteration D Addition Master Plan#
Building Use(s):Ovner /Residence D Rental —30 days more D Accessory Dwelling
Existinguse:Proposeduse:;#ofNewDwellings:0 #ofNewKitchens:
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Sewer:Estes Park Sanitation D Upper Thompson Sanitation D Private Septic —Requires Applicant to first go to the Health Department.Plumbing Involved:U No IN Yes —State and Town Licenses Required;Plumbing Fixture Worksheet Required.
Fixtures:Add Relocate Replace Demo1ish Water Service:Existing U New -#of Meters:I .Meter Size:•inches
Electric Involved:U No I Yes —State &Town License Required.State Permit and inspection Required.
Service:IJ Existing U New:Overhead U Underground;#of Meters:I ;Meter Size:2o_amps;Temp Meter:No U Yes
Type of Heat:Gas U Furnace Fuel Gas Involved:U No flJ Yes —Qualifications and System Sizin Required.
Electric I Boiler Type:.Natural Gas U LPG #of Gas Appliances I Outlets:_______
Building #Floors Basement (sf)1a Floor (sO 2 Floor (sf)Garage I Carport (sf)Porch w/Roof Deck w/o RoofHeight:41 Fin Fin 7 2.Fin 13 13 Attached 4 (sf)O (sf)
Z 9—(/.2...Unfin Unfin Unfin ?ric.j Detached
Job Description:Cz)‘.c’-S,tiP’RA E.4 Total Valuations (Labor &Materials)j.ROf1a.11 I f21O.
I certify this application is true and correct and agree to perform the work described according to plans/specifications submitted,reviewed and approved,and comply withlocalordinances,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,IUNDERSTANDTHATIAMRESPONSIBLEFORANYFEESOREXPENSESINCURREDFORPLANREVIEW,PERMITS,INSPECTIONS AND OTHERFEESASSOCIATEDWITHTHISAPPLICATION.l Contractor D Owner DOwner’s Agent D Tenant
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Date Print Name /AI4...c ...r14
***Office Use Only ***
Job Description:&Qt I N-5U L#11ON Application Informationwot.(-O)#VS j...-Anoroved Disapproved —FeesC_i.—Public Works PERMIT LOSE..—
Pli(cble otiction:Occupancy Class(es):Water —
:f:;—
q Light &Power c)vrpA N_______
Occupant Load(s):Floor Load(s):Roof Load:‘‘—--flfl__Planng
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Variances:Fire Departmel
1c4—
Building
Setbacks Fron.Sides.Rear River Plan Review 3(•
Zoning Hazards Census#County Tax
.j (o’00GeoWildfireFlood4,7 JL.CertificateofOccupancy .V
Building Official DateAJ1(_(I4’/1_./Q Total
Permit Number
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Address:C ,,‘S”os(Stret)
Contractor:1V1 i-t(.Town License #:J I 4I Phone:970 ‘1€’S1’
Address:1(OI Esrk ?
Signature
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