HomeMy WebLinkAboutPERMIT 641 Chapin Ln Remodel 2007-02-19Received Date
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Town of Estes Park
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Received By Long-Term Residential Application /building Permit t
Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517 Application Expires LI
Job Address:(Condo:Ø,No DYes;LotSize:/
‘(Street)(City)(State)(Zip Code)
Contractor:S&-t 1(itx 13 j Town License #:L Phone:3 20
Address:OI(y
(Street)(City)(State)(Zip Code)
The Following Applies to New Work Only —Complete all that apply:U New Building ,ØA1teration C Addition Master Plan#
Building Use(s):Owner!Residence U Rental —30 days or more U Accessory Dwelling
Existing use:‘-‘--s_’-Proposed use:
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;#of New Dwellings:
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#of New Kitchens:
Sewer:Estes Park Sanitation U Upper Thompson Sanitation U Private Septic —Requires Applicant to first go to the Health Department.Plumbing Involved:U No U Yes —State and Town Licenses Required;Plumbing Fixture Worksheet Required.
Fixtures:U Add E Relocate U Replace U Demolish Water Service:U Existing U New -#of Meters:.Meter Size:inches
Electric Involved:U No Yes —State &Town License Required.State Permit and Inspection Required.
Service:Existing C New:C Overhead U Underground;#of Meters:;Meter Size:—amps;Temp Meter:U No U Yes
Type of Heat:Gas-4ls -U Furnace Fuel Gas Involved:U No U Yes —Qualifications and System Sizing Required.l Electric-.--U Boiler Type:Ej Natural Gas U LPG #of Gas Appliances!Outlets:_______
Building #Floors Basement (sO 10 Floor (sf)2nd Floor (sfl Garage I Carport (sO Porch w!Roof Deck w/o Roof
Height:Fin
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Fin
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Fin
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Attached
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(sfl (sO
Ft.Unfin
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Unfin Unfin Detached
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J0,Description:..--bc >I I Total Valuations (Labor &Materials)),‘SL
.:ov ti ---$
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 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
TJNDERST%ND THAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCuRRED FOR PLAN REVIEW,PERMITS,INSPECTIONS AND OTHERFEESASSOCIATEDWITHTHISAPPLICATION.
C Contractor ,Owner U Owner’s Agent U Tenant
L(Date’’’Print Name CCC..(&,
Office Use Only ***
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 Number —‘-
‘-oPermitExpiresL1
Lot:Block:Subdivisjon:1l L 1YsfL,O PLtk..L A4A Parcel#:--
Owner Name:j (Phone:C 2’2 SC
Adr R’f kS,Cc C’2c
Signature ‘--(
Job Description:-cJ Utlt414’.ebs Lk-JL’VtLL I)L)’
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Application Information
IOccupancy Class(es):