HomeMy WebLinkAboutPERMIT 448 Chiquita Ln Bathrooms 2013-02-13Address:
(Street)(ity)
Email address (REQUIRED):don /)1C&’rJejfl4Sfr c13f1/7
The Following Applies to New Work Only —Complete all that apply:U New Building U Alteration U Addition Master Plan#Building Use(s):C Owner /Residence C Rental —30 days or more C Accessory DwellingExistinguse:Proposed use:
;#of New Dwellings:;ft of New Kitchens:Sewer:C Estes Park Sanitatio C Upper Thompson Sanitation C Private Septic —Requires Applicant to first go to the Health Department.Plumbing Involved:C No Yes —State and Town Licenses Required;Plumbing Fixture Worksheet Required.Fixtures:C Add C Relocate C Replace C Demolish Water Service:C Existing C New -ft of Meters:.Meter Size:
______
inchesElectricInvolved:C No C Yes —State &Town License Required.State Permit and Inspection Required.Temp Meter:lo C Yes
Service:dsting C New C Overhead C Underground ft of Meters:
_______
Meter Size:—amps;Phase Voltage
_________
Type of Heat:-Gs ‘1’jrnace Fuel Gas Involved:C No C Yes Qualifications and System Sizing Required.C Electric C Boiler Type:i?iaturai Gas C LPG ft of Gas Appliances /Outlets:Building Height:ft Floors Basement (sf)1 Floor (sf)2re Floor (sf)Garage /Carport (sf
{
Porch w/Roof Deck w/o RoofFin—iVpV Fin
__________—
Fin Attached fr 4Jtsf)(sf)Ft.
I
Unfin —______Unfin Unfin
________—
Detached ——Job Descnpom Itavz
have submitted :Minn’jm Submittal Checklist for Residential Const uction Plans-2039 RC ,::-s app cao1.
certify this application is true arid 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 pern;ission to apply for this permit.Additionally,IUNDERSTANDTHATIAMRESPONSFORANYFEESOREXPENSESINCURREDFORPLANREVIEW,PERMITS,INSPECTIONS AND OTHER FEES ASSOCIATED WITH THISAPPLICATION,/7 Contra or U Owner U Owner’s Agent C Tenant
Signature J&/21-4 nre
______________
--
r -——
Job Descriøtion A 41 o4 ti t 70 tSA’it-,)-i’7 Dei.Z’\\Approved Disapproved Fees
Applicable Code(s):Type of Const.Dcc r seic9vq3,.Z
::::::L Floor Load(s)::
Front Side Rt in /‘Ri County TaxSetbacks
Cent_of_OccupancyZoningCensusIiHatardsCeoWildfireFlood
TotalBuiidin,,ffi.f al Date
%€.e ‘1 t9 FR 1 1 7ll17
Received Date -‘,.52Z’13 Town of Estes Park
ce
Copy
Job Add res:
Lot:Block:
Received By Long-Term Residential Application/Building Permit
Division of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517 Application Expires
____________
General Information (970)577-3726 •FAX (970)586-0249’www.estes.org
/NOTE:Use this Form for Long-term Residences 30 days or more.Permit Expires
Permit Number
______________
Owner Name:4i
t7LL/‘#I 1LJ I ‘7A Condo:Yes;
/1/i4i/AJ /3ci&c 7b r_Subdivision:Parcel#:35243’-07
Address:_/7 ,4’.14h&
(City)
Contractor:L L_C
Lot Size:
___________sf/ac
gqç ke&w4 /
Phone:/-57 -5L15
/(State)(Zip Code)
Town License #:/t/7 Phone:______________
(State)(Zip Code)
X:tBuiIdIflgI)Cpl\lv1nruktRctcirncrs Iti cting\Appiicalr’n\l3siiIdingLnn.Icrni Resulenilal Building Pt’nnii\t ong—lerm Residenijal Building l’ernii 2011 Al’l’IB )VI I).,Ic Reied(,,14/21)12-KI
Received By_i’6’Application for Building Permit
Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517
General Information (970)577-3726 •FAX (970)586-0249 •www.estes.org
Approval on non Town entities is the responsibility of the permit applicant.Please obtain the appropriate approval(s)of the
following authorities,as advised/highlighted by the Building Official.Each authority will have its own requirements,policies
and procedures,and fees which are distinct and separate from Municipal requirements and fees.Permits will not be issued
prior to obtaining required approvals.
1.SANITATION DISTRICTS
Upper Thompson Sanitation District
Estes Park Sanitation
New Construction
Adding,Relocating or Vacating Plumbing Fixtures
E Adding Square Footage to Existing Building Footprint
Adding or Vacating Septic System
San/OiI Interceptor /Grease Interceptor
SANITATION COMMENTS:i-tA-v {)ijIi(V\A.),pL-—4Qs(o+t4o
Note:New Interior Grease Traps are prohibited by the
Building Department and the Health Department.
Received Date A/’(‘Z JS Town of Estes Park Permit Number________
job Address:i/-tfQ (f/’f2jii4 L-il
Lot:—Block:Subdivision:Parcel #:_______________________________
OwnerName:M4-,?rJ 77 Phoflt(”W 57z (27
Address:3O /iJ,(i?Aic 7WC/4 tduj,4 5244S-
Lot Size:
____________________sf/ac
Stret (state)(Zip Code)
Contractor:)4d4R 1 1-cA1 tj_••_Town License #:/4t79 Phone:3-g 23—5-7 7i?
Address:i R 7 l—,w ç c0
(Street)/(City)(State)(Zip Code)
HEALTH DEPT.COMMENTS:
Approved ‘Date
2.LARIMER COUNTY HEALTH DEPARTMENT
Commercial Food /Drink Preparation
Alcohol Sales (On Premise)
Day Care (6 Or More Children Under Age 18)
Septic System
Sewer Lift Stations
Public Swimming Pools /Spas /Hot Tubs
Approved Date
3.ESTES VALLEY FIRE PROTECTION DISTRICT
EE
E
Approved Date
FIRE DISTRICT COMMENTS::
Ser er 13 Building Forms ApplicationsBuilding Page 2 Revised 202 2011 -KT
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