HomeMy WebLinkAboutPERMIT 1670 Clover Ln Water Line 2008-06-02____
Town of Estes Park 2ReceivedDate
_____________________________________
Permit Number M___________
Received By CJ Application for 1’HsceHaneous Permit Application Expires .
Department of Building Safely 170 MacGregor Avenue P.O.Box 1200 Estcs Park.CO 80517
General Information &Inspection Line (970)577-3731 *FAX (970)586-0249 *www.cstcsnet.com Permit Expires ‘0 l
Job Address:1(e ?C_ici L’612.....£J
OwnerName:.‘,Z—.?Z77—/Phone:7 ?5 /S ...s//
Address:/L )cD C (cvt&7’?’3’fr).4.
(Street)(City)(State)(Zip Code)
Contractor/Applicant:RLyI2 L t Y&tJ/1 I “N,J,JC Town License #:/J 6’Phone:(5 5 (3 L,..,o’J 1u,el-..1
Address:j J5 /7 (()
(Street)(City)(State)(Zip Code)
EJ Long-term Residential (30 days)EJ Short-term Residential (<30 days)EJ Commercial
El Replace Furnace El Gas Line (ft.)
El Replace Boiler EJ Replace Windows
EJ Replace Hot Water Heater LI Install Air Conditioning
El Minor Plumbing EJ Temporary Structure Use
LI Minor Remodel Time Period
El Fireplace Insert —circle one:Gas,Wood,Pellet;El Other
Description of Work:,,/-p
j2 p/cCQ..L,L’e
Valuation (Total Cost of Material &Labor):$IC’O C’
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
UNDERSTAND THAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW,PERMITS,INSPECTIONS AND OTHER
FEES ASSOCIATED WITH THIS APPLICATION.Note:The work authorized by this permit requires the building be provided with smoke alarms complying
with municipal codes.
Date,?f PrintName_______________fjLSignaturez
__________________________
***Office Use Only ***
Inspection Checklist:
LI Address Posted LI Equipment Access LI T &P LI Smoke Detectors
LI Contractors Licensed LI Equipment Listed LI Gas Pipe LI Rough Inspection
LI Permit Packet Available LI Equipment Clearances LI Vent LI Final Inspection
LI Safe Access LI Pan and Drain LI Combustion Air
Comments:-:PermitFee.
Census #Construthon Type:Occu ancy::County Tax:
Bui1disg Official Date
I‘ii L o6 Total:9 ç
(Ji
I’sgc I ol I _.—•——-Reit.d 7/l4’2006 (B\\Sem\mdev\Buildine\Fons\pplicatIoiis ()vr the Counter
ILAL H 9fIi(U)N iJPD)ois ‘‘c -___
OCCUPANCY GROUP .—_CONST.TYPE OCCUPANCY L0A]fLPPLRrEowmn(CONT1RACTOP
DECpTIO14OFW—(24 L jJj’J—(\
_________
riiis CAD 1UT ii OT1It AfT1U VEKILI IOM Ti ll?PONT GIF IllTI AJJ1iDMUi PROT iflZI WflIBIPLATItCORO7R1RWATiRWFATRAL.
S&BACKS
QQTJNG
-UFFER GROUND —
QLJNDATION DRAIN PIPE /RADON
DAMP PROOFING/WATER PROOFINGIFOUNDATION BASEMENT WALLS)
LLiVABING UNDERGROUNDJINSIDE BUILDING)
SEWER SERVICE &UNDERGROUND OUTSH)E OF BUILDING (SAN DIST,)
WATER SERVICE
ROUGH MECHANICAL
ROUGH PLUMBING
ROUGH GAS
(IREPLACE
ROUGH ELECTRIC (STATE INSPi
ROUGH BUILDNG
XTERIOR WALLS (VENEEW)&OPENINGS
FIRE BLOCKJNG /FIRE STOP
ROOF Mi])FINAL
ROUGH INSULATION
DRYWALL
SPRINKLER (STATE CERT ll’SPi
COUNTY WILDFIRE
FINAL ELECTRIC (STATE
FINAL JOB COMPLETED
—p 3 C)S’
ALL INSPECTIONS MUST BE REQUESTED BY CALLiNG 577-3731 BY 4:00 Pd’I.THE PRECEDING WORKi)AY,INSPECTIONS CAN ONLY BE REQUESTED BY THE CONTRACTOR PERFORMING THE WORKroBEINSPECTED.ALL INSPECTION REQUESTS MUST INCLUDE THE CONTRACTOR S NAME ANDTOWNLICENSENUMBER,JOB ADDRESS,TYPE 01?INSPECTION(S),AM)PERMIT NUMBERFAILURETOCOMPLYWITHANY01?THESE REQUIREMENTS MAY DELAY INSPECTIONS.
Revised 11/03/2005 -SA
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Y6wN of ESTES PARK
RIGHT-OF-WAY WORK PERMIT
P.O.Box 1200,Estes Park,CO 80517
970-577-3586 970-586-6909fax gsieversestes.org
PERMIT #_1.45
EXPIRES 30 DAYS FROM ISSUE
GENERAL INEORMATION
MINUr—”dUM 5 WLJLQCJJNU iCilY ti Itti.)UIICbL)tUIC bINUJJNtLUNU Rflqv.UvN.,[Jr name t-z 4m34&Th3 contEfor /2addressi29aWiaA2&k’iitt14F I6ek tyb*7b&
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phone j6or
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PROJECT INFORMATION
Work Iocatlàn 3 bod4 open cut”
fl $L(lf5).4 4.ADDRESS I 4
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SUBDIVISION
4ØLOcK *\r’nr -.
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I purpcai AT k s AS $ELEcRC PRONE€,CAVIlnearestlpterctIoz,‘C :.a4,
SURFACE IMPROVEMENTS -SURFACE
jasphalt roadway gravel roadway concrete drivewayj__jong X__wlde jong X wIde ,jong Xwide culvert lengthjSFSFSF
AflACH COPIES OF THE FOLLOWING TO THIS DOCUMENT
eeyes
TRAFFIC CONTROL PLAN g TIME OF DAY OPERATION
_____________________
LANDSCAPING PLAN 0 ENGINEERS NAME
___________________________
DOWNTOWN PROVISIONS 0 DEVELOPMENT PLAN APPROVAL dare________________
INSURANCE PROVIDED FOLLOW tiP AS-BUILTS required 0 yea 0 no
‘l 1t1sr’4JIj r/l 1 ij&t -,“-I.t j C
(35s in I-t*.a%%pk4..t’)SPECIAL COM)ITION3
d)ØgMt 5nz.e-r cot-r Lnt(g t4S W4ActeSto,nat.,J T’A A0Do41#.
BY DATE
4
I
PERMIT COST =TOTAL $O M,J.PAID yes no
1
APPROVED &ISSUED BY (Greg Sievers)
6’CALL BEFOKE YOU DIG 1-800-922-1987 final inspection date
-.,--——-.—..-./7 _7-r
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WORK SHALL NOT PROCEED UNTIL APPROVED
When corrections have been made,call for re-inspection:970-577-3731.
General questions:call 970-577-3735.
Date Requested )c2Z ‘c?!C/yPermit#____
Date Inspected &3’c—’Inspector
TOWN OF ESTES PARK
Department of Building Safety
INSPECTION RECORD
JOB ADDRESS /670
REQUESTED BY /-/4,’%y-*TOWN LIC.#/7z
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CONTACTINFO./
2 1
TYPE OF INSPECTIONS /C//(1 ‘é I —-
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$100.00 Re-Inspection Fee Assessed LI