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HomeMy WebLinkAboutPERMIT 270 Cyteworth Dr Kitchen & Bath Remodel 2012-09-07-El Town of Estes Park•i’T Received By_________Long-Term Residential Application/Building Diyision of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517GeneralInformation(970)5773726 •FAX (970)5860249 •www.estes.orgNOTE:Use this Form for Long-term Residences 30 days or more. Permit Number _______________ Permit Application Expires j ‘j)U —1PermitExpires _______________ Email address (REQUIRED): -(State)(Zip Code) Town License #: ________Phone: ‘97k 9.33 (State)(Zip Code) The Following Applies to New Work Only —Complete all that apply:D New Building _8lteration D Addition Master Plan#Building Use(s):‘1 Owner /Residence C Rental —30 days or more C Accessory DwellingExistinguse:Proposed use: ;It of New Dwellings: ;It of New Kitchens:Sewer:C Estes Park Sanitation 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 Relocate C Replace C Demolish Water Service:l Existing C New It of Meters: _________ Meter Size: ______ inchesElectricInvolved:C No Yes —State &Town License Required.State Permit and Inspection Required.Temp Meter:No C YesService:i’Existing C New C Overhead C Underground It of Meters: ________ Meter Size:—amps;Phase _________ Voltage _________ Type of Heat:C Gas C Furnace Fuel Gas Involved:No C Yes —Qualifications and System Sizing jequired.C Electric Boiler Type:Natural Gas C LPG It of Gas Appliances /Outlets:4LBuildingHeight:#Floors Basement (sf)1”Floor (sf)2 Floor (sf)Garage /Carport (sf)Porch w/Roof Deck w/o RoofFin __________ Fin —__________Fin __________ Attached ________ (sf)(sf)Ft.Unfin Unfin Unfin _________ Detached ________ I I Job Descçiption: L.. ITotal Valuations (Labor &Materials)‘t-\$C-cP--- I $75thavesubmittedtheMinimumSubmittalChecklistforResidentialConstructionPlans-2009 IRC with this application. 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 owners 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 THISAPPLICATION.Contractor C Owner C Owner’s Agent C Tenant Sign Date Z—Print Name 1’IkJ A.. Job Description: Applicable Code(s):Type of Const,..Qccupancy Class)es): Public WorksRCfIC(v-g’‘‘-Water Li,orLoaats):f L”d,6OfLoacl.Light&Power Plan ReviewFrontSideRear f River County TaxSetbacks I Cert.of OccupancyngCensusItHazardsGeoWildfireFloodlngOwTotal (1 Job Address:27c’W7h’ Lot:—Block:_Subdivision: ______________ Owner Name:-ihi.i<)Pi PE Address:2-T’/77/,?4RJ(Street)(City)Contractor:774-r “C..77c,J Condo:No C Yes;Lot Size:.3ac.sf/ac -Parcel #: Address:137 d&PA, Phone:‘Z 7’/7 (Street)(City) ,-17 f24L Dept.Approved Disapproved Fees I,, X:Utuildin,iI )eiv\liiwis:indRcIcirn es Ituilding\Applications\Building\I.cmg—icnii I<esIciiiial Iiuilding I’cnTIk\I i)ngIcrln Residnnial Ilullclins R’rmil 2(111 API’R(IVI,t).duc km isml 6i4I2l2-KF RESIDENTIAL PERMIT INSPECTION RECORDJOBADDRESS(7Q CLjt uith PERMIT #ii \\7OCCUPN2YGROUP3_CONST.TYPE OCCUP4NCY LO D SPRINKLER _____ OWNER \CONTRACTR.)fL L(PHONE ic 75DESCRIPTIONOFWORK____________________ ____________________ THIS CARD MUST BE POSTED AND VISIBLE FROM THE FRONT OF JOBSITE AND MUST BE PROTECTED WITH PLASTIC OR OTHER WATERPROOF MATERIAL. SETBACKS FOOTING LJFFER GROUND DAMP PROOFING/WATER PROOFING (FOUNDATION BASEMENT WALLS)FOUNDATION DRAIN PIPE/RADON SEWER SERVICE &UNDERGROUND OUTSIDE OF BUILDING (SAN DIST.)WATER SERVICE PLUMBING UNDERGROUND (INSIDE BUILDING) _________________ ROUGH PLUMBING (A-it 9 . ———--—,ROUGHMECHANICAL I1PC(-e/_(‘f-7 1 ROUGH GAS _______________ FIREPLAC(S ______________________ ROUGH ELECTR1C(STATEINSP.)y-EXTERIOR WALLS (VENEER)&OPENINGS FIRE BLOCKING /FIRE STOP ROUGH BUILDING ‘/j 7i—/ FIRE BLOCKING I FIRE STOP ROOF IN PROGRESS _____________ ROUGHINSULATION /‘72 __________ SPRINKLER (STATE CERT INSP.) COUNTY WILDFIRE ________________ FINAL ELECTRiC (STATE INSP.) I 1-1-vI — - (_1 WAFER \4LIFR INSTAL ____________________________________________________ I FINAL JOB COMPLETE[) 1 — ____ -[I I’SPI C I lO’S MLS 1111 RI Q1 1 IF D B C 4[ElM1 77 7M B\4 00 P M I HI PRF (I DING WORK DAY.INSPECTIONS CAN ONLY BE REQUESTEI)BY THE CONTRACTOR IERFORMING TIlE WORK TO BE INSPECrFED.ALL INSPECTION REQUESTS MUST ENCLUI)E THE CONTRACTORS NAME ANI) TOWN LICENSE NUMBER,JOB AI)I)RESS,ryp OF INSPECTION(S),..ANI)PERMIT NUMBER. FAILURE To COMPLY WITH ANY OF THESE REQUIREMENTS MAY DELAY INSPECTIONS. \\ererl 3\huildi deph\inspc un forms.tc\resideniiuI flbjkLt rn crcI.duc Rc cd 06/13/20(16 —(‘B _______________ Permit# _________________ Inspector ___________________ TOWN OF ESTES PARK Building Division INSPECTION RECORD _____________________ TOWN LIC.#3LJ •WORK SHALL NOT PROCEED UNTIL APPROVED When corrections have been made,call for re-inspection:970-577-3731.General questions:call 970-577-3726. Date Requested ‘Ldc P”i (I7/3 Date Inspected __________________ — ___ JOB ADDRESS REQUESTED BY CONTACT INFO. _____ TYPE OF INSPECTIONS 3(-9s3 $100.00 Re-Inspection Fee Assessed 11 CONTRACTOR /SUBCONTRACTOR TOWN BUSINESS LICENSE AFFIDAVITApplicantName: Business Name:--ii1Tei- Mailing Address:17r c’A-.L4- Phone Number:1 Address of Project:Zic’Ttzr7+ Type of Project:c._ Please list the required information for all contractor/subcontractor,who performed work/services for the above project. Business Name Contact Nane h1ete Business.,Ltcense#£7?-ir--Rc’Zi1p 13’‘Ky M7)!!M17ia c xJ 12.03 I 1Jsf 44e,,d47- -I€4J2o7—’’-f7t-1i€i1 f4ii1T ,,€,y’E Z-°ø / (P/ZB’(i giIt)6 yW-&iVtr z7-;/77 Li1 6P.‘oS77 Z I certify that this Affidavit represents a complete list of contractors/subcontractors who provided work/services on the project described above,and I understand that Final Inspection or Certificate of Occupancy will not be issued until all contractors/subcontractors listed above have acquired a current Town of Estes Park Business License. Applicant’s Signatu.,.i 2,& Date:RETURN COMPLETED FORM TO:TOWN CLERK’S OFFICE,TOWN OF ESTES PARK,P.O.BOX 1200,ESTES PARF CO 80517InitialedBy:Town Clerk:________Date:(‘II iI 13 Building Official:_______Date:( 6/14/02 Date Requested Permit# _________________ Date Inspected C Inspector ____ TOWN OF ESTES PARK Building Division INSPECTION RECORD JOB ADDRESS 29 ;cL REQUESTED BY _________________________ TOWN LIC.#7-3 j ?c )-CONTACT INFO.Li /‘ TYPE OF INSPECTIQNS __ -4 --r- I I ___ frr ___________________ 4q WORK SHALL NOT PROCEED UNTIL APPROVED When corrections have been made,call for re-inspection:970-577-3731.General questions:call 970-577-3726. $100.00 Re-Inspection Fee Assessed LI Date Requested I Permit#9 Date Inspected Inspector / TOWN OF ESTES PARK Building Division INSPECTION RECORD JOB ADDRESS c (L€Q REQUESTED BY -- _____- TOWN LIC.# CONTACT INFO.O TYPEOFINSPECTIONS 7 ///1/1(/ WORK SHALL NOT PROCEED UNTIL APPROVED When corrections have been made,call for re-inspection:970-577-3731. General questions:call 970-577-3726. $100.00 Re-Inspection Fee Assessed LI Date Requested _______________ Permit# ________________ Date Inspected ‘‘/-Inspector “‘-‘7 TOWN OF ESTES PARK Building Division INSPECTION RECORD JOB ADDRESS 2 1/t24 7i REQUESTED BY ___________________________ TOWN LIC.#J CONTACT INFO.//4 —-4 ( TYPE OF INSPECTIONS _______________________________________ /1• / I If / WORK SHALL NOT PROCEED UNTIL APPROVED When corrections have been made,call for re-inspection:970-577-3731. General questions:call 970-577-3726. $100.00 Re-Inspection Fee Assessed El Date Requested ZOIZ —/0 -,Permit#p6—9Z 7Z Date Inspected ZO/Z—/c2 —Inspector 8/’,-‘ TOWN OF ESTES PARK Building Division INSPECTION RECORD JOB ADDRESS 70 REQUESTED BY J’T’tVE I,A-S TOWN LIC.#Z?4’4A-7S 7AJCT CONTACT INFO.970 —3/O-92 7Fz&e io TYPE OF INSPECTIONS /4-i’7/it/ ( ‘cw,c,eIo -1 / f)/6/2/’/.1 1) —-—/A ZT’,/1 ui J-•/.//c117k-j 67,€Y”(‘,J6..1 J)?/4 // WORK SHALL NOT PROCEED UNTIL APPROVED When corrections have been made,call for re-inspection:970-577-3731. General questions:call 970-577-3726. $100.00 Re-Inspection Fee Assessed El 4. 0a)0. C)0 . (0 . 2 Lu g ) o. zo ii : ICl )z0H .0 o Ui LL D H — C) U <C O F-o >- OH 00o0.) r)1) N / ii i LU C) >: .OIf ) .o _ N 1’ C •_ J (j C ’ J —I. IbIlwc , Qo o $i 5 rr -D C i- Ec i , I- CcrZa)0 ._ i >C JG ) - C - 0C. )w / -cC)U)U)C)U)U) C) LL0C- ) C)0. U)C0001 U C, ) Cl ) C) LUQ: F- U Cl ) o w <C D CD 0 O Li i -) 0: : : Date Requested ,o /z -/0—/5_-0 9 Date Inspected zoiz Permit#_ Inspector ,?1Z7 / JOB ADDRESS TOWN OF ESTES PARK Building Division INSPECTION RECORD 7E&)O/7W WORK SHALL NOT PROCEED UNTIL APPROVED When corrections have been made,call for re-inspection:970-577-3731. General questions:call 970-577-3726. REQUESTED BY J,i-z TOWN LIC.#?UJ CONTACTINFO.970-2/0 TYPE OF INSPECTIONS YtJA-Z /-w (///J 1 ! $100.00 Re-Inspection Fee Assessed LI /Permit#_____________ ________________ Inspector C4 TOWN OF ESTES PARK Building Division INSPECTION RECORD 4Qk6tAI4’TOWN LI C.#_________ CONTACT INFO. TYPE OF INSPECTIONS -‘-‘*— N : Date Requested Date Inspected JOB ADDRESS REQUESTED BY -‘‘ WORK SHALL NOT PROCEED UNTIL APPROVED When corrections have been made,call for re-inspection:970-577-3731.General questions:call 970-577-3735. $100.00 Re-Inspection Fee Assessed LI