HomeMy WebLinkAboutPERMIT 275 Cyteworth Dr Shed & Storage 2012-10-05Received Date232-_.IOO9’Tokn of Estes Park
Received By &‘Long-Term Residential Application/Building Permit
Division 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
NOTE:Use this Form for Long-term Residences 30 days or more.
2’7 E Cy-h4w Vn4’%Condo:No C Yes;
_____
_Subdivision:
___________________________________________
Parcel #:r5*’.25/-2/—o’l ‘
OwnerName:S+ni ItM AFgisp&i Phoneq7213’y%,9
Address:4S3 .VstflciflhI[tAV JflJf jZWiB LIOZ ESSa’rhLDSi’7
(Street)(City)(State)(Zip Code)
Contractor:UO*atDtJt.cJ’’Town License #:
(Street)(City)(State)(Zip Code)
Email address (REQUIRED):
The Following Applies to New Work Only —Complete all that apply:New Building C Alteration C Addition Master PlanEt
Building Use(s):C Owner /Residence C Rental —30 days or more C Accessory Dwelling
Existing use:Proposed uset’Atn SheA ;#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.
Plumbine Involved:C No C 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 -#of Meters:
_________
Meter Size;
_______
inches
Electric Involved:C No C yes —State &Town License Required.State Permit and Inspection Required.Temp Meter:C No C Yes
Service:C Existing C New C Overhead C Underground #of Meters:
_______
Meter Size:—amps;Phase
________
Voltage
________
Type of Heat:C Gas C Furnace Fuel Gas Involved:C No C es —Qualifications and System Sizing Required.
C Electric C Boiler Type:C Natural Gas C LPG It of Gas Appliances!Outlets:_______
Building Height:It Floors Basement (sf)1”Floor (sf)2’Floor (sf)Garage /Carport (sf)Porch w/Roof Deck w/o Roof
I s Fin
__________
Fin
___________
Fin
___________
Attached
________
(sf)(sf)
Ft.Unfin Unfin Unfin ——Detached
JoboescriPtlonGa sveô t Si-orac ITotalVflonsRabor&M7ls)
[have submitted the Minimum Submittal Checklist for Residential construction Plans-2009 mc with this application.
I certify th;s application is true and correct and agree to perform the we’k 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 AM RESPONSIBLE FOR ANY FEES OR EXPENSES INURRED FOR PLAN REVIEW,PERMITS,INSPECTIONS AND OTHER FEES ASSOCIATED WITH THIS
APPLICATION.C contractor ,qowner C Owner’s Agent C Tenant
signature-Oa4d aDateLrS/2,Print Name !)1/SL4 PkIS fl
Dept.
Applicable Code(s):Type of Const.Occupancy CIass(es):Public Works
2CC?r C V-a (r&c water
Light_&_PowerOccupantLoads):Floor Load(s)Roof Load’
VO 4c,’
I
Y.C ,0S Planning
eBuildingVariances:1
‘Plan Review
Front Side Rear River 4 /7 2SCountyTax
Setbacks /‘/o /6’li W
Cert.of Occupancy
zoning(’jz /1 Census It Hazards,Geo (ildfi Flood
Total ci?
BuiIdingb1tiaI ate
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office
Copy
Job Address:
Lot:V’Block:
Permit Number S -92
Application Expires t/’//kz /3
Permit Expires
_____________
Address:
Lot Size:
____________sf/ac
Job DescripPon:/Ei7ci/ej3 S#z izç z C Approved Disapproved Fees
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