HomeMy WebLinkAboutPERMIT 569 Darcy Dr Remodel 2018-12-141-i-
RecëWffflaie Town of Estes Park PermitNumberM-D--
ReceivedSy-‘.Application for Miscellaneous Permit Application Expires /!J;9çDepartmentfBuildingSafety170MacGregorAvenueP.O.Box 1200 Estes Park,CO 80517
L&.i’.;.Generannformtion &Inspection Line (970)577-3726 *FAX (970)586-0249 *www.estes.orc Permit Expires
____________
Job Address:5(J_(
Owner Name:PhoneJ7Oe -56-7-/74—’
Address:
(Street -(City)(State)(Zip Code)
Contractor/Applicant:A f,Ch &6t 1 1ey Town License #:I Phone:5 7o 53&S
Address:IIo 4rawS 4vt
(Street)(City)(State)(Zip Code)
C Long-term Residential 4 30 days)C Short-term Residential (<30 days)C Commercial
C Replace Furnace U Gas Line (ft.)
U Replace Boiler U Replace Windows
C Replace Rot Water Heater U Install Air Conditioning
U Minor Plumbing C Temporary Structure Use________________
C Minor Remodel
Time Period
__________________________
U Fireplace Lnsert —circle one:Gas,Wood,Pellet;C Other
Description of Woilc Y76flr jA 4gn ,i
Cn-fai,J1DI’2 &c4k /Ewiovc atI 2 e,tchen>t
Valuation (Total Cost of Material &‘t’abor):$/c—/
I ceni this application is tnie and correct and agree to perform the work described according to plansIspecifications submitted,reviewed and approved,and comply withlocalordinances,state and federal laws as well as building codes.I certify that I have the property owner’s authority and permission to apply for this permit.Additionally.IUNDERSTANDTHATLAMRESPONSIBLEFORANYFEESOREXPENSESINCURREDFORPLANREVIEW.PERMITS,LNSPECTIONS AND OTHERFEESASSOCIATEDWITHTHISAPPLICATION.Note:The work authorized by this perinil requires the building be provided with smoke alarms complying::z Date /S//v/trim1 Name IA)C/QI A)
***Office Use Only ***
Inspection Checklist:
C Address Posted C Equipment Access C T &P C Smoke Detectors
C Contractors Licensed C Equipment Listed C Gas Pipe C Rough InspectionCPermitPacketAvailableUEquipmentClearancesUVent7inalInspectioncii’//f/,’C Safe Access C Pan and Drain U Combustion Air
Comments:
PermitFee:1 .OC)Census #Construction Type:Occupancy:
County Tax:
Building Official Date
Total:
**5MO ALARMS ARE REOUIREIP
]ran 3D)
\\Servcta\comm dev\BuildingWorms\Applications\Over the Counter Page 1 of I Revised 3/29/20 12 -CB
Receivedate’-Town of Estes Park
F”iD
ReceivedBy
-‘I Application for Building Permit
JEC 142018 Department of Building Safety 110 MacGregor Avenue P.O.Box 1200 Estes Park,O 80517
eneraI Information (970)577-3726 •FAX (970)586-0249 •www.estes.org
IA iyiiL.i
Permit Number J’-_-Y-’
SLo9 1m(cv hr.
_Subdivision:17It ¶$‘-&‘7fr
•bwnh inty
Address:
Contractor:
,City)
Address:110/)6t W6 4cM
(Street)(City)
SAI$ITATION DISTRICTS
ffUpper Thompson Sanitation District
E Estes Park Sanitation
E New ConstructionQAdding,Relocating or Vacating Plumbing Fixtures
Adding Square Footage to Existing Building Footprint
O Adding or Vacating Septic System
Sand/oil ntçrceptor /Grease Interceptor
‘ijji g
parcel&3631A1701S
_Phone:213 -5c7 -173+
(State)(Zip Code)
_Town License #:/g Phone:‘?—,o —5Si’S 79Q
aks f4v V—-o o5fl
Approved Date
3.ESTES VALLEY FIRE PROTECTION DISTRICT
0
0
0
0
FIRE DISTRICT COMMENTS::
Revised i2102)201 I -KT
Job Address:—
Lot:L’BIock:
Owner Name:
Lot Size:
___________________sf/ac
(State)(Zip Code)
dApproval on non Town entities is the responsibility of the permit applicant.Please obtain the appropriate approval(s)of the
ffollowing 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.
Approved Date
SANITATION COMMENTSJJZtL3 BAil4
Approved 3 -(3 Data
2.LARIMER COUNTY HEALTH DEPARTMENT
Commercial Food /Drink Preparation
Q Alcohol Sales (On Premise)
0 Day Care (6 Or More Children Under Age 18)
0 Septic System
Q Sewer Lift Stations
Public Swimming Pools /Spas /Hot Tubs
‘C)
Note:New Interior Grease Traps are prohibited by the
Building Department and the Health Department.
HEALTH DEPT.COMMENTS:__________________________
\\C:\Users\Michael\Downloads\Sanitation,Health,Fire Approval Fonn.doc
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