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HomeMy WebLinkAboutPERMIT 350 Davis St Porch 2015-04-29Office Copy Received Date .70/5/94/z9 Town of Estes Park Permit Number - icca 7 Received By C.%( P Long-Term Residential Application/Building Permit Application Expires ASW.2e/5* Permit Expires // 49/6, Division of Building Safety 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517 General Information (970) 577-3726 I FAX (970) 586-0249 • www.estes.org NOTE: Use this Form for Long-term Residences 30 days or more. Job Address: ,:35---0 ul / Condo: ISL,No 0 Yes; Lot Size: sf/ac Lot: I LI Block: is ). r=, li \ „Li j LS -1-0- 1 (...• t'irCts . C C''' Parcel #: g5 25 2 - 28 - 0/ 4- _Subdivision: Owner Name: . 15) v-\ 0. v-NA o.4---c) 1( v‘...c,1.-.:.. k :tDir Phone: 1 /, -4-.) `/')- ,_.3..D i ' i Address: . "--c-') ;.._:-.)/t U 1 (Street) C o = 41te -----, (State) (Zip Code) Contractor: 6-C 1 e Ir c 4- . Town Licise #: //-,- 3 Phone: 5-'X) -af t-1 -5A)uo Address: -----vy ) •..._ j /"-P /- W W. j---7---- /449 CC9 Fe757 7 (Street) (City) (State) (Zip Code) Email address (REQUIRED): 1 C's. ( i r r- 1:_•_ q•-c L) L ri..(' Ci.,, J,',' t,si... (2.,_ , i , ( (-, \ .A.. The Following Applies to New WorkjOnly - Complete all that apply: 0 New Building 0 Alteration ill Addition Master Plan# Building Use's): Er-Owner / Residence 0 Rental -30 days or more 0 Accessory Dwelling Existing use: ...------- Proposed use: ; it of New Dwellings: ; if of New Kitchens: Sewer: Estes Park Sanitation 0 Upper Thompson Sanitation 0 Private Septic - Requires Applicant to first go to the Health Department. Plumbing Involved:4;0o 0 Yes - State and Town Licenses Required; Plumbing Fixture Worksheet Required. Fixtures: 0 Add 0 Relocate 0 Replace 0 Demolish Water Service: 0 Existing 0 New - # of Meters: . Meter Size: inches Electric Involved: 0 No EriTc- State & Town License Required. State Permit and Inspection Required. Temp Meter: 0 t15-0 Yes Service: Existing 0 New 0 Overhead 0 Underground # of Meters: Meter Size: amps; Phase Voltage Type of Heat: 0 Gas 0 Furnace 0 Electric 0 Boiler Fuel Gas Involved: 0 No 0 Yes - Qualifications and System Sizing Required. Type: 0 Natural Gas 0 LPG # of Gas Appliances / Outlets: Building Height: Ft. # Floors Basement (sf) Fin 1u Floor (sf) Fin 214 Floor (sf) Fin Garage / Carport (sf) Attached Porch w/ Roof (s0 (sf) /5/--6/ Deck w/o Roof Detached Unfin Unfin Unfin Job Description: ' tiyald) (ngs-c_A PayciA Total Valuations (Labor & Materials) Att" $ /0. cryo, a' a'/ 85 I have su bmitted the Minimum Submittal Checklist for Residential Construction Plans-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 owner's authority and permission to apply for this permit. Additionally, I UNDERSTAND THAT I AM RESPONSIBE.f.9.1: _ANY-FeES OR EXPENSES INCURRED FOR PLAN REVIEW, PERMITS, INSPECTIONS AND OTHER FEES ASSOCIATED WITH THIS APPLICATION. --/- ilit'antra or 0 Owner 0 Owner's Agent 0 Tenant ' ,--- C J- Signature ------A--- Date . —3 ‘67:—/ ,Print Name 6-1. /(1,-- -Zi—ei ,,,,, f"): '- • ...,C.1 *** Office Use Job Description: N.e- Ai A erk- eaA:',,c2F •=2 f fe c if Only;`*' Dept. Approved Disapproved Fees Applicable Code(s): 70 07 _r /C2 C Type of Const. -r/c)C V -- Z? Occupancy Class(es): Public Works 12C —/f - 3 Water Occupant Load(s): /C-- >d i S 7 Floor Loadlie 6 O Ps71 Roof Load: Light & Power '3 /'°--r/ Planning 30.'00 Variances: Building %fj& /35 '. 25 Plan Review 0}-/f 90 .5/ Setbacks Front / /5 Side t /0 Rear / /0 River County Tax 0& A 0 . /0 1 AVrq Cert. of Occupancy Zoning 6.5--- Census # Hazards o CWildfit) 2* Total J) A I i) Building Officia Date _X _:(...1. / - z 0 i..s-- as-- Date 14/27 9 .84? .01-40/6--A;.5:726P ri XABuildingl)eptWurrnsandReferences 13uildinglApplicationskliuilding1.1,1ing-tenn Residential Building Perrnilli.ong-term Residential Building Permit 2011 APPROVED.doc Revised 6/1412012- Kr R-3 /U-I RESIDENTIAL PERMIT INSPECTION RECORD JOB ADDRESS: 350 POO 17/ S .5-r- PERMIT #: g —7 `7 OWNER: LjeAt i 0,40eoz-/A"E. - ifFiez-6- PHONE #: CONTRACTOR: &t.-4 c/gx 626--&---,e- C.c.x,477 PHONE #: 970 - .g/df- 3eAff,C3 DESCRIPTION OF WORK: ,g,,--a) oc. -Ce ezy ,E,51,,A- . Feveckh FAILURE TO COMPLY WITH ANY OF THE REQUIREMENTS ON THE FRONT OF THIS CARD MAY DELAY INSPECTIONS ER FO 4(- (P 1 6 (t FOOTINGS NDATI:-?1SYSTEMS / SITE REQUIREMENTS UFER GROUND FOOTING SETBACKS - FIELD INSPECTION SETBACK CERTIFICATE FOR PLANNING FOUNDATION WALL UFER GROUND FOUNDATION WALL ELEVATION - FIELD INSPECTION ELEVATION CERTIFICATE FOR PLANNING DAMP PROOFING / WATER PROOFING FOUNDATION DRAIN RADON SYSTEM PASSIVE ONLY INTERIOR PADS / FOOTINGS UNDERGROUND WATER SERVICE PLUMBING UNDERSLAB FOUNDATION WALL INSULATION HYDRONIC SYSTEM UNDERSLAB UNDERSLAB INSULATION SEWER (SANITATION DEFT) EXTERIOR MEMBRANE SYSTEMS SHEAR WALLS / HOLD DOWNS AIR INFILTRATION BARRIER WATER RESISTIVE BARRIER WINDOW INSTALL/FLASHING STUCCO / STONE LATH MIDROOF BUILDING ROUGHS GAS PIPING ROUGH FLUE VENTING ROUGH DUCT ROUGH PLUMBING ROUGH FIREPLACE ROUGH HYDRONIC PIPING ELECTRICAL ROUGH 7-1 r JA Dp(/ i, FIRE BLOCKING / FIRE STOP FRAMING eA--- 11 , , x rets,i- wNe-e-- AFTER / WALL / FLOOR INSULATION 'At DRYWALL -- SHOWER PAN LINER TOWN AND NON TOWN ENTITIES APPROVAL FOR OCCUPANCY / USE ELECTRICAL FINAL eg,_-3..- I b.-- ipiwi _ PLANNING DEPARTMENT SANITATION DEPARTMENT WATER DEPARTMENT PUBLIC WORKS COUNTY WILDFIRE LIGHT & POWER FIRE DEPARTMENT DIVISION OF BUILDING SAFETY FINAL APPROVALS 4 PLUMBING FINAL HVAC FINAL ROOF FINAL ---- t S .r,\ EVDC BUILDING FINAL I___I EPMC 1 i IMPORTANT TELEPHONE NUMBERS Inspection Requests 970-577-3731 Utility Locate 800-922-1987 Xcel 800-772-785 Planning Div 970-577-3721 Water Depart 970-586-3608 State Electrical 970-577-3589 Building Safety Div 970-577-3722 Public Works 970-577-3588 Fire Dept 970-577-0900 EP Sanitation 970-586-2866 UT Sanitation 970-586-4544 County Wildfire -'' 970-498-5303 X:113uilthngDept\Forms\R3-W SIGN-OFF-CARD.docx --7 Permit Number: // y / crcy Received Date: act7/ 5-Zefe)/e174` Received By: •••,„ Address: 3 5_,..,) 0..._,..i, s S-7-- fi] ION‘N or I IISS Cuff` www.estesiorg ROOF MEMBRANE MIDROOF INSPECTION AND AFFIDAVIT OF COMPLIANCE Town of Estes Park Division of Building Safety 970-577-3726 PO Box 1200 170 McGregor Ave Estes Park, CO 80517 The following conditions must be met before submitting an Affidavit: The contractor shall be pre-approved by the Chief Building Official The work shall be authorized by the appropriate permit The work shall be associated with an approved system The affidavit shall be on a form provided by the CBO Check the statements that apply: The Division has pre-approved the midroof installation to be completed without Division inspection. The permit and inspection record card are on site and accessible. The installing contractor shall complete and sign this affidavit. The affidavit shall be left in the permit pack at the jobsite. Letter of Compliance from the roofing membrane manufacturer representative (when required as part of the installation specifications for the roof product) has been submitted to the Division of Building Safety The work and conditions described on the permit I approved plan matches the field installation. The roof is not within a wildfire hazard area. Roof coverings (shingles, shakes, panels, etc) have been installed per manufacturer instructions. Roof coverings have been fastened per manufacturer instruction for high wind area. The fastener pattern for the roof membrane is per manufacturer instruction for high wind area. For asphalt shingles, all existing roof coverings have been removed. The underlayment was found to be in an acceptable condition or has been replaced. Underlayment has been installed as per manufacturer instructions. Asphalt shingle underlayment has an ice barrier from edge of roof to at least 24" inside exterior wall line. All roof areas less than 4/12 pitch have been fully protected by an ice barrier. The flashing was found to be in an acceptable condition or was replaced. Fasteners are a minimum No. 12 gage, 3/8" diameter-head galvanized or other approved fastener. Fastener penetration is 3/4"into the sheathing or through the sheathing, whichever is less. There are no fasteners within 6" of the centerline of the valley. All exposed fasteners have been sealed for weather protection. Ventilation has been provided; minimum 1 sq. ft. per 150 sq. ft. attic space. All flue venting has been checked to make sure no damage occurred to the venting during roofing. A final inspection by the Division of Building Safety will be arranged by the contractor within 48 hours of completion of the roof installation. The safety rope used by the installation crew will be left in place for the inspector's use. For the final inspection by the Division of Building Safety, an OSHA compliant ladder has been provided for access to inspect all areas of the new roof. With my signature I verify the roof system installation was performed in accordance with the manufacturers' installation specifications, Chapter 9 of the 2009 IRC or Chapter 15 of the 2009 IBC and I release the Town of Estes Park from all liability*. ..- - Contractor,Signatufa: ...,„_ . i_.-i- _...." -7 Date: COr-r- : faL.GY7 `e*P-17t-C, 1 /11:1 ,L e -e l& -- ea Town Business License Number: 'A Contract6Fs' Affidavit of Compliance shall not ex 01 work from corrections if the building official determines the work of comply with the provisions of this code. A.-IA'ECE MC' 8_ /z6,? AUG 0 4 2015 - "":41 ' LAND SURVEYS SUBDIVISIONS DEVELOPMENT PLANNING IMPROVEMENT PLATS STRUCTURAL ENGINEERING SANITARY ENGINEERING MUNICIPAL ENGINEERING N VAN HORN ENGINEERING AND SURVEYING Jr, DATE: TO: FROM: June 29, 2015 Whom it May Concern David A. Bangs, P.E. RE: 350 Davis Street, Estes Park Colorado 80517 Bible Residence Deck Addition Building Permit #B-10087 To Whom it May Concern: This letter is to provide design approval for the construction of the above referenced project. During the course of construction, the owners wished to replace the collar tie rafters with tongue and groove ceiling to be attached to the roof rafters. The collar tie rafters shown on the original drawings were not considered to be structural members for the purpose of the design. Therefore, I approve their removal and replacement with the tongue and groove ceiling to be attached to the roof rafters. If there are any questions or concerns please feel free to contact me at 970-586- 9388, ext 14. rowN OF ESTES PARK APPROVED tment te.2-0 /64- Building Official 1043 Fish Creek Road • Estes Park, CO 80517 • 970-586-9388 • Fax 970-586-8101 • VHE©Airbits.com Permit Number $ — 101013 7 Date .Z2/ init. By. TOWN OF ESTES PARK Department of Building Safety IRC VALUATION WORKSHEET Address .350 0,4V/5 s 77 Basement - Unfinished (Foundation & Bearing Pts. Only) Sq Ft @ $21.98 per Sq Ft Basement - Semi-finished (Framing Only) Sq Ft @ $28.81 per Sq Ft Basement - Finished Sq Ft @ $34.58 per Sq Ft Existing Basement Finish Sq Ft @ $12.60 per Sq Ft Dwellings Sq Ft @ $114.76 per Sq Ft Garage Sq Ft @ $34.03 per Sq Ft Carports (Open >1= 2 sides) Sq Ft @ $20.61 per Sq Ft Decks - (Open) Sq Ft @ $19.58 per Sq Ft Porches - (Roofed) 150 Sq Ft @ $41.23 per Sq Ft FEES: Building Permit Fee Plan Review Fee TOTAL VALUATION: County Tax Cert of Occupancy TOTAL IServeralcomin_dev\BuildingWorms\Various Forms\IRC Valuation Worksheet.doc Rev 10/17/08-CB Received Date ..2‘3/6/44/2? Town of Estes Park Received By ode Application for Building Permit Permit Number 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 Job Address: 3 5-cD _"..--k,_v( S S C-5 ile_A grief ()ED Lot Size: sf/ac , ,..-------- Lot: i'-/ Block: Subdivision: -SC:i c Cr_ 1,4 SA j (---; Iri-C1/4.- C Parcel #: Owner Name: ) G li CA v`rif 716,,:lf) 1 i PLe li-71 , 4! e, Phone: 7) ,---_, Address: ..,:5—' " 0 ..N1's r,1 i/ L1/2 ?Y /---',---/-r-i 4{-/C1 (.- --C2—i° 7"--057 ..7 /2 /( Street) (7 kr y (-7 01 ( 4e 5_i_ty (State) (Zip Code) Contractor: 7, 7(... i a re-e — Town License #: Phone: Address: (Street) (City) (State) (Zip Code) • 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 q Upper Thompson Sanitation District Estes Park Sanitation q New Construction q Adding, Relocating or Vacating Plumbing Fixtures 0 Adding Square Footage to Existing Building Footprint 0 Adding or Vacating Septic System D Sand/Oil Interceptor / Grease Interceptor Approved Date 2. LARIMER COUNTY HEALTH DEPARTMENT q Commercial Food / Drink Preparation q Alcohol Sales (On Premise) Care (6 Or More Children Under Age 18) Septic System D Sewer Lift Stations q Public Swimming Pools / Spas / Hot Tubs Apprpved Date 111 3 ESTES VALLEY FIRE PROTECTION DISTRICT E Approved Date SANITATION COMMENTS: Note: New Interior Grease Traps are prohibited by the Building Department and the Health Department. HEALTH DEPT. COMMENTS: ( i\1Z-4-ist eit-7-1'‘.4\ AAA\ 451-- &(-1_STTAIZ:, St>silt e)C. =P - FIRE DISTRICT COMMENTS:: 11Server131BuildingWonns\Applicalions1Building Pau 2 Revised 12/02/2011 - KT • 12, 13. 14. 15. 16. 17. '7?4Z ,3 FttED APPLICATION AND PERMIT FOR INDIVIDUAL SEWAGE DISPOSANTh L SYSTEM . r LARIMER COUNTY 1.. 1 /4 5 25 T 05 R 73 Parcel # 35252-28-014 2. Subdivision BURR VISTA TERRACE - " ' (970) 577-2050 B.P. 3. Lot 14 Block Filing _ • _ Tract (970) 498-6772'FAx clot 141ED 14 h DEPARTMENT OF HEALTH & ENVIRONMENT ..• 1525 BLUE SPRUCE DRIVE ;. FORT COLLINS, COLORADO 80524 (970) 498-6775 F.C. 4: New System X Repair Remodel Vault/Privy :1 5. Business Name ' 1.- 6. Addr/Loc 250 DAVIS ST ESTES agli_!___AQui_ 7. Owner BIBLE, JON & CAROLYN Phone Address 609 EOLLLING GREEN ir AUSTIN •Tx 78734 Phone _(970)586-6859 ESTES PARK CO 80517 Phone s Design LANDMARK 4NdINEERING Date 11/13/1996 r4e $ 150.00 Receipt # sp,#EStes.8 Parkcross Ref # ARPCOPW T of the Latimer County Individual Sewage Disposal RegUlations.and is conditional upon the final Installation approval Permission Is hereby-granted .to the owner orhis -agent to-partorm-the-i/dik-iridia-ateidlielo—winadanc ei4.+ith • ' of the Latimer County Department of Health and Environment. This permit is to remain in full force for the , 4. duration of the Latimer County Building Permit, or 120 days after its issuance, where applicablef providing it C: Is not revoked for noncompliance. The issuance of this. permit does not constitute assumption by the 't ":.' Department or Its employees of liability for the failure or inadequacy of the sewage disposal system. i'!' ' 18. Depth to Water Table no enc Pere Rate 45 °Pi, Depth to bedrock 8 ft Slope131 19. Type and Design of System Properly in'stall a 1000 gallon septic tank followed ei by a leach field of at least 1132 square feet. If infiltrator system ENE used, ,provide a minimum of 44 units. Maintain all setbacks asi,..per Latimer County Health Dept. rags. 20. Mairitenance Schedule FumP tank every 3 years. 21. Please notify the department 48 hours In advance of backfilling to obtain "Occupancy Certificate". Approval Signature Date Gary Itothbarth 10/11/96 spy. • 22. Preliminary: 23. Site inspection: to kc.othoarth 10 /W 90 25. Final inspection 24. Construction Inction 6irt,- 26. Occupancy Permit d Route: White - Owner; Pink - System Contractor; Tag Copy +- 233 18198) • .. . • „ _ i ' 1 , , LAR1M ER COUN COMM.I1W) 10 EXCELUNC Engineer Signature Build type SFR Bsmt Bath Well Water Dist. Plot Plan Eng. Report X Owner/Agent Signature- je.„43 H4 Address BOX 4183 Contractor Address Agent MIKE PAIGE / PAIGE CONSTRUCTION Date city' 3 BDRM Lot Size 'L Sanit. Dist. . 4 • , final inspection for,"Issuance of • • 1e Approval Signature Date • Septic Tank: Gallonage size: / Manufacturer Absorption Area - Gravel bed or trench square footage area s-4-71 - Infiltrator or bio-diffuser units number - SB2 Lineal footage Evapotranspiration System )total or partial) - Gravel bed square footage area: - Infiltrator or bio diffuser unit number: Vault or Privy Vault - Gallonage size: Other: Address: i(Sh1//15 DESIGN CODE R OAT Clea n ou " 6( 3 7- I-. 5 Et. 0 4 Li iN L71 ;'=....<7 DAV( 10161"4‘ -r A 04-- 1.3 D-1 vitt proPOsep DE,c< p2rn oeJ • • 1 t • „v-11 U ' Town of Estes Park Mail - RE: 350 Davis Street https://mail.google.corn/mail/u/0/?ui=2&ik=8d5aead2f5&view=pt&se.. U:> c; L__. Charlie Phillips <cphillips@estes.org> RE: 350 Davis Street 1 message James Duell <jduell@estesparksanitation.org> Tue, May 19, 2015 at 10:02 AM To: "Phillips, Charlie" <cphillips@estes.org> Hello Charlie — following property that appears on the Permit Status Report is good to go with Estes Park Sanitation District. The home is currently on a septic system and there is no sanitary sewer close by for them to connect. Please consider this email as our sign off on the project. Jim Duell Owner: Jon & Carolyn Bible Contractor: Glacier Creek Construction (New 150 sf porch addition) Under review - Plan'g, Pub Wrks, Sanitation *SD James Duet, District Manager Estes Park Sanitation District (970) 586-2866 I of 1 5/19/2015 10:33 AM Received Date 049/04/2 9 Town of Estes Park Permit Number 137 - 1608 7 Received By cc P Long-Term Residential Application/Building Permit Division of Building Safety 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517 Application Expires /0 .26 C General Information (970) 577-3726 • FAX (970) 586-0249 • www.estes.org NOTE: Use this Form for Long-term Residences 30 days or more. . ,-....._ Job Address:. 5---0 \r-x, L., i ‹, ,. / . Condo: MI,No 0 Yes; Lot Size: sf/ac Lot: ILI Block: Subdivision: 1 c ), r. kr\,c L J1 cf0,-- 1_ (1=i, Nrb. C r Parcel U: 35 25 2 - 2/3 - Of 4- 1) Owner Name: Ar-5, r\ (m,. ir-c)k c \it) I 1 v•_c; 1 CD I r Phone: Address: 7- -t_- ,3-'-‘1-4, 1/4)1. C i (Street) /1 (City) ----, (State) (Zip Code) Contractor: ("\--f-- /(i_C; ,- cf r-- IC ( 4.—vi --- e • Town Licse #: // --3 Phone: 5)).--(9/ (--/ ---..)C.kj ) Address: —IVY (." .1,2-4-4_,....c i /.---, 111.2 ' L---' /-ktei CO ?bS7 7 (Street) (City) (State) (Zip Code) , Email address (REQUIRED): ‘ 0.,( i t.- f--- c q.--e t_ k) t Yk..e a v...„_,._„ i _ (,c', tA.k. r_s The Following Applies to New WorkjOnly - Complete all that apply: 0 New Building 0 Alteration UlAddition Master Plan# BuildingUse(s): a-bwrter / Residence 0 Rental -30 days or more 0 Accessory Dwelling Existing use: -------- Proposed use: ; # of New Dwellings: ; it of New Kitchens: Sewer: trrstes Park Sanitation 0 Upper Thompson Sanitation 0 Private Septic - Requires Applicant to first go to the Health Department. Plumbing InvolvedNo El Yes - State and Town Licenses Required; Plumbing Fixture Worksheet Required. Fixtures: 0 Add CI Relocate 0 Replace 0 Demolish Water Service: 0 Existing 0 New - # of Meters: . Meter Size: inches Electric Involved: ID No 1E11es - State & Town License Required. State Permit and Inspection Required. Temp Meter: gi-Nr0 Yes Service: Existing D New D Overhead 0 Underground # of Meters: Meter Size: amps; Phase Voltage Type of Heat: 0 Gas 0 Furnace 0 Electric 0 Boiler Fuel Gas Involved: 0 No 0 Yes - Qualifications and System Sizing Required. Type: 0 Natural Gas 0 LPG # of Gas Appliances / Outlets: Building Height: Ft. # Floors Basement (sf) Fin 1u Floor (sf) Fin 2' Floor (sf} Fin _ Garage / Carport (sf) Attached Porch w/ Roof (sf)„ _...A /_5 `--'i 61/ff Deck w/o Roof (sf) Detached Unfin Unfin Unfin Job Description: ii C tlx,Ad% rirtit—rr---CA PnrCiA Total Valuations (Labor & Materials) $ /0, cr-)--C) (rz) I have submitted the Minimum Submittal Checklist for Residential Construction Plans-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 owner's authority and permission to apply for this permit. Additionally, i UNDERSTAND THAT I AM RESPONSIBLE F NW-F-ets OR EXPENSES INCURRED FOR PLAN REVIEW, PERMITS, INSPECTIONS AND OTHER FEES ASSOCIATED WITH THIS APPLICATION, E ontra I r 0 Owner 0 Owner's Agent 0 Tenant _____ -- -.... - gnal-- ''., _- Date — print Name ' C__.2 [../ r7 Si / - Office Use Job Description: Only *”' Dept Approved Disapproved Fees Applicable Code(s): Type of Const. Occupancy Class(es): Public Works Water Occupant Load(s): Floor Load(s): Roof Load: Light & Power Planning C)1(Yi----- -O.?" CO Variances: Building Plan Review Setbacks Front / 5 Side / 0 r Rear /0 River County Tax /v 1. 4 „. Cert. of Occupancy Zoning ,iE - Census # Hazards Geo ildiir) Flood Total Budding Official Date X:1Buildingl)eptWornisandReferences Building‘Applications113uildinaong-tenn Residential Building Pennied_ong-term Resideniial Building Permit 2011 APPRONEO.doe Revised fArq4/2012- KT Permit Expires