HomeMy WebLinkAboutPERMIT 1451 Deer Path Ct Gas Line 2018-12-03RecelvedDate______Town of Estes Park
_______
Received By c-k?i
Division of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517 Application Expires -
General Information (970)577-3126 •FAX (970)586-0249 •www.estes.org /
SEE REVERSE 5IDE BEFORE PROCEEDING Permit Expires C.,,
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I ‘Li Cc ‘-‘-.“‘j.‘j•Vacation Home?C No C Yes ifRedrooms -
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(Street)(City)(State)(Zip Code)
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(City)(Stat;)
Email Address (REQUIRED):IIA f-r.D t’,e3 LLV C—&1 —r
The Following Applies to New Work Only—Complete all that apply:C New Building C Alteration C Addition Master Plant!
Building Use(s):13 Owner/Residence C B &B 0 Short-term Rental —Less than 30 days.
Existing use:Proposed use:;Not New Dwellings:Nof New Kitchens:
Sewer:U Estes Park Sanitation U Upper Thompson Sanitation 13 Private Septic —Requires Applicant to first go to the Health Department.
Plumbing Involved:U No C Yes —State and Town licenses Required
Fixtures:C Add C Relocate U Replace C Demolish Water Service:C Existing C New -fl of Meters:
_________
-Meter Size:
_______
inches
Electric involved C No U Yes —State &Town License Required.State Permit and Inspection Required.Phase
___________
Volts
____________
Service:U Existing U New:U Overhead C Underground;U of Meters:
__________
Meter Size:
________
amps;Temp Meter:U No U Yes
Type of Heat:C Gas C Furnace Fuel Gas Involved:C No C Yes —Qualifications and System Sizing Required.
13 Electric C Boiler Type:C Natural Gas C LPG of Gas Appliances /Outlets:________
Building Height:ft Floors I Basement (sf)15t Floor (sf)2qd Floor (sf)Garage /Carport (sf)I Porch w/Roof Deck w/o Roof
Existing Grade Fin
__________
Fin
___________
Fin
___________
Attached
________
(sf)(sf)
Ft.flBdrm tJnfin Unfin Unfin Detached
________
Job Description:,.---
-/—Total Valuations (Labor &Materials)
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IRC Application /Building Permit
Job Address:
Lot:Block:
Owner Name:
Permit Number ‘‘
Address:‘-s:-4’.
Contractor;
Address:
__________Phone:
r4-Ei
(Street)
CC)
(Zip Code)
Signature
I certify this applcation is true and correct and agree to perform the work described according to pians/specifications submitted,rev:ewed and approved,and comply wth
local ordinances,state and federal laws a’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 FES ASSOCIATED WITH THIS
APPLiCATiON.
I]Contractor
Date I’‘•
o Owner C Owner’s Agent ,D Tenant
PrintName f-i ,‘j r)
Office Use Only
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