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HomeMy WebLinkAboutAPPLICATION SET Restaurant 112 W Elkhorn Ave 2019-05-13PermitNumber _________ Application Expires q Permit Expires Job Mdress:\\Z U)E’L\1-.r Lot:Block:Subdivision: C.Xtc ‘PC Co Lot Size: __________sf/ac ParcelS!:35252Z7c,sc, Owner Name:_Phone:i4o7.4o’s-72s.q Address:3 2 o V’3Z ‘t,cl Contractor:’Th’c.,r\IE Address:PO ‘o ‘,230-S £<4t-s os— Town License U: _______Phone: 9 Jo -icY-I 7 Email Address (REQUIRED):A ,.-c--e...(r n.c-&’tn p.rs.-tr nt-i r The Following Applies to New Work Only —Complete all that apply C!Nw Building -- %ijteration GAddition Building Use(s):Existing Fir;Alarm Existing Fire Suppression New FJre Suppression Existing:C—Proposed:______________________El Yes/I No El Yes_No Yes C No Sewer:1ZEstes Park Sanitation El Upper Thompson Sanitation El Private Septic—Requires Applicant to first go to the Health Department. Plumbing Involved:El No Elves —State and Town Licenses Required Fixtures:ZAdd El Relocate El Replace C Demolish Water Service:C Existing_ø’New -U of Meters:Meter Size: _______inches Electric Involved:El No_fl Yes —State &Town License Required.State Permit and Inspection Required. Service:,%Existing El New El Overhead El Underground;,Ø New Sprinkler System Line U of Meters: ________ Meter Size: ______ amps;Temp Meter:.’No El Yes Phase __________ Volts ________ Type of Heat:M’Gas ,,ø’Furnace Fuel Gas Involved:El Yes —Qualifications and System Sizing Required. El Electric El Boiler Type:El Natural Gas C LPG U of Gas Appliances /Outlets:___________ Building Height:U Floors Basement (sf)Vt Floor (sf)2”d Floor (sf)Garage /Carport (sf)Porch w/Roof Deck w/o Roof ‘7 I ‘.7 Fin ,..—‘Fin )Ci Fin __________ Attached ,_—(sf)(sfl ,.S’L Ft.C.—UofqrC Unfin -Unfin Z416’t Detached -“ ‘“I Job Description ,,.‘‘,a4of>Valuations (Labor &Materials) 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,certify that I have the property owner’s authority and permission to apply forthis permit.Additionally,IUNDERSTANDTHATIAMRESPOSIBLEFORANYFEESOREXPENSESINCURREDFORPLANREVIEW,PERMITS,INSPECtIONS AND OThER FEES ASSOCIATED WITH THIS APPUcA Contractor C Owner C Owner’s Agent C Tenant Signature -Date6t ‘,1,9 Print Name J329A/.2)6?I2J44J4 .lilTaIflhlI Job Description: Department Approved Disapproved FeesTh’vc11Jrak€49&rs Applicable code(s):Type of Const.Occupancy Class(es):Public Works ‘ZiI-cth5 c’Z-Water Occupant Load(s):Floor Load(s):Roof Load:Light &Power 33 sF 7 pS’P Manning Varlances(attached):Fire 1?arm System FireSuppresslonSystein Building 4 I-7395 ‘—— Plan Review (So in % 4 utt.ooFrontSideRea1CountyTaxSetbaclcs Cert.of Occupancy •4 tIp.cfJZoningCensusS! Wildfire)Other Fl ft-E:3 I Hazards Building offlclal,—’-,,/62 Date /‘ i b u€ Received Date.’Town of Estes Park Received By Commercial Application /Building Permit (j,ikArtment of Building Safety 110 MacGregor Avenue P.O.Box 1200 Estes Park,CC)80511 General Information (970)577-3726’FAX (910)586-0249 •www.estes.org/CommunityDevelopment Note:Use this form for Non-residential and Mixed-use Buildings (—C 1505 ‘7’ U:\BuiIdingDeptYormsandRef&jkes-Eu1ing\AppIication&Cotnmercia1 guilding pennit’ComMertith-€e*diegfeeit*t*-.A2R4D.doc Revised 8/19/2015 -KT Town of Estes Park PermitNumber 1541137 day -‘Co*imercial Application?Building Permit B mail ojsilldlns Safety 170 MacGregor Avenue P.O.Box 1200 Ees Park,CO 80517 ApplIcation Eicplres I 7 ‘/9 General information (970)577-3726 •FAX (970)SS6-0249 •www.estes.on/Comrnunitvoevelocntcnt Note:Use this toni,for Nonresidential and Mixed-use Buildings Pem(t Expires ________ Job Mdress:NZ U.)tL’-c-n Ai CA-as.c>asL_CO Lot Size: _________sf/ac t.ot_Block:_SubdMslon:____________________________Partelt 35252 Z7o3 OwnerName:\Ap\nex-Phone:t4O7.4o3-’€72L1 Address:32o’’Or\anAc L. contractorZ o.r’E pSirr r-t fltt.Towr Ucense N:Phone:q 7o -1O’1 7‘a Address:‘P0 7OS Ec4rs Th6.5’.-Co oS’i Email Address REQUlRED):A a-i’s 0 a ccrVZcp e.x is .e -The Foil owins Applies to New Work Only —Complete iii that acpfr dw Building Alteratlon DAddltlon Buiidink Use(s);,,,Existing FirçAiarm Existing Fire Suppression New Ffie SuppressionEadsting:C—Proposed:_____________________LI Yes p No C es,g No Yes Cl No Sewer flEstes Park Sanitation C upper Thompson Sanjtation C Private Septic —Requires Applicant to first io to the Health Department. Plumbins Involved:C No dves—state and loyal Licenses Required Rxturet Add Cl Relocate I]Replace C Demolish Water Service:U ExistingNew.It of Meters:—Meter SIze: _______inches Elastic Involved:C No_Z’Yes —State &Town License Acquired.State Permit and Inspection Required. Service:M’Existing C New C Overhead 1]Underground;M’New5prinkierSystem Line P of Meters: ________ ;Meter Size: ______ amps;Temp MetecM’No C ‘Yes Phase Volts ________ lyre of Heat:,ø’Gas Furnace Fuel Gas Involved:I]No/i Yes -Qualifications and System Sizing Required. U Electric C Boiler Type:0 Natural Gas C LPG Not Gas Appliances /Outlets:Building Height:P Floors Basement (sf)1”Floor (Sf)2”d Floor (sf)Garage /Carport (sf)Porch w/Roof Deck w/o Roof -i Fin _.—Fin 1580 Fin __________ Attached _______.— (sf)(sOFt.UnM”Unfin Unfln Z99E’Detached -“ ._—““I Job Valuations (labor &Mate,lals)$9Ø a2—,jc2)ç’ I ce,tlfy thIs appllcauo.,is true and correct and agree to perform the work descilbed according to plansjspedflcatlons sikrnltted,reviewed and approved,and comply withlocalordinances,state and federal laws as well as buIlding codes.I certify that I have the pcoperty owne?sauthorlty and permission to apply forthis permt.Additionally,)UNDERSTAND ThAT I AM R BLE FOR ANT FEES OR EXPENSES INCURRED FOR PLAN REVIEW.PERMITS,iNSPECnDNS AND OTHER FEES ASSOOATW WITh ThiS Contractor Downer C Owner’s Agent Ci Tenant Signature _______________________________ Oate66 /5? Punt Name 2zz/.2263’RLJ44 •— Job DescriptIon: Department Approved Dinpprou.d Fees Applicable Code(s):Type of Const Occupancy Class(es):Public Works Water Occupant Load(s):Floor load(s):Roof Load:L*ht &Per Piannhr Varlances(attached):FireAlarmSystem Flresuppresslonsystem $fo&aPlanReylew Front Side County TaxRNer Hazards Ceo Wildfire Flood Zoning Census I Other Willding Official Date Total U:\BuildingOeptFonnidRefrencesfiuiIdingApplications’CommeicioJ Building pemiit\Commatai Building Permit 2011 APPROVEDdoc Revised 8119)2015 -KT NON-ACCOMMODATIONS I COMMERCIAL (must have fixture value unit sheet attached)Unit Cost Quantity Total x x x x x x x GRAND TOTAL $260.00 Water Rate Classification for Billing Urban Residential x Urban Commercial Pumped Flow Rural Residential Rural Commercial Bulk Water PF Water SDC $260.00 x 30 $7,800.00 WR Water Rights $366.00 x 30 $10,980.00 ME Meter Size — 3/4 inch $345.00 x 1 inch $515.00 x 1-1/2 inch $950.00 x 2 inch $1,245.00 x 3 inch $4,675.00 x 4 inch $6,250.00 x MA Labor/Tap — 3/4 inch $250.00 x 1 inch $260.00 x 1 $260.00 1-1/2 inch $355.00 x 2 inch $390.00 x WR Contract Line Agreement x Minimum (=>6 Fixture Units)$3,756.00 Sub-Total $19,040.00 TOTAL CHARGES $19,040.00 PF Water SOC (Accessory Dwelling Unit) WR Water Rights (Accessory Dwelling Unit) WR Water Rights (Multi-Family) PF Water SOC (Multi-Family) $2,078.00 $2,928.00 PF Water SOC (Accommodations) WR Water Rights (Accommodations) $3,635.00 $5,124.00 CREDITS Unit Cost —Quantity Total PF Water SOC (Residential)$5,194.00 x WR Water Rights (Residential)$7,320.00 x PF Water SOC (Fixture Values)$260.00 x 30 $7,800.00 WR Water Rights (Fixture Values)$366.00 x 30 $10,980.00 ME Meter Size 3/4 inch $345.00 x 1 inch $515.00 x 1-1/2 inch $950.00 X 2 inch $1,245.00 x 3 inch $4,675.00 x $3,116.00 $4,392.00 4 inch $6,250.00 TOTAL APPLIED CREDITS (Si 8,780.00) lLccuved D4N i,Town of Estes Park _____ Application for Building Permit:y -—_-‘—nmTImclI of Buildiug Safety 170 MaeGiegoiAvenue P.O.Box 1200 Estes Park,CO 80517 - General lnfoi-nntion (91o7373I*Inspection Line (970)577-3731 *I’AX (970)586-0249 I’cimit Nii tibet Approval on non Town entities is the rcponsihi1itv 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 arc distinct and separate from Municipal i-equirements antI fees,Permits will not be issued prior to obtaining required approvals. 1.SANITATION DISTRICTS fl Upper IhSa1’1itation District .afl4arkanthItioi3 J New Construction Adding or Vacating Plumbing Fixtures;J Adding Square Footage to Existing Building Footprint Approved Date 2.LARIMER COUNTY HEALTFI DEPARTMENT fl Commercial Food I Drink Preparation J Atcohul Sales (On Premise) U Day Care (6 Or More Children Under Age 18) U Septic System COMMENTS:Qe.’neyr twyj csy.e pv’ovJ.à qvl.“Va-.a4i’4-4,., Ser &AeA L57, n_. COMM F.N TS: Aporoved —Date 5.STATE ELECTRICAL BOARD D New Construction with Electrical U Addition /Remodel with Electrical 4.STATE ENGINEER J Water Well 5.STATE DEPARTMENT OF REVENUE Q Tax Exempt Job Add ress:2-.JsJ E’Corn At- L0tH lflocI:(2 Subdivision:L?o SêaQ.t-v Owner Name:\pSc&\cv &CA’L ‘Trr Address:3tc A-a* Lot Size: (Street) Contractor/Applicant:“)t’ov i ‘-£vtv ‘,€ Parcel fi: Address: s’ac Phone: (Strcct (Cu3’) 2,.2 Ec4 Town License #: (Statc) c) _________Phone: (Zip Code) (City)(State)(Zip Code) R,ñtJ 311104 Estes Valley Fire Protection District 901 N.Saint Vram Avenue Estes Park,Co 80517 Office:970-577-0900 Fax:970-577-0923 Fees effective 01/0112018 Owner Service Address 10-digit parcel IL) Calculated By: Date: Permit Number IMPACT FEES Unit Cost —Quantity Total Fee for new conshuction only.See Impact Fee Schedule x 1-2 Family Residential (fee per building)$784.00 x wooMulti-Family Residential (fee per individual unit)$419.00 x - Commercial (fee per square foot)$0.37 x 0 Sub-Total $ CREDITS Unit Cost —Quantity Total Refund Inspection Fee Plan Review fee is 1/3 of combined plan review and x inspection fee.Full amount collected initially,but x 2)3 contractor cancels permit or plans are reviewed without x a permit issued.x Notes: AJI fees to be rounded to the nearest whole dollar. Construction inspections include:one final inspection. Fire Alarm inspections include:one rough and one final inspection. Sprinkler inspections include:one hydro test,one rough,and one final inspection.Plans for phase or incremental inspections must be made with the inspector at time of permit application or re-inspection fees will apply. The ‘Plan Review Fee”is 1/3 of the combined plan review and inspection fee. The “Plan Review Fee is to be collected from the contractor when the contractor cancels a permit or when the plans are reviewed without a permit being issued. The “Plan Review Fee”may be required to be collected at the time of submittal at the discretion of the Fire Marshal or the reviewer. The “Plan Review Fee”is required to be collected at the time of submittal when the contractor has not been 2019 Fire Inspection Fee Calculation Sheet Haber 112W Elk Horn Jerome 5120/2019 CONSTRUCTION INSPECTION Unit Cost Quantity Total Pre-Application Meeting $100.00 x Tenant Finish (up to 15,000 sq ft)$0.05 x 6,189 $310.00 New Building Core &Shell -or-Building Add Won $500.00 — $Sooforflrstl5,000sqft,$0.02/sqftabove $0.02 x Sub-Total $310.00 FIRE PROTECTION EQUIPMENT &SYSTEMS Unit Cost —Quantity Total Automatic Sprinkler System (13,13R,2001)$100.00 — $100.00&$1.Ooperhead $1.00 x Automatic Sprinkler System (13D)$75.00 — $75.00 &$1.00 per head $1.00 x Automatic Sprinker System (Modification)$75.00 — $75.00 &$1.00 per head $1.00 x Fire Pump $200 (includes jockey pump)$200.00 x Standpipe $100.00 — $100.00 &$15.00 per hose valve $15.00 x Fire Alarm System (New)$100.00 — $100.00 &$1.00 per detection/notification device $1.00 x Fire Alarm System (Modification)$75.00 — $75.00 &$1.00 per detectionlnotiflcation device $1.00 x Hood &Duct rwe Protection System $100.00 x $100 for 1st system,plus $50 for each additional in same business at same time .— Sub-Total $ HAZARDOUS MATERIALS CONSTRUCTION Unit Cost —Quantity Total Storage Take Removal (AST or US1)$100 00$100 pertank .3 IP-Gas Installment Permenant $500.00 x $500.00 for 1st tank,plus $250 for each additional $250.00 x LP-Gas Installment:Temporary $100.00 x $100.00 for 1st tank,plus $50 for each additional $50.00 x L.P-Gas Installment:Cage $100.00 x $100.00 for 1st cage,plus $50 for each additional $50.00 x .Sub-Total $ MISC.CONSTRUCTION INSPECTIONS Unit Cost —Quantity Total Re-inspection $75 00$75 for 1st offense,double previous fee thereafter .— LP-Gas Installment:Pennenant $500.00 x $500.00 for 1st tank,plus $250 for each additional $250.00 x LP-Gas Installment:Temporary $100.00 x $100.00 for 1st tank,plus $50 for each additional $50.00 x LP-Gas Installment:Cage $100.00 x $100.00 for 1st caQe,plus $50 for each additional $50.00 x Miscellaneous Inspection Fee When there is no other applicable fee indicated and $100.00 x which occurs during normal business hours — Sub-Total $0.00 . Applied Credits $ GRANDTOTAL Is 310.00 I selected.