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.