HomeMy WebLinkAboutPERMIT Handrail 1081 Pine Knoll 2017-01-31•4-o4’—1ReceivedDate‘-I /Permit Number
_____________
Received By________Long-Term Residential Application/Building Permit -1DivisionofBuildingsafety170MacGregorAvenueP.O.Box 1200 Estes Park,CO 80517 Application Expires /
General Information (970)577-3726 •FAX (970)586-0249 •www.estes.org
NOTE:Use this Form for Long-term Residences 30 days or more.
____________
(Street)(City)(State)(Zip Code)
Email address (REQUIRED):4 ,2 ,-z .i-/s it)
The Following Applies to New Work Only —Complete all that apply:D New Building U Alteration U Addition Master Planif
Building Use(s):U Owner /Residence U Rental —30 days or more U Accessory Dwelling
Existing use:Proposed use:;Uof New Dwellings:;U of New Kitchens:
Sewer:U Estes Park Sanitation U Upper Thompson Sanitation U Private Septic —Requires Applicant to first go to the Health Department.
Plumbing Involved:U No U Yes —State and Town Licenses Required;Plumbing Fixture Worksheet Required.
Fixtures:U Add U Relocate U Replace C Demolish Water Service:U Existing U New -U of Meters:
________
Meter Size:
______
inches
Electric Involved:U No U Yes —State &Town License Required.State Permit and Inspection Required.Temp Meter:U No U Yes
Service:U Existing U New U Overhead U Underground U of Meters:
_______
Meter Size:—amps;Phase
________
Voltage
________
Type of Heat:U Gas U Furnace Fuel Gas Involved:U No U Yes —Qualifications and System Sizing Required.
U Electric U Boiler Type:U Natural Gas U LPG U of Gas Appliances!Outlets:_______
Building Height:U Floors Basement (sf)1 Floor (sf)2 Floor (sf)Garage /Carport (sf)Porch w/Roof Deck w/o Roof
Fin
_________
Fin
__________
Fin
__________
Attached
_______
(sf)(sf)
Ft.UBdrm Unfin Unfin Unfin Detached
Job Description:I Total Valuations (Labor &Materials)t lne(IU4aJbI Is
I have submitted the Mininijm 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 owners authority and permission to apply for this permit.Additionally,I
UNDERSTAND THAT I AM RtSRNSIBLE FOR ANY FEES OR EXPENSES INcuRR9.FOR PLAN REVIEW,PERMITS,INSPECTIONS AND OTHER FEES ASSOCIATED WITH THIS
APPLICATION.7Contractor E3twner U Owner’s Agent U Tenant
Signature )/Date Print Name 6 d,O L /2/-?
‘“Office use Only ---
Applicable Code(s):Type of Const.Occupancy Class(es):Public Works
-zws flC ‘V’I
“/4 water
Occupant Load(s):Floor Load(s):Rool Load:Light &Power
tE in 5 77 ,&/C Planning
Variances:Building ioil0130 &q.-d C’?:)
Plan_Review
Front Side Rear River countyTax 4”c
Setbacks
Cert.of Occupa
Zoning census Hazards Geo Wildfire Flood
Date
Total 4’
5_%
BuiIçlinfrofficial
6Et/jc zo 17-c /-3D
Town of Estes Park
Owner Name:
Job Address:/Qc7 i &i&J/jôc £27 ,tj3 Condo:U No U Yes;Lot Size:
_________sf/ac
Lot:Block:Subdivision:
___________________________________________
Parcel #:—07 -C t::a
Address:/Of)Ae //.oL
Permit Expires’7 —
—
Contractor:
Address:
2con 12E4 Phone:72c-27J-37fy
Ai,c
(Street)(City)(State)(Zip Code)
0104J&2 Town LicenSe#:
_______Phone:______
Co
r,-2
Job Descriptiart,qtg .zeK e’MC4s tSnwgs r.Thr -,t,t#&Dept.Approved Disapproved Fees
C:\UsersUacki Wiedow\Desktop\Jacki\Long-term Residential Building Penrijt 2011 APPROVED.doc Revised 11412017-KT