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HomeMy WebLinkAboutAPPLICATION B-8112 3110 S St Vrain, Taharaa, Retaining Wall 2006-07-21. eceived Date Town of Estes Park Permit Number teceived By cAri, Commercial Application / Building Permit Department of Building Safety 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517 Application Expires General Information and Inspection Line (970) 577-3731 • FAX (970) 586-0249 ■ www.estesnet.com dote: Use this form for Non-residential and Mixed -use Buildings Permit Expires Job Address: .-, ..� Lot: Block Subdivision: r ,: Owner Name: Address:''„•,,,,, Contractor: Address: 0 you G_S b (Street) 5- The Folio Building Use(s): (Street as (City) Lot Size: sf/,(yj ) Parcel #: 3 DZ4 W © IS Phone: cr i-o ' S 1 —© O C' 80s i-4- (State) (Zip Code) J ? Town License #: t Phone '�I �b S {� ' 2L1 S' A lies to New Work I( -c (City) ete all that a Existi : T Pro serf: V�T , Fire S upssion System: 0 No 0 Yes; u :twi Estes Park Sanitation 0 U r Thom son Sanitation 0 Private Se tic - Requires Applicant to first o to the Health De rrtment. Sewerang nvo v o es - fate ownLicenses equtte ; eg urrure o eet equtre Fixtures: 0 Add ❑ Relocate ❑ R!ptace 0 Demolish Water Service: ❑Existing ❑New - # of Meters: Meter Size: inches Electric Involved:LNo 0 Yes - State & Town License Required. Stare Permit and Inspection Required. Service: ❑ Existin ❑ New: 0 Overhead 0 Undc 'und; # of Meters: ; Meter Size: am s• Temp' Meter: 0 No 0 Yes •I Electric 1 : ❑New Buuill State 8061, 3-- (Zip Code) ration ❑Addition Fire Alarm System: 0 No 0 Yes; Type of Heatilw Building Height: Iar i r Fob Description: [� Fuel Gas Involved: 0 No 0 Yes - Qualifications and System Sizing Required. T: 0 Natural Gas 0 LPG # of Gas .liances / Outlets: (s m 2' Floor (s Dec Fin,m (sf) Unfin Garage / Carport (sf) Attached Detacbeit- Porch w/ Roof (sf) [ certify this,npplicatioo is true and t and agree to perform the work described according to plans/specifications submitted, reviewed and approved, and comply with vocal ord..1 ;, ->, 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 UND " d t a I AT 1 AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW, PERMITS, INSPECTIONS AND OTHER FEES AS Tr 'ATE ul + j, THIS APPLICATION. it Con' r to 0 Owner 0 Owner's Agent 0 Tenant iignature Job Des Applicable Code(s): Occupant Load(s): Variances: Setbacks Zoning Building Official vial Type of Construction: Date Print Name L1 r,,,;I— V ti *** Office Use Only *** Occupancy Class(es): Floor Load(s): Roof Load: Public Works Light & Power Planning Fire Department Building County Tax Certificate of Occupancy ❑ Furnace ❑ Boiler A�.1:�Waa:-- n...... 1