HomeMy WebLinkAboutPERMIT 1120 Big Thompson Ave Carport Repair 2013-11-19Received Date -.,Town of Estes Park
_________
Received By ,‘Commercial Application /Building Permit
Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517 Application Expires .‘-4;
General Information (970)577-3726 •FAX (970)586-0249 •www.estes.org/CommunityDevelopment
Note:Use this form for Non-residential and Mixed-use Buildings Permit Expires Z
Job Address:I2-0 Lot Size:
__________sf/ac
Lot:Block:Subdivision:
Owner Name:4(Sk
_____________________________________
Parcel#:•.-:i j4—.-2kk ?NsA -JA,C.;t Phone:7O ‘5 ThS
Address:1 1’Di)O?’o J
The Following Applies to New Work Only —Complete all that apply:DNew Building DAlteration DAdditlonBuildingUse(s):Existing Fire Alarm Existing Fire Suppression New Fire SuppressionExisting:________________________Proposed:_______________________D Yes E1 No ID Yes ID No ID Yes ID No
Sewer ID Estes Park Sanitation ID Upper Thompson Sanitation ID Private Septic —Requires Applicant to first goto Health.Department
Plumbing Involved:ID No ID Yes —State and Town Licenses Required w (AJ jj’Z/I7FixturesIDAddIDRelocateIDReplaceIDDemolish
Water Service:ID Existing U New -It of Meters:Meter Size:
Electric Involved:T.No ID Yes —State &Town License Required.State Permit and Insptction IService:ID Existing C New ID Overhead ID Underground;ID New Sprinkler System
It of Meters:;Meter Size:amps;Temp Meter:ID No ID Yes Phase
Gas ID Furnace
Electric ID Bo
It Floors Basement (sf)
Fin
Ft.Unfin
•ci,
No ID Yes —Oualificntinnc and System Sizing Required.
ices /Outlets:
Garage /Carport (sf)Porch w/Roof Deck w/o Roof (sf)
Attached (sf)
ib Description:
Total Valuations (Labor &Materials)$
certify this application is true and correct and agree to perform the work described according to pians/specifications submitted,reviewed and approed,arid comply with localordinances,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 UNDERSTANDTHATIAMRESPONSIBLEFORANYFEESOREXPENSESINCURREDFORPLANREVIEW,PERMITS,INSPECTIONS AND OTHER FEES ASSOCIATED WITH THIS APPLICATION.Contractor D Owner D Owner’s Agent D Tenant
Signature_________________________Date I/19 -/3 Print Name I
Office Use Only
Permit Number I’’7’.
Contractor:1 fi51’)..j Town License It:
________Phone:
“3 ‘-73 O ?Y o 0
Address:I’D87 S1.Qj°io’f
Email Address (REQUIRED):1?I-C.o ,--nu)ct it’mv t_tc’v1
iobDescription ftpc(L l1c1 bi —rc,ipcftl A oTL_(’j.i sb-’PIJ5teLJLESSJrk
Building permirCommerciaI Building Pennil 2011 AI’I’R(lvii)dc Revised 9/19/2(113 -KI