HomeMy WebLinkAboutPERMIT 21-565 3110 S St Vrain Ave, roof 2021-11-19
Town of Estes Park
32.FQ.11676
Department of Building SafetyPermit #: __________________
170 MacGregor Ave
App Exp: ___________________
Suite 230Permit Exp: ________________
Estes Park CO, 80517Date Rcvd: _________________
970-577-3726Rcvd by: ___________________
building@estes.org
BUILDING PERMIT APPLICATION
Description:
Sfsppg
Uibe!Fhhfo:81.338.9957
Property Owner:Phone:
4221!T!Tu!Wsbjo!Bwf/!uibefhhfoAhnbjm/dpn
Job Site Address:Email:
Bqfy!Sppgjoh!Dp!:81.697.77:6
Primary Contractor:Phone:
LfwjobqfyftuftqbslAhnbjm/dpn
Contact Name:Email:
Sub-Contractors:
NamePhoneEmail
1
2
3
4
5
IMPORTANT - COMPLETE ALL ITEMS AND MARK ALL APPLICABLE ITEMS
Square FootageNew or Tenant Finish OnlyCommercial
Main Flr: __________________Residential________Shell Only
Add Flrs: _______________________One Family________Tenant Finish
Basement: _____________________Multi-Family: ________Remodel/Addition
Crawlspace: _______________# of Units: _________________________New Building
Decks: _________________________Hotel, Motel, Dormitory:________Sign
Covered Porch: ____________# of Units ___________________Sprinkler: YesNo
Garage: ________________________Garage Occupancy
Other: ____________________Attached/DetachedClassification: _____________
Miscellaneous _____PatioConstruction Type: _________
____Plumbing____GasAttached/DetachedSeparated/Non-Seperated
Y
____Mechanical____Roof_____Basement: Partial/Full Construction Type
____Grading___SolarFinished/Unfinished____Wood
____Windows___Other_____Fireplace____Structural Steel
____Fireplace_____Other____Masonry
Demolition# of Bedrooms: ____________Other
%!211-111/11
Site Plan: _________________# Full Bath: ________Valuation: _________________
State Permit: ______________# 1/2 Bath:____ #3/4 Bath: ____Total Fees: _________________
Asbestos Permit: ___________Notes:
Lfwjo!Disjtupqifs2203:03132
Applicant Signature: _______________________________________________Date: ____________
Building Official Signature: __________________________________________Date: ____________