HomeMy WebLinkAboutPERMIT B-11120 900 Moraine Ave, restroom 2019-04-05Electric
Floors
Received Date
Received By
Plumbing Involved:
Fixtures:
Water Service:
Town of Estes Park
Commercial Application / Building Permit
epartment of Building Safety 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517 Application Expires
General Information (970) 577-3726 • FAX (970) 586-0249' ;rg/Cammunit D vel m nt
Note: Use this form for Non-residential and Mixed -use Buildings
Job Address:
„0 ofk4
Permit Numbe
Permit Expires
Lot Size: sf/ac
Lot: Block: Subdivision: Parcel #:
Owner Name: Lez% ' / ,2
Address:
Contractor:
Address:,
DP o,^a`Yt r�ve
Email Address (REQUIRED):
The Following Applies to New Work Only —Complete all that a I : ❑New Buildin; Alteration ['Addition
Building Use(s): E Existing Fire Alarm Existing Fire Suppression = New Fire Suppression
Existing: Proposed: Yes 0 No )Yes ❑ No ❑ Yes 0 No
Town License #:
Phone: 31)3 77
Phone:
%'63F8
❑ Estes Park Sanitation 0 Upper Thompson Sanitation 0 Private Septic — Rec wires Applicant to first to the Health Department.
0 No CI Yes — State and Town Licenses Required
Cif Add 0 Relocate 0 Replace 0 Demolish
VExisting 0 New # of Meters: Meter Size: inches
Electric Involved: ❑ No II(Yes — State & Town License Required, State Permit and Inspection Required.
Service: tY Existing 0 New 0 Overhead ❑ Underground; ❑ New Sprinkler System Line
# of Meters: ; Meter Size: amps; Temp Meter; ❑ No 0 Yes Phase
Type of Heat: Gas
Building Height: #
Ft.
❑ Furnace
0 Boiler
Basement (sf)
Fin
Unfin
Job OescriptQon: NEW RESTROOM
Fuel Gas Involved: 'iwi No ❑ Yes — Qualifications and System Sizing Required.
T # of Gas A;riiances / Outlets:
��.e: ❑Natural Gas ❑LPG
(sf) Garage / Carport (sf) Porch w/ Roof Deck w/o Roof
Attached (sf) (sf)
Detached
1" Floor
Fin
Unfin
26" Floor (sf)
Fin
Unfin
Total Valuatiop s (Lab Materias) $
I certify this application its 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 owner's authority and permission to apply for this permit. Additionally, l
UNDERSTAND THAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW, PERMITS, INSPECTIONS AND OTHER FEES ASSOCIATED WITH THIS
APPLICATION. Coltractor gowner CI Owner's Agent 0 Tenant
Signature ,,
Job Description,:
Applicable Code(sj:
Occupant Load(s):
Variances (attached):
Front
Setbacks
Censusf
Zoning
Building Offic al
Type of Const.
Floor Load(s):
Fire Alarm System
Side
Hazards
Rear
Date Prinit, Name
flitct tiiv9f: Cbruly
Occupancy Class(es):
Roof Load.
Fire Suppression System
River
GIbr Wildfire Flood
Date
Department
Public Works
Water
Light & Power
Plann n
Building
Plan Review
County Tax
Cert. of Occupant
Other
Total
Approved Disapproved
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