HomeMy WebLinkAboutPERMIT B-10534 Pergola 3501 Fall River Rd 2016-10-28Received Date2 t.)1
Received By
Town of Estes Park
Permit Number
Commercial Application / Building Permit
Department of Building Safety 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517 Application Expires
4
61117
General Information (970) 577-3726 FAX (970) 586-0249 v6twwestesAlrg/Communitypevelopment
Note: Use this form for Non-residential and Mixed -use Buildings Permit Expires 2'(
„ im co 'g- 5 . r7
Job Address: ...:50 I Fat( Rt've,--(9,-,9I g,,--\ G Lot Size: 0 J' sf
Lot: Block: Subdivision: Parcel #:
Owner Name: 0 I, ( CA, '
1 ,...
1 e....\0 V Ck ) -1---- Crn Phone: Ci 76 - ,6'8'' - -, /
,
Address: 3 1-0(5 I 1—a-tl ,` v‘e.,, 6W., ,Es-co5 L Ce ''6) 6 (7
/
)
Contractor: / i I (,,,,,--o ci.V\4' ,(/ L:c.) S4-6A/Ar\. /46NYIQS Town License #: Phone: 7 7 0 - 5a- 27S'Il a
-.1-) OG PCkVl, CO g 0 - 1 7
Address: '3 50 1 J-7A i 9., \,/ -e-s7 PS
7
Email Address (REQUIRED): ka v\A p i ck tAci Ll...
The Following Applies to New Work Only - Complete all that apply: ONew Building CIAlteration ElAddition
Building Use(s): Irc.4 )(A)li)/
Existing Fire Alarm
D v7.0 No
Existing Fire Suppression
9/y/5 0 No
New Fire Suppression
Aop Yes 0 No
Existing: CO-Y‘Cla'' 'S kcIfj e- Proposed: C-OrCi v-- 4 - 4?-s(' ''
Sewer: 0 Estes Park Sanitation 14 Upper Thompson Sanitation 0 Private Septic - Requires Applicant to first go to the Health Department.
Plumbing Involved: 0 No 0 Yes - State and Town Licenses Required
Fixtures: 0 Add 0 Relocate 0 Replace 0 Demolish
Water Service: 0 Existing 0 New - # of Meters: Meter Size: inches
Electric Involved: IS) No 0 Yes -State & Town License Required. State Permit and Inspection Required.
Service: 0 Existing 0 New 0 Overhead 0 Underground; 0 New Sprinkler System Line
# of Meters: ; Meter Size: amps; Temp Meter: 0 No 0 Yes Phase Volts
Type of Heat: O Gas iu r A El Furnace
Fuel Gas Involved: 0 No 0 Yes - Qualifications and System Sizing Required. / A)
0 Electric 0 Boiler
/I)
Type: 0 Natural Gas 0 LPG # of Gas Appliances / Outlets:
Building Height:
# Floors
Basement (sf)
Fin
1" Floor (sf)
Fin
2nd Floor (sf)
Fin
Garage / Carport (sf)
Attached
Porch w/ Roof
/ etb ")
Deck w/o Roof
(sf)
7 Ft.
/
Unfin
Unfin
Unfin
Detached
,(sf)
e,5010'
•
Jp‘b Description: , , , i
••0' leccCrIci 0 )C l fji 109 ,514b Wilt\ G
, )6, lvfoodin
' ''' ' ' aincY eYdolC\
Total Valuations (Labor & Materials) $ -, .7•., crp
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 wet as building codes. I certify that I have the property owner's authority and permission to apply for this permit. Additionally, I
UNDERSTAND THAT 1 AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW, PERMITS, INSPECTIONS AND OTHER FEES ASSOCIATED WITH THIS
APPLICATION. 6 Contractor $ Owner El Owner's Agent El Tenant
, - -.1 6
Signatu - Date Print Name \
Office Use On
Job Description:
07
14 („,":6',64 /i) V A"
y
Department
Approved
Disapproved
Fees
Applicable Code(s):
Type of Const.
Occupancy Class(es):
Public Works
Water
Occupant Load(s):
Floor Load(s):
Roof Load:
Light & Power
N/itPlanning
30/ 00
Variances (attached):
Fire Alarm System
Fire Suppression System
Building
2',,,og
'3 ei i .2,5
/
Plan Review
Zd:00?
( Pe/
-
Setbacks
Front
Side
Rear
River
County Tax
41',
'St I ,16
Cert. of Occupancy
Zoning
Census #
Hazards Geo Wildfire Flood
Other
_ -
--- ,—
Building Offic al . Date
, 2 ,,
- —, -, 7W/4' -/d/ 'S r r, ,r,
Total , -, ,.,
„,
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U:\BuildingDepffonnsandRe nees_Building\ Applications \ Commercial Build ell dimPennit-2414-A-PPROVEtb.doc
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