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Home My WebLink AboutPERMIT Change of Use 165 Virgina Dr #8 2019-07-18Received Datel 9 Town of Estes Park Permit Number B—t I 2. Received By ________ Commercial Application /Building Permit / Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517 Application Expires Lf I SI Z.C) General Information (970)577-3726 •FAX (970)586-0249 •www.estes.org/CommunityDevelopment Note:Use this form for Non-residenjial and Mixed-use Buildings Permit Expires _____________ Job Address:/iC ?‘5n.fl J2’iLe S!5 Esj’1A1E 4 Lot Size: _________sf/ac Lot:—Block:Subdivision: ____________________________________________________ Parcel #:__________________________ Owner Name:IX Phone:P7C-SI,Z&3Sc Address:/Jfi LjsI_tLcjz&)giz’&/f/i7ms ,7%a Contractor:/‘4%,faai Town License fi: _______Phone:____________________ Address:7iC //40/Aif6f’)e ///c%n /4’/- EmailAddress(REQUIRED):ya&&r@P-ftt’ The Following Applies to New Wads Only —Co,iplete all that apply:ONew Building 4aWration DAddition Building Use(s)I Existing Fire Alarm Existing Fire Suopressior New Fire Suppression Existing:______________________Proposed:/i±atrdty No No C Yes -C Sewer:Park Sai:ation U Upper Thompson Sanitation C Private Septic —Requires Applicant to first go to the Health Department. Plumbing Involved:U Np,J-’tei—State and Town Licenses Required Fixtures:dd C Relocate U Replace U Demolish Water Service:CNew -ft of Meters:Meter Size: _______inches Electric Involved:U No es —State &Town License Required.State Permit and Inspection Required. Service:,risting U New U Overhead U Underground;U New Sprinkler System Line Is of Meters: ________ Meter Size: ______ amps;Temp Meter:U No U Yes Phase ___________ Volts ________ Type of Heat:U Gas U Furnace Fuel Gas Involved:El1 U Yes —Qualifications andSystem Sizing Required. ._2rtZtric U Boiler Type:U Natural Gas U LPG U of Gas Appliances /Outlets: Building Height-U Floors Basement (sf)15:Floor (sf)2 Floor (sf)Garage?Carport (sf}Porch w/Roof Deck w/o Roof Fin __________ Fin ___________ Fin __________ Attached _______ (sf)(sQ Ft:Unfin Unfin Unfin Detached Job oescnPflfl).7I -?/4J-l/.o•E-$ 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 Iocai ordinances state and federal laws as wall as buildng codes-I certify that I have the property owners authority and permission to apply for ti’s prmit.Adationally,I uNDERSTAND THAT I AM RESPONSIBLE FOR 4Y FEES OR EXPENSES INCURREO FOR PLAN REVIEW,PERMITS,INSPECTIONS AND OTHER FEES ASSOCIATED WITH THIS APPLICATION.consrcf’or D Owner D Owner’s Agent D Tenant Sgnasure ,‘:/ Date _____________ Printkame t44’’VJL Off ice Use Only Job Description: Department Approved Disapproved Fees Applicable code(s):Type of Const.Occupancy Class(es):Public Works Water Occupant Loadlsl:Floor Load(s):Roof Load:Light &Power Planning Variances (attached):Fire Alarm System Fire Suppression System Building .7SPlanReview Front Side Rear River county TaxSetbacks Cert.of_Occupancy Zoning censusa OtherHazardsCeoWildfireFlood Building Official Date Total U:’StnldingDept\FonnsandRefereisces_Building\Applicafions\Commcrcial Building permit\Comniercial Building Pcrmit 2011 APPROVED.doc Resised S’l9-20l5 -KT Received Date ____________ Received By _______________ Permit Number TOWN OF ESTES PARK Department of Building Safety OWNER’S PERMISSION FOR PROPERTY IMPROVEMENTS If the lessee/tenant of a property wishes to make improvements,the property owner(s)must give written permission for such improvements.This form must be completed and signed by the owner prior to issuance of a building permit. cit.-- I .—-)IttO in ‘i _____________ (owner)agree to allow the improvements to C) o•- \1 dHrF’ci e (address)as proposed by the tenant, à&B (tenant &business name). I understand that I am accepting full responsibility for all code requirements and liability associated with the project.Should any problems arise that can not be resolved with the applicant,Town Staff will notify the owner who is ultimately responsible for all activity on his/her property. (/b SignattiTCftner I /c(e4JfJ,AJ e:rrc Address-1f Ai//2i/,i C4’ (970)577-3726 0 P.O.Box 1200 0 170 MacGregor Avenue 0 Estes Park,CO 80517 my property located at 1k6 -J ‘/7>F) City State Date qyo3 Zip Telephone U:\Building Division\Forins-Logs\Owncrs Pennission \Owner Pennission for Iniprovemenls(APPROVED).doc