HomeMy WebLinkAboutAPPLICATION Bed and Breakfast 625 W Elkhorn Ave 2019-02-14Name:LOLUS’(GCcZJc-
BED &BREAKFAST REGISTR TICEVED
APPLICATION FEB 1 4 2019
El UPDATE El TRANSIISTTWEVIC
S #OF TOTAL BEDROOMS
Business Phone:SO7,—cVr)._
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Mailing Address:‘J’J e-s+
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\*\‘1NEW
Is\thpropeiIt€din:
)JTOWNLIMITS/FEE H COUNTY!NOFEE
FEE SCHEDULE:$200 Base Fee +$50 per Bedroom
(Calendar Year January through December)
Payments can be made by cash,check or credit/debit card (transaction fees apply)
MAKE CHECKS PAYABLE TO:Town of Estes Park
(in home),1Jroat5
‘]#OF GUEST BEDROOMS
*APPLICATIONS WILL NOT BE PROCESSED WITHOUT ALL FIELDS COMPLETED &
OWNERS &ON-SITE MANAGER’S SIGNATURES*
Owner Name:Louri rctd ‘-‘N
Business Name:QOJNO ro.v-n cS—’rES-rc c L,LC..
Owner Mailing Address:—
Mailing City:ts1rcs
Business Type (Circle one):Corporation/lnc./LLC/Sole Proprietor (see attached affidavit)Other (List):
_____________________
Business PhysicalAddress:/p.S \JJeS+E<”nQ’fl 1-e.-ts Was+-’W\CorA \-ve,
Business Phone:309)—95L—lt’
Owner Email:Lctc*,-
Emergency Contact Nah1:O%cu 6rtxcl
Mailing State:
________________
Mailing Zip:‘0 S (I
Owner/Cell Phone:O3 ——I G,-:j-.N
_______
Listing Name or #:ç2
Phone:302,—Is—I((0(
CO Sales Tax License #‘3IDR 93993.4 -O4Sales Tax Reporting Name rar ‘c E.s4-e LLC
$‘Copy of CO Sales Tax License Enclosed
C To Receive B&B Correspondence Electronically
C By Checking You are Confirming:All B&B Correspondence/Renewals be Sent to the On-Site Manager.
**OnSite Manager (If Applicable)**
Mobile Phone:ZOc —‘1s1,—IL
Email (required):\_Oj.JJ’C&COJLA(WNc kj
By signing below I acknowledge
•I must abide by all Estes Park Municipal Codes and Estes Valley Development Codes.
•I have read and understand EVDC Section 5.1 .U.,Local Marketing District and sales tax information.
•This B&B is subject to commercial utility rates for the current calendar year,and sales tax collection and remittance.
•I agree to have my email address included in the Town of Estes Park Public Information and Estes Valley Fire Protection District
email lists,and I am responsible for notifying guests of relevant important information.It is my responsibility to seek out and relay
information concerning the safety of the guests and the community,through any and all available sources.
•I am responsible for notifying the Town of Estes Park of any change in the status of this B&B (e.g.change in on-site manager,no
longer operating as a B&B,change in ownership,etc.).
All information contained on this form i ublic information.
iPoLII9 rhjg1aoiq
fjgnteowner’s Sig ture I D e ite Manager’s$nature ID
RETURN TO:Town of Estes Park,Town Clerk’s Office,P.O.Box”12GiLf.tad Park,CO 80517
FOR OFFICE USE ONLY:REGISTRATION#:CLERK:
_______
DATE ISSUED:
____________
AMOUNTPAID:ADOt°DATE:1äñJSH bHECK#:2_4LLQ CCC ID#:
_________
Notes:
Reviseu U1/2U19
I
***INTERNAL USE ***INTERNAL USE ONLY***J
Review of Advertising:
_____
In-Home Posting:
_________
Property Line Aerial Posting:
Parking Spaces:
_________
Exterior Lighting:
Neighbor Notification Affidavit:
Number of Sleeping Spaces:(Guest)
(Owner/Manageñ
Trash Compliance:
Review of Outstanding Violations:
_____
Notes:
Packet Mailed:____________________
Inspection Date:
___________________
Inspected With (owner/manager name):
Re-Inspect Deadline:
_______________
Re-Inspection Date:
_________
Approval Date:
____________
Inspected By:A
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D
D
LEi
BED &BREAKFAST INSPECTION Dte:
________________________________________
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Date:/
Denial Date:
Printt
Signature
S2:Special Review
(9 &Over 0cc.)
#of Bedrooms:
____________
Occupancy:
Approval Date:
_____________
Approved:
________________
To be completed by the Community Development Department:
InsideTown Limits:S€5 El No -Zoning District:U of Bedrooms:
Occupancy:)Parcel ID:,6.V.5ä-OOOO
community Development Approval:’—2S__/Comments:0 1ct{ry\5 .fk1f_y L._-C
To be completed by Utility Billing:
Individual Water Meter:EEl Yes El No Electric Meter:Location ID::Date of Conversion Billing Department Approval -
RETURN TO:Town of Estes Park,Town Clerk’s Office,RO.Box 1200,Estes Park,CO 80517
Revised 01/2019