HomeMy WebLinkAboutB11-0001 withdrawnDepartment of Community Development
75 South Frontage Road
Vail, Colorado 81657'
Tel: 970- 479 -2128
Fax: 970 - 479 -2452
Web: vvww,vailgov:com
veiopment Review Coordinator
BUILDING PERMIT APPLICATION
Separate permits are required for electrical, plumbing, mechanical, fireplace, etc.
Pro Stre � Office Use:
Project #: pRs11
(Number) (Street) (Suite #) DRB #: OZ61 1 000
Buildg /C�omple ame ^ • r. � Building Permit* E ll - coo
Contractor ormation:
Company:
Company Address:
City: <:--(,C-ooj cl-S State: 64t1--) Zip: C ]l to
Contact Name:
Contact Phone: - _ ;3 L rn � ; 1 � OS�
E -Mail �- �, ! V �--! d&"t__
Town actor Registration No 3
x of i Contr
Contractor Signature (required)
Lot #: Block # Subdivision:
Detailed Scope and Location of Work:
ceyn I^
(use additional sheet if necessary)
Work Class:
New ( ) Addition ( ) Remodel ( ) Repair ( ) Other (X)
Work Type
Interior ( ) Exterior (�) Both ( )
Property Information ti�/ i�
Parcel #: °�! / a -
(For parcel #, contact Eagle County Assessors Office at 970 - 328 -8640 or
visit www.eaglecounty.us /patie)
Tenant Name: it
A . n
Owner Name:
Valuations (Labor & Materials)
Building: $
Plumbing: $
Electrical: $
Mechanical: (including fireplace) $
Total:
Type of Building:
Single - Family ( Duplex
Commercial( ) Other( )
) Multi - Family ( )
Does a Fire Alarm Exist? Yes ( ) No (')
onitored Alarm? Yes ( ) No
Does a Sprinkler System Exist? Yes ( ) No
# & Type of Existing Fireplaces: Gas Appliances
Gas Lo_ Wood /Pellet Wood Burning
# & Type nf_Proposed Fireplaces: Gas Appliances
Gas Log Wood Burning _
_..._ ......... __ .__. .
Date Received: I I D
JAN G 3 2011
TOWN OF VAIL
15- May -10