HomeMy WebLinkAboutB12-0168 application1
Department of Community Development
75 South Frontage Road
TOWN OF VAIL Vail, CO 81657
Tel: 970-479-2128
www.vailgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
Separate applications are required for alarm & sprinkler)
Project Street Address: Project#: /C I Gi`"b all_
7 O p Tk7o 12A----(c4.4- h - 3 i
DRB#:
Number) (Street) Suite#)
Building Permit#:I Building/Complex Name:
Contractor Information Lot#: Block# Subdivision:
Business Name: J -tiff[-ce-4 ce4A.(2 1
Business Address: Ro)- ( 3O Work Class: New( ) Addition( ) Alteration(v')
City 0 lA. 07?-05 State: (0 Zip: el-b32_ Type of Building:
Single-Family( ) Duplex( K) Multi-Family( )Contact Name: C.0,--. V-- 't-f,s l %t'
Commercial( ) Other( )
Contact Phone: q-1 I- ( 7-J 5
Contact E-Mail: ,J kL(,!
7
Gf7 k 4t.,e c i`z 1, c '- Work Type:Interior( ) Exterior(>4) Both( )
I hereby acknowledge that I have read this application,filled out Valuation of
in full the information required,completed an accurate plot plan, Work Included Plans Included Work
and state that all the information as required is correct. I agree to :Electrical ( )Yes ( )No ( )Yes ( )Nocomplywiththeinformationandplotplan,to comply with all Town
ordinances and state laws, and to build this structure according to Mechanical ( )Yes ( )No ( )Yes ( )No
the town's zoning and subdivision codes, design review ap-
proved,International Building and Residential Codes and other Plumbing ( )Yes ( )No ( )Yes ( )No
ordinances of the Town applicable thereto.
Building ( )Yes ( )No ( )Yes ( )No
X 144; kl•
Value of all work being performed:
Owner/Owner's Re equired) i(value based on IBC Section 109.3&IRC Section 108.3)
Electrical Square Footage
Applicant Information
n
Detailed Scope and Location of Work:
Applicant Name: I f
1 k '(l
1
f flA tA., +Z S Z 2-11C1c)2At- IZ r': (2_
Applicant Phone:3 ) 3(::: 5 --0D/P 1 2,A)cp 1i-><.f,.'r5 ,;,v Se-Ec7 S .
Applicant E-Mail r fut rf P)II I)K r lei_ -R.,.f'' wlZ t:-t- 'Z ':- Dozy
Project Information S'W i L
Owner Name: VI Cl biz.(A Uv lfi^ 1ti"
Parcel#: .Z ( 0 H Q(p 5, 0 ...-0 ( c
For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit
www.eaglecounty.usipatie)
use additional sheet if necessary)
For Office Use Only: I Date Received:
Fee Paid: i
Received From:
Cash Check#
CC: Visa/ MC Last 4 CC # exp date:
Auth #
I 5-Mar-20 12
f