HomeMy WebLinkAboutB12-0336 APPLICATION Department of Community Development
75 South Frontage Road
TOWN OF VAIL�� vai�,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: PRJ12—0 4 01
350 S Frontage Rd W Project#:
(Number) (Street) (Suite#)
DRB#: DRB120322
Buildin Permit#: B 12—0 3 3 6
Build(ng/Complex Name: Lionshead CO West Mental Health 9
Contractor Information Lot#:_Block# Subdivision:
Business Name: Johnson Controls, Inc.
Business Address:
10289 W. Centennial Rd Work Class: New( ) Addition ( ) Alteration(✓)
City Littleton State: C� Zip: 80127 Type of Building:
Danial Kurtz Singie-Family( ) Duplex( ) Multi-Family( )
Contact Name: Commercial (✓) Other( )
Contact Phone: 303-263-5109
danial.d.kurtz ci.com Work Type: Interior( ) Exterior( ) Both (✓)
Contact E-Mail: @�
Valuation of
Work Included Plans Included Work
Owner/Owner's Repres ntativ Signature( ired) Electrical ( )Yes (✓)No ( )Yes (✓ )No
Applicant Informatlon Mechanical ✓ No
( )Yes ( ) ( )Yes (✓ )No
Applicant Name: Plumbing ( )Yes (✓)No ( )Yes (✓)No
Applicant Phone: Building (✓)Yes ( )No ( )Yes ( ✓)No $14245
Applicant E-Mail: Value of all work being performed: $ 14245
(value based on IBC Section 109.3&IRC Section 108.3�
Project Information Town of Vail Electrical Square Footage
Owner Name:
Parcel#: 210106407012
(For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit
www.eag lecounty.us/patie)
Detailed Scope and Location of Work: See Attached description for window replacement
(use additional sheet if necessary)
For Of�ce Use Only: Date Received:
Fee Paid:
Received From: RECE�VE�
Cash Check #
cc: Visa/ MC Last 4 CC # exp date: Tp WN 0 F 11A I L �
Auth #
07/30/2012 3 : 56PM
O1-Jan-I1