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HomeMy WebLinkAboutB12-0373 withdrawni Department of Community Development 75 South Frontage Road Vail, CO 81657 TOWN OF VAIL ��� Tel: 970 - 479 -2128 www.vailgov.com Development Review Coordinator BUILDING PERMIT APPLICATION (Separate applications are required for alarm & sprinkler) ....... _...._. ........... .... Project Street Address: 3L _ tNE�IP'N IUD (Number) (Street) (Suite #) Building /Complex Name{jpholW00 rIBV1J7Al4 Contractor Information Business Name: V H q, Mice C"Q4" Business Address: 113 to IJ� P�su t�ri� ^� Project #: f k,J I l - O L4 75 �� /► DRB #: J Building Permit #: 17') lc�l Lot #: Block # Subdivision: Work Class: New ( ) Addition (x) Alteration ( ) city Vkl State: G ° Zip: 911� ju!!Jq I Type of Building: Single- Family ( )Duplex ( ) Multi- Family ( ) Contact Name: !Jr1 �1 LL��'` Commercial (j) Other( ) Contact Phone: -- ..------ ._..._._._._._.. - - - - -- - - - - - -- -- - — _.._ ....... _......... . .... __. .}. r eS t i Na low Work Type: Interior ( ) Exterior) Both( ) Contact E -Mail: I � 1 � C � t' �di�e 15.60M I hereby acknowledge that I have read this application, filled out in full the information required, completed an accurate plot plan, and state that all the information as required is correct. I agree to comply with the information and plot plan, to comply with all Town ordinances and state laws, and to build this structure according to the town's zoning and subdivision codes, design review ap- proved, International Building and Residential Codes and other ordinances of the Town applicable thereto. X I le Owner/ I's Representative Signature (Required) Valuation of Work Included Plans Included Work es Mechanical ( )Yes (-A)No ( )Yes (X)No Plumbing ( )Yes (�()No ( )Yes (XNo Building ('^( )Yes ( )No (k)Yes ( )No Value of all work being performed: $ Cam! x©'0.1-0 (value based on IBC Section 109.3 & IRC Section 108.3) Electrical Square Footage 1-1114 Applicant Information Detailed Scope and Location of Work: 6,,2vn- 1S- 1TZUa7 A ` / Goa Go�r2os Applicant Name: �/ A I (- (p 1>< (O h+�cCGOgu �2� T° A Applicant Phone: A Z O z4 7& AT 1^-i Applicant E -Mail: r"E)," AQZ 9ROOF Project Information Owner Name: 6,9L. Parcel #: o� 10 - �p, l ' N oo -- I (For Parcel #, contact Eagle ounty Assessors Office at (970- 328 -8640 or visit www.eaglecounty. uslpatie) For Office Use Only: Fee Paid: Received From: Cash Check # CC: Visa / MC Last 4 CC # Auth # exp date: LO <1�, U I�II ©ut '111 \/A 1 C�+�GA � (use additional sheet if necessary) Date Received: AUG lei tu12 TOWN OF VAIL 15- Mar -2012