HomeMy WebLinkAboutB12-0401 APPLICATIONr�u�r�u a� vari:
i�epart�n�rit of Cammunity I7evelopmeni
75 Sotith Frontage Road
Vail, CO ti1657
Tel: 970-479-2128
www.vailgov.com
Devel�pment R�view Coordinator
BllILDIhIG PERMIT AP�'L�CATIO��J
(Separate ap�lications are req�ired far alarm & sprinkler)
Praject 5treet Aciclress: �\
� �d f' � �'ti \��
{Numberj (Sireet}
BuildingfGornplex Name:
Contractor li7farmatinrj
(Suite #)
Business Name: ='-���1 ...�
B�asiness Address:� Q Z.
City ��i G N State: � Zip:1� i�[-.G'
Contact Name: �� ��' p,S� ��a�`�o i�•�
Project#: PRJ12-0081
DRS #:
Building Permik #: B 12 — 0 4 01
Lot #: Block # 5ubdivisian:
Work Class: New �} Addition (Qj Alferaiion (i�j
Type of Btiilding:
Single-Family
Commercial �j
ContaciF'hone: ��� ' ���• �,��G
Contact E-Mail: �r� t� r c�.5� ��'k�v� �\(15� �C,IV1�Ork Type:
I hereby acknowiedge tFrat I haue read this application, filled out
in fuEl the information required, corrzpleted an accurate plot plan,
and staie that all the iniormatian as required fs correct. I agree to
camply wit� the iraformation and plot plan, to comply with all Town
ordinances and state laws, and to build ihis stru�cture according to
the town's zoning and subdiviston codes, design reuiew ap-
proved, Iniernatianal Building and Resideniial Codes and othar
ordinances of the Town applicable thereto.
�wnerlOwn 's Represenlative Signature {Required)
ECecirtcal
Mechar�ical
Plumbing
Building
�j Duplex (�j Multi-Family {�j
Other �j
Inierior � Exteriar � Both �
Valuation af
Work fnduded Plans Included Work
f,�Yes �)No �Yes �No�' �, �� U
�,jYes Q)Na aYes �No
�Yes �No �Yes �QJNo� ��� Q ��
�Yes �)No �Yes �N� 'Z.f �,�OC�
Value of all work being performed: $ � J Q�°
(value based on IBC Seciion 169.3 & IRC Secfian 108.3�
Elecirical Square Foatage / ��` S �
Applicant Inforrrration Detailed Scape and Location of Work:
Applieani Name: "'� f�('�' l� �� Gtil � C�r—�
Appiicant Phone: ���' ��'��." �� � �} , � �x("o ����. �
ApplicantE-Mail:. Y;�S�'C�`��� Y�''L'�C���ln�1,�S�G�3M �1'�Y�. _S�V—� �VQ...,_` ����5�.•
Project liyformation �� �1� l lp �ti�-1 L��� .+ 1`%
Owner [�ame: � 5� �
,
Parcel #: 210 0 7 211018
[For Parcel i�, contacF Eagle County Assessors OTilce at �970-328-8 40 or vlslt
wwvr.eaglecoun ty.0 slpatle)
For Office Clse Oniti�:
Fee Paid;
Receiued Fram:
Cash Check #
CC: Visa � MC Lask 4 CC #
a��n �
exp date:
(use additional sheet if necessary)
D�te Received:
RECEI VED
By David Rhoades at 7:26 am, Aug 30, 2012