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Home My WebLink AboutB12-0404 Application01-Jan-11 Project Street Address: __________ ______________________________ ___________ (Number) (Street) (Suite #) Building/Complex Name: ________________________________ BUILDING PERMIT APPLICATION (Separate applications are required for alarm & sprinkler) Project #: __________________________________________ DRB #: ____________________________________________ Building Permit #: ___________________________________ Lot #: ____ Block #____ Subdivision: ___________________ Contractor Information Business Name: ________________________________________ Business Address: ______________________________________ City ______________________ State: _______ Zip: ____________ Contact Name: _________________________________________ Contact Phone: _________________________________________ Contact E-Mail: _________________________________________ X___________________________________________________ Owner/Owner’s Representative Signature (Required) Applicant Information Applicant Name: ________________________________________ Applicant Phone: ________________________________________ Applicant E-Mail: ________________________________________ Detailed Scope and Location of Work: ___________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ (use additional sheet if necessary) Work Class: New ( ) Addition ( ) Alteration ( ) Type of Building: Single-Family ( ) Duplex ( ) Multi-Family ( ) Commercial ( ) Other ( )__________________________ Work Type: Interior ( ) Exterior ( ) Both ( ) Project Information Owner Name: ________________________________________ Parcel #: ___________________________________________ (For Parcel #, contact Eagle County Assessors Office at (970-328-8640 or visit www.eaglecounty.us/patie) Value of all work being performed: $______________ (value based on IBC Section 109.3 & IRC Section 108.3) Electrical Square Footage ______________ For Office Use Only: Fee Paid: _________________________________________ Received From: ____________________________________ Cash _________ Check # ___________ CC: Visa / MC Last 4 CC # _________ exp date: ________ Auth # _________ Date Received: Work Included Plans Included Valuation of Work Electrical ( )Yes ( )No ( )Yes ( )No __________ Mechanical ( )Yes ( )No ( )Yes ( )No __________ Plumbing ( )Yes ( )No ( )Yes ( )No __________ Building ( )Yes ( )No ( )Yes ( )No __________ Department of Community Development 75 South Frontage Road Vail, CO 81657 Tel: 970-479-2128 www.vailgov.com Development Review Coordinator