HomeMy WebLinkAboutB12-0445 application12-Mar-2012 Project Street Address: __________ ______________________________ ___________ (Number) (Street) (Suite #) Building/Complex Name: ________________________________ BUILDING
PERMIT APPLICATION (Separate applications are required for alarm & sprinkler) Project #: __________________________________________ DRB #: ____________________________________________
Building Permit #: ___________________________________ Contractor Information Lot #: ____ Block #____ Subdivision: ___________________ Business Name: ________________________________________
Business Address: ______________________________________ City ______________________ State: _______ Zip: ____________ Contact Name: _________________________________________ Contact
Phone: _________________________________________ Contact E-Mail: _________________________________________ 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 approved, International Building and Residential
Codes and other ordinances of the Town applicable thereto. 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 122 E Meadow Drive D-4 Village Center SRE Building Assoc
LLC PO Box 6376 Vail CO 81658 Steve 970-376-1536 steve@srebuilds.com Contractor Hibberd JR, Fred 2101-082-25-002 15000 35000 50000 1,751 Renovation of retail space to include new lighting,
finishes and minor layout changes. Sarah Wyscarver Digitally signed by Sarah Wyscarver DN: cn=Sarah Wyscarver, o=SRE Building Associates LLC, ou, email=sarah@srebuilds.com, c=US Date:
2012.09.10 14:20:20 -06'00' TOWN OF VAIL RECEIVED 9/10/12 2:34 PM PRJ12-0485 B12-0445