HomeMy WebLinkAboutB12-0592 withdrawn i
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Department of Community Development
75 South Frontage Road
TOWN Of 'VAIL ' va�6 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: Project #:
a � l � N - ��o ���_ t2 .1 t.Je��" .n
DRB #:
(Number) (Street) (Suite #)
� Building Permit #:
Building/ComplexName:�J., � 17as Jc�,v•ne �� �c�� �+�i�i s
Contractor Information Lot #: _ Block #_ Subdivision:
Business Name: +� �s��� ��torn �la ns
' �����. Work Class: New �j Addition (�j Alteration (�� � � �
BusinessAddress: I ��.C� Q � uk Se (t.��e l� ( S�e�
��
Ciry �'�" C _o ��l v1 5 State: CC� Zip: `-60� ' Type of Building:
/'` � + �t � �� ���- S ', Single-Family � Duplex �j Multi-Pamily �j
ContactName: u_ am (P �'IS �
I , Commercial �Other �j
ContactPhone: ��� • �I�`6 ° � '� �3 '�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
� Contact E-Mail: G�� i S o n � (L'+� s t 3 r�s . CA �-�. '�.. Work Type: Interior � Exterior �oth � '.
I hereby acknowledge that I have read this application, filled out , Valuation of
in full the information required, completed an accurate plot plan, ', Work Included Plans Included Work
and state lhat all lhe information as required is correct. I agree to ;Electrical ��� �Yes ����)No �Yes �No��� �� �
comply with the information and plot plan, to comply with all Town
ordinances and state laws, and to build this structure according to ! Mechanical �Yes �)No �Yes �No
the town's zoning and s vision codes, design review ap-
proved, International Buildin and Residential Codes and other ' Plumbing �Yes �jNo �Yes �No
ordinances of the Town ap I ble thereto. ; � � ,�,, i �
Buildin es No {�'es No �2 ��
�IC ��
X i' alue o aIl work being performed: y ��� s �� Q'
Owner/Owner's Representative Signature (Required) (value based on IBC Section 709.3 8 IRC Section 108.3�
Electrical Square Footage
Applicant lnformatfon /� � ts an 1_�_- � c.Qe-5on �b «- Detailed Scope and Location of Work:
A IicantName: A � �"��tu�-e. �t�M Ji y�r �' 1 <. �1 �1�
. pp `� ', � /15 1 cti�� ., I G� ✓� �� LK�P.�� � � PX2vnX�,c,.,
APPlicant Phone: � 7 U - 4$�S ° �'�'a'3 ;I� r� � {�� ��i l d i no .
Applicant E-Maii: lA.11s o� � �-.� �`�� 5 i a�v� 5 _ c,a y,-.. .
'�. ProJect Information�y v � n � �
' Owner Name: I c�t /'isSOC� u. �i.S � L'� c�..
Parcel #: � � 03 I l �i I (v � 3�
I. (For Parcei #, wnWct Ea9�e County Assessors OHice at (970-3283640 or visit
��. vrvn�.eagiecounty.uslpaUe)
' � � � � � � ' (use additional sheet if necessary)
For Office Use Onlye
Date Received:
Fee Paid:
Received From:
Cash Check #
CC: Visa / MC Last 4 CC # exp date:
Auth #
12-n9arv2012