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HomeMy WebLinkAboutB13-0022 Application.pdf Department of Community Development 0 75 South Frontage Road TOWN OF VAIL° Van, CO 81657 Tel: 970479-2128 www.valigov.com Development Review Coordinator BUILDING PERMIT APPLICATION (Separate applications are required for alarm & sprinkler) Project Street Address: Project#: 5114 GROUSE LANE DRB#: (Number) (Street) (Suite#) Building/Complex Name: Building Permit#: Contractor Information Lot#: Block# Subdivision: Business Name: KEEP CONSTRUCTION Business Address: PO BOX 3018 Work Class: New 0 Addition(0) Alteration(G City Edwards State: CO Zip. 81632 Type of Building: Y Contact Name: Brian Cla don Single-Family�& Duplex () Multi-Family 10 Commercial(0 Other(©j Contact Phone: 970-390-3489 Contact E-Mail: thlclaydon @aol.com Work Type: Interior© Exterior() Both (Oi 1 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 that all the information as required is correct. I agree to Electrical �l )Yes O)No ®i Yes ONo 25,000 comply with the information and plot plan, to comply with all Town ordinances and state laws, and to build this structure according to Mechanical GYes O)No OYes E)No 5000 the town's zoning and subdivision codes, design review ap- proved,International Building and Residential Codes and other Plumbing GYes O)No E)Yes ()No 50000 ordinances of the Town applicable thereto. 250000 Building 1@Yes ONo QYes ONo X -' �-�'-'"_` `� Value of all work being performed: $ 305025 Owner/(:rw-ner's Representative Signature equired) (value based on IBC Section 109 3&IRC Section 108 3) Electrical Square Footage Applicant Information Detailed Scope and Location of Work: INTERIOR Applicant Name: LAUREN FORD CONVERSION OF EHU UNIT, INTERIOR ADDITION Applicant Phone: 477-2990 AND REMODEL, NEW DECK, NEW PAVER DRIVE. Applicant E-Mail: LAUREN @KHWEBB.COM Project Information Owner Name: DAVE&JILL MERTENS Parcel#: 2099-182-12-005 (For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit www.eaglecounty.us/patie) (use additional sheet if necessary) For Office Use Only: Date Received: Fee Paid: Received From: Cash Check# CC: Visa/ MC Last 4 CC# exp date: Auth # 12-Mar-2012