DRB110260 Plans
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HomeMy WebLinkAboutD13-0003 APPLICATION.pdf Department of Community Development 75 South Frontage Road TOWN CFO Vail,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#: ~11 ev C", 5•Z 4-ft/ DRB#: (Number) (Street) (Suite#) Building/Complex Name: I'7'z., Building Permit#: Contractor Information/� � Lot#. Block# Subdivision: Business Name: .z.z ,:�p G 'c.� c Work Class: New 0) Addition(�) Alteration(>� Business Address: 3-9 3 City ice•.+� State: c� zip: Sfi 6 c'c, Type of Building: Single-Family Duplex Multi-Family�) Contact Name: i�lis- �L �iZ•x ,.� Commercial 0 Other 0) Contact Phone: Zo y 3 y( j Work Type: Interior Exterior Both Contact E-Mail: /�Ci�J wS & o 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 that all the 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 QYes ®)No ©)Yes ONO the town's zoning and subdivision codes, design review ap- proved,International Building and Residential Codes and other Plumbing Yes O)No DYes QNo i ordinances of the Town applicable thereto. Building (D)Ies ®)No (Dyes ®)No Gam.Ga X C`��/1 _� Value of all work being performed: $ B Owner/Owner's Representative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3) Electrical Square Footage Applicant Information- , '^^- Detailed Scope and Location of Work: ti217e"Q✓/Z Applicant Name: t--1�t���1 Fork dr Applicant Phone: LJI -1 Zq/7 CD ff � +r o . Jo t Applicant E-Mail: C111- s' Project Information Owner Name: r� Parcel#: 2dA (For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit www.eagIecounty.uslpatie) 6 I (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# 15-Mar-2012