HomeMy WebLinkAboutB13-0032 Application.pdf Department of Community Development
OT 75 South Frontage Road
TOWN OF VAIL 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#:
680 W Lionshead PI 605
DRB#:
(Number) (Street) (Suite#)
Building/Complex Name:
Antlers at Vail Building Permit#:
Contractor Information Lot#: Block# Subdivision:
Business Name: Antlers at Vail
Business Address:
680 W Lionshead PL Work Class: New 0 Addition (0 Alteration (�
City Vail State: CO Zip: 81657 Type of Building:
Contact Name:
Tom Schlader Single-Family k_,A Duplex() Multi-Family l�
Commercial (O Other 0
Contact Phone: 970-790-5218
Contact E-Mail: tom @antlersvail.com Work Type: Interior (D Exterior() Both (®
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 VV ONo 1000
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 e)No Yes (�No
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing (�jYes �No �jYes (®jNo 2750
ordinances of the Town applicable thereto. 5500
Building i Yes ®)No Yes ONo
Digitally signed by Tom Schlader
Tom Schlader rn ilW T Schlader,l.Antlers at Vail ou, 9250
email=tom @antlersvaiLcom,c=US
Date.2013.03.141022:07 WOO, Value of all work being performed: $
Owner/Owner's Representative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3)
Electrical Square Footage 25
Applicant Information Detailed Scope and Location of Work:
Applicant Name: Tom Schlader Interior remodel of existing bathroom to include new
Applicant Phone: 970-790-5218 bath fixtures and tile.
Applicant E-Mail: tom @antlersvail.com
Project Information Woodburn Cockrum Trust
Owner Name:
Parcel#: 2101-072-06-061
(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