HomeMy WebLinkAboutB13-0057 APPLICATION.pdf Department of Community Development
0 75 youth Frontage Road
TOWN OF VAIZ■ Vail,Co 81657
Tel: 970479-2128
www.vailgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm &sprinkler)
Project Street Address: Project#
DRB#.
(Number) (Street) (Suite#)
�
t3 g p � � r^ ,,.A #
uildin lCom lex Name: LE`�T 1L4 Building Permit
Contractor Information Lot#: Block# Subdivision-
Business Name: SRE Building Associates
Business Address:
PO Box 6878 Work Class: New Addition Alteration(
City Vail State: Co Zip: 81658 Type of Building:
Contact Name. ,�"`'�
Sarah Single-Family 0 Duplex 0 Multi-Family
Commercial`� Other 0
Contact Phone: 970-390-5776
Contact E-Mail: sarah @srebuilds.com Work Type: Interior 0 Exterior 0 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. 1 agree to Electrical Yes ONo Yes ONo
comply with the information and plot plan.to comply with all Town 0
ordinances and state laws, and to build this structure according to Mechanical YesNo Yes iNo 2 W2
the town's zoning and subdivision codes, design review ap-
proved,International Building and Residential Codes and other Plumbing ayes ONo }Yes GNo ids
or aces of the Town applicable thereto
Building QYes ONo Yes ONo
X Value of all work being performed
Owner/owner's R esentative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3)
Electrical Square Footage
Applicant Information Detailed Scope and Location of Work. ucm a-6 cry)
Applicant Name: Contractor
Applicant Phone [�A
Applicant E-Mail: ( Y l(IV4"
Project Information ` ll
Owner Name: 11�YC�CP_ D
_r41 } r
Parcel#• 1 _
(For Parcel lr.contact agle County Assessors Office at(970-328.8640 or visit
www.ea g lec o u nty_usf pat is)
(use additional sheet if necessary)
For Office l se Only:
Date Received:
Fee Paid:
Received From:
Cash Check#
CC: Visa 1 htC Last 4 CC# exp date:
Auth #
12-Mar-2012