HomeMy WebLinkAboutB13-0058 APPLICATION.pdf Department of Community Development
TOWN O F VA l l' 75 South Frontage Road
Vail,CO 81657
Tel:970-479-2128
www.vailgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm 8 sprinkler)
Project Street Address:
inl� W.`1C11 yCA \V__ J���J)/ Project#:
(Number) (Street) 1, ` '((Ssuittee'*)) DRB#:
Building/Complex Name: XkT� o..lna.rr S Building Permit#:
Contractor Information Lot#—Block#_ Subdivision.
Business Name: SRE Building Associates
Business Address PO Box 6376 Work Class: New M Addition`l_.r Alteration(�
City Vail State: CO Zip: 81658 Type of Building:
Contact Name: Sarah Single-Family Duplex(Q Multi-Family
Commercial 0 Other
Contact Phone: 970-390-5776 ��//
Contact E-Mail: Sarah 0srebuilds.com Work Type: Interior 0 Exterior 0 Bom O
I hereby acknowledge that I have read this application,filled out /W 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 ONO Yes ON,
comply with the information and plot plan,to comply with all Town �y
ordinances and state laws, and to build this structure according to Mechanical t{iyYes ONO
Ves ONO ,a�,0�p
the town's zoning and Subdivision codes, design review ap- 0�C2s O/-�
Proved.International Building and Residential Codes and other Plumbing Ova. ON. ONO �$Q
ordihe of the Town applicable thereto_ +��(,_ ,ter
Building Yes ONO {/OYes ONO 4q,M j
X Value of all work being performed: $ 17f wo
Owner/Owner's Represfative Signature(Required) (vducexaedon Sc I Section 109361RC Sedbn 108.3)
Electrical Square Footage
Applicant ame: Cont Detailed Scope -I�
Pe and Location of Work: �Y11c7 :C`(L.
Applicant Name: Contractor \ -
OIL
Applicant Phone:
Applicant E-Mail: ` 1�
Project Information ^`
Owner Name: t
Parcel If a�(�� — 1O -077
(FerPortel B,wnYIe COUnry ASSnean Ce rt(8i0.33B-8680 Orv1aH
w eaglecounh,nsrortls)
(use additional sheet tt necessary)
For Office Use Only:
Fee Paid:
Date Received:
Received From:
Cash Check #
CC: Visa/MC last 4 CC# exp date:
Auth#
12-Mar-2012