HomeMy WebLinkAboutB13-0059 APPLICATION.pdf Department of Community Development
75 South Frontage Road
TOWN OF lVA Wail, 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#:
';1S -
(Number) (Street) (Suite#) DRB#
Building/Complex Name: U lfy-1
Building Permit#:
Contractor Information Lot# Block# Subdivision:
Business Name. SHE Building Associates
Business Address
PO Box 6376 Work Class: New 10 Addition Alteration
City Vail state Co zip: 81658 Type of Building:
Contact Name: Sarah
Single-Family 0 Duplex G Multi-Family{�
Commercial 0 Other
Contact Phone: 970-390-5776
Contact E-Mail: sarah@srebuilds.com Work Type: Interior 0 Exterior() Both 0
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 Vlfork
and state that all the information as required is correct. I agree to Electrical i)�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 ; Yes )No Yes ()No
the town's zoning and subdivision codes, design review ap- y°"'
proved,International Building and Residential Codes and other Plumbing es �No Yes No
ordina of the"Town applicable thereto. '
Building Yes �No Yes No
X Value of all work being performed: $ �?�Imo}
Owner/Owner's Rep r ntative Signature(Required) (value based on IBC Section 109.3 8 IRC Sectlon 108 3)
Electrical Square Footage
Applicant.Information Detailed Scope and Location of Work:
Applicant Name: Contractor
Applicant Phone `
Applicant E-Mail:
Project Information
Owner Name: � �1�11
Parcel#: !—\t A r cc
(For Parcel#,contact Eagle County Assessors Office at(976-328-8540 or visit
www.ea glecou nty.uslpatie)
(use additional sheet II necessary)
For Office(Ise Only:
Dale Received
Fee Paid: :.
Received From:
Cash Check#
CC: Visa J MC Last 4 CC# exp date:
Auth #
12-Mar-2112