HomeMy WebLinkAboutB13-0060 APPLICATION.pdf Department of Community Development
75 South Frontage Road
TOWN OF AIL' 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:
UA - ,L. w4eox( 11 g 4 k-?— Project#:
(Number) (Street) {Suite#) DR8#:
Building/Complex Name: Building Permit#:
Contractor Information Lot# Block# Subdivision:
Business Name: SRE Building Associates
Business Address: PO Box 6376 Work Class: New G Addition() Alteration
City Vail State: CO ,Zip: 81658 Type of Building:
Contact Name.
Sarah Single-Family() Duplex() Multi-Family
Contact Phone. 970'39Q-5776 Commercial G Other
Contact E-Mail sarah@srebuilds.com Work Type: Interior Exterior() Both V
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 Y
comply with the information and plot plan, to comply with all Town es Na Yes 0
ordinances and state laws, and to build this structure according to Mechanical Yes �)No Yes Ohio
the town's zoning and subdivision codes, design review ap-
proved,International Building and Residential Cedes and other Plumbing YesjNo ]Yes ' 1No
ordinan of the Town applicable thereto. lC.i
Building Yes ONo OYes ONo
X �-�'��� Value of all work being performed:
Owner/Owner's R esentative Signature(Required) (value based on 16C section 109.3&IRC Section 108.3)
Electrical Square Footage
Applicant information
Detailed Scope and Location of Work: AD
Applicant Name: Contractor
Applicant Phone:
� 1 ,
Applicant E-Mail: ,+
Project Information ru ��J
Owner Name: ]mac a �' .�Yr 6m''+ 0
Parcel#:
(For Parcel#,contact Eagle County Assessors Office at(970-328-8840 or visit
wrww.eag l ec ounty.uslpatie) -
(use additional sheet if necessary)
For Office l�sc only:
Fee Paid: Date Received:
Received From:
Cash Check #
CC: Visa I MC Last 4 CC# exp date:
Auth #
12-Mar-2012