HomeMy WebLinkAboutB13-0063 APPLICATION.pdf Department of Community Development
OT 75 South Frontage Road
TOWN OF VAIL, f 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#:
1100 N. Frontage Rd.
DRB#:
(Number) (Street) (Suite#)
Building/Complex Name: Simba Run Building Permit#:
Contractor Information Lot#: Block# Subdivision:
Business Name: R.A. Nelson, Ilc
Business Address:
51 Eagle Rd. #2 PO Drawer 5400 Work Class: New(0) Addition (0) Alteration (0)
City Avon State: CO Zip: 81620 Type of Building:
Contact Name:
Jeff Beacom Single-Family(0) Duplex(0 Multi-Family(®)
Commercial ((F) Other(0)
Contact Phone: 970.445.0395
Contact E-Mail: jbeacom @ranelson.com Work Type: Interior(0) Exterior(0 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 Work
and state that all the information as required is correct. I agree to Electrical (&es (®No (®Yes (&0 32278
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 ®i )No Yes (�No 9
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing Yes ®jNo (®Yes �No 6200
ordinances of the Town applicable thereto.
Building E Yes ONo GYes t—%o 1912303
X Value of all work being performed: $ 1950781
Owner/Owner's Representative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3)
Electrical Square Footage N/A
Applicant Information Detailed Scope and Location of Work: Demolition of existin
Applicant Name: Jeff Beacom g siding and adding new siding, stucco and paint.
Applicant Phone: 970.445.0395 Electrical work consists of removing/replacing outlets
Applicant E-Mail: jbeacom @ranelson.com as needed. Plumbing MAY consist of relocating an
Project Information exterior gas pipe mounted on the exterior of the building
Owner Name: Simba Run Condo Assoc.
to allow for new finishes.
Parcel#: 2103-121-1300-1
(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 #
2013-Feb 01