HomeMy WebLinkAboutB13-0089 Application.pdf Department of Community Development
0 75 South Frontage Road
�a � �l��l. Vail, CO 8'1657
Tel: 970479-2128
www.vailgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm& sprinkler)
Project Street Address: Project#
{Number) (street) (Suite#1 ORB#;
BuildingiComplex Name: Building Permit#
Contractor Information Lot#; Block# Subdlvlslon:
Business Name;
Business Address: !
Work Class: New{ ) Addition( ✓f Alteration( }
City State: Zip: Type of Building:
Single-Famlly{V1f Duplex{ } Multi-Famity{ )
'Contact Name: -- Commercial( } Other( }
Contact Phone: _ !
Work Type: Interior(,/j Exterior(vl'Both(�
Contact E-Mall:
I hereby acknowledge that I have read this application,tilled 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 i - - )Yes
comply vAlh the Information and plot plan,to comply vAlh all Town :Electrical ( )Yes { )No ( )Yes ( )No D
ordinances and state laws, and to build this structure according to €Mechanical { )Yes ( )No { )Yes { )No (Qtv`t r
the town's zoning and subdlvlslon codes, design review ap-
proved,International Bolding and Residential Codes and other i Plumbing ( )Yes ( )No ( )Yes { }No 1 '_ 1L
ordinances of the Town applicable thereto.
Building (/)Yes { )No (Vftes { )No
X Value of all work being performed:
Owner/Owner's kepresentative signatu a equlred) (value Wsed on Isc smuon 309.3&IaC section 108.
Electrical Square Footage
Applicant Information /' Detailed Scope and Location of Work:
Applicant Name: � 4;ww !
Applicant Phone:
�ff�� (�Gt 3
Applicant E-Mail: isvo a V`IGL1 eA4 .G4K&
Project Information rr
Owner Name: tAt�' i Ol t
Parcel#:
{For Parcel#,contact Eagle county Assessors Orflce at(970.328-mo or vsk
j mvw.eagtecounty.uslpatle)
I (use additional sheet ff necessary)
For Office Use Oz4:
Fee Pald: D me Recet�ed:
Received From:
Cash Check#
CO. Visa J MC Last 4 CC# exp date:
Auth#
15-Mar-2 012