HomeMy WebLinkAboutB13-0100 Application.pdf Department of Community Development
75 South Frontage Road
TOWN OF VA11C Vail, CO 89657
Tel: 970-479-2128
www.valigov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm &sprinkler)
Project Street Address: Project#:
600 Vail Valley Drive All
DRB#:
(Number) (Street) (Suite#)
Building/Complex Name:
Northwoods Condominiums Building Permit#:
Contractor Information Lot#: Block# Subdivision:
Business Name: Nedbo Construction
Business Address: PO Box 3419 Work Class: New Addition (10 Alteration
City Vail State: CO Zip. 81658 Type of Building:
Contact Name:
Warren Krok Single-Family 0 Duplex Multi-Family( j
Commercial Other 0
Contact Phone: 970-845-1001
Contact E-Mail: warren @nedbo.com Work Type: Interior Exterior( Both
I hereby acknowledge that 1 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 ._ Yes r%KO info
.• Yes. � No f 000
comply with the information and plot plan,to comply with all Town
ordinances and state laws, and to build this structure according to Mechanical OYes �}No f Yes No 2000 i.
the town's zoning and subdivision codes, design review ap-
proved,International Building and Residential Codes and other Plumbing OYes (DNo ()Yes GNo
ordinances 9f the Town applicable thereto.
Building Ij Yes 1"'NNo OYes C)No 11000
_ N
X Value of all work being performed: $ 14000
Owner/Owner's Representative Signature (Required) (value based on 113C Section 109.3&IRC Section 108.3)
Electrical Square Footage
Applicant Information Detailed Scope and Location of Work:
Applicant Name: Nedbo Construction Existing spiral staircase is to be modified and
Applicant Phone: 970-845-1001 reconfigured to allow for a new closet space in the
Applicant E=-Mail: master suite. See drawings for more details
Project Information
Owner Name: Five Pius LLC
Parcel#: 2101-081-11-011
(For Parcel#,contact Eagle County Assessors Offiee at(970-328-8640 or visit
www.eaglecounty,us/patle)
- - (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 #
12-Mar-2012