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HomeMy WebLinkAboutB13-0114 APPLICATION.pdf "' - Department of Community Development 75 South Frontage Road TOWN OF VAIL' Vail, co 81ss7 Tel: 970-479-2128 www.vailgov.com Development Review Coordinator BUILDING PERMIT APPLICATION (Separate applications are required for alarm &sprinkler) Project Street Address: Project#: 181 W. Meadow Drive DRB#: (Number) (Street) (Suite#) Building/Complex Name: Vail Valley Medical Center Building Permit#: Contractor Information Lot#: Block# Subdivision: Business Name: Vail Valley Medical Center Business Address: 181 W. Meadow Drive_ Work Class: New(a Addition(0 Alteration City Vail State: Co Zip: 81657 Type of Building: Contact Name: Jeremy Romero Single-Family 0 Duplex 0 Multi-Family(Qj Commercial Other Contact Phone: 303-806-7307/720-245-1270 Contact E-Mail: JRomero @amsofusa.com Work Type: Interior 0 Exterior`!.J 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 ``>Yes �)No ®Yes �No $2,000.00 comply with the information and plot plan,to comply with all Town ordinances and state laws, and to build this structure according to Mechanical (QYes ®)No tl )Yes ()No $83,175.00 the town's zoning and subdivision codes, design review ap- proved, International Building and Residential Codes and other Plumbing 0Yes Q)No ()Yes ONo 0 ro7es of the Town applicable thereto. Building ()Yes E)No Yes ()No 0 d —FoP- wd,-Caj Value of all work being performed: $ NaN Ownerf caner" Representative Signature(Required) k&e" S<. (value based on IBC Section 109 3&IRC Section 108 3) Electrical Square Footage 0 Applicant Information Detailed Scope and Location of Work: Remove(2)existing Applicant Name: American Mechanical Services LLC. boiler feed water tanks/pumps and associated piping, Applicant Phone:. 303-806-7307 relocate existing condensate cooler and piping. Furnish Applicant E-Mail: JRomero @amsofusa.com and install (1)new Shipco boiler feed water tank, reuse Project Information and install condensate pump(s), re-pipe steam and Owner Name: Vail Valley Medical Center condensate per engineer drawings. Discon/reconnect Parcel l Office elect circuits, add new control anel,wire, install, test. (For Parcel#,contact Eagle County Assessors Oce at(970-328-8640 or visit p _ www.eaglecounty.us/pane) Lb&TEt; WAA C.Z41L FIVAt ' i Peoom bef weep (use additional sheet if necessary)�jf-S�oAJ'©A.� M&t� OM. For Office Use Only: C� /C Date Received: Fee Paid: Received From: Cash Check# CC: Visa/ MC Last 4 CC# exp date: Auth # 12-Mar-2012