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HomeMy WebLinkAboutD13-0009 APPLICATION Department of Community Development 0 75 South Frontage Road TOWN OF VAIL Vail, CO 81657 Tel: 970479-2128 www.vailgov.com 2)a ry)e) Development Review Coordinator BtAtDING PERMIT APPLICATION (Separate applications are required for alarm s& sprinkler) Project Street Address: Project#: o I to DRB#:_ �K���, fl,20 3 (Number) (Street) (Suite#) Building Permit#: �� ��9 Building/Complex Name:_r OJZD T�AQK �S Contractor Information ,NA Lot#: Block# Subdivision: U,0 Pc,q r i Et f Business Name: 1f-A- eJs&,A Business Address: 5I 6CLG b-_ �al2 Work Class: New((D) Addition (©) Alteration City 0 &h 1 1- State:_�Zip: 8l(r ZJ Type of Building: Contact Name: C✓ OC L L[tj A5 Single-Family(0 Duplex(C) Multi-Family(©) Commercial(® Other(��U��i r�.�"�-✓'cTC3x-1 Contact Phone: �7�D ` �'}�' ZY tZ.3 Contact E-Mail: oja,o Ll ✓15�V'G�t�lQ�5C111.C-Cl�� Work Type: Interior(0 Exterior(Q Both 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 (C)Yes (ONO (®Yes (I to 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 �No Yes (ONO the town's zoning and subdivision codes, design review ap proved,International Building and Residential Codes and other Plumbing (©Yes ONO ()Yes 0No ordin s of the Town applic le there Building ( Yes No Yes No r X Value of all work being performed: $� Owner/Owner's Representative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3) I Electrical Square Footage Applicant Information Detailed Scope and Location of Work: �2til,(pI1�1ffB'N Applicant Name: �C� UGk l_pC�( �S p Applicant Phone: -`k• 4 3-I. -22 7 J Applicant E-Mail: CLc� 1 t �`� ✓�i/����j(fy( , f171U C!�tP i L Project Inform atio J ►�P w Owner Name: f/�� cr�5 Parcel#: (For Parcel fl,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: D Received From: Cash Check# MAY 0 6 1013 CC Visa/ MC Last 4 CC# exp date: Auth# TOWN OF VAIL 2013-Feb 01