HomeMy WebLinkAboutB13-0164 APPLICATION.pdf Department of Community Development
OT 75 South Frontage Road
TOWN OF VAIL 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#: PRJ13-019 5
108 South Frontage Road 206
DRB#:
(Number) (Street) (Suite#)
Building/Complex Name: US Bank Building Building Permit#: B13-0164
Contractor Information Lot#: Q2 Block# D Subdivision: VAIL VILLAGE
Business Name: Vail Valley Medical Center
Business Address: 181 West Meadow Drive
Work Class: New Addition (®j Alteration
City Vail State: CO Zip: 81657 Type of Building:
Contact Name: Y Magill R Ma ill Single (-Family( Duplex( ) Multi-Family
Commercial (q) Other(�
Contact Phone: 904-0066
Contact E-Mail: magill @vvmc.com Work Type: Interior 0 Exterior� 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 eYes ®)No Yes No 40000
comply with the information and plot plan, to comply with all Town k7i
ordinances and state laws, and to build this structure according to Mechanical O@Yes ®)No I�Yes No 75000
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing ) (Yes �No Yes (()No 40000
ordinances of the Town applicable thereto.
Building i Yes ®)No
(F)Yes ONo 95000
X Value of all work being performed: $ 250000
Owner/Owner's Representative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3)
Electrical Square Footage 2,026 sf
Applicant Information Detailed Scope and Location of Work:
Applicant Name: Ryan Magill addition of roof top unit for tenant finish remodel
Applicant Phone: 904-0066 on third floor.
Applicant E-Mail: magill @vvmc.com
Project Information
Owner Name: Vail Valley Medical Center
Parcel#: 2101-064-08-001
(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#
Received
CC: Visa/ MC Last 4 CC # exp date:
Auth # TOWN OF VA!L t By Carolyn Godfrey at 2:54 pm,May 13,2013
12-Mar-2012