HomeMy WebLinkAboutB13-0207 APPLICATION.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAI1# Vail, CO 81657
Tel: 970-479-2128
www.vaiigov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm&sprinkler)
Project Street Address: Project#:
DRB#:
(Number) (Street) (Suite#)
t #:
Building/Complex Flame: r�.'`n Building Permit
Contractor Information 1 Lot#: Block# Subdivision:
Business Name: � ,k►�}\1�-'�. �"'�"�
!�? V)9+w n Warty Class: New Addition Q Alteration{
Business Address: '1 ��
City �4m__ Stater sJ Zip: t Type of Building:
Contact Name: U t, Single-Family 0 Duplex 0 Multi-Family j
�''`�, 1`
Commercial Other�..+'�-
Contact Phone: �]��
Contact E-Mail: tdY;l\�(�L •Qcr_)� Work Type: Interior 0 Exterior 0 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 Yes No Yes ONo
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 O)No ()Yes ()No
the town's zoning and subdivision codes, design review ap-
proved,International Building and Residential Codes and other Plumbing 0Yes ONo OYes ONo
ordin s of the Town applicable thereto.
�I
Building P Yes �No Yes ONo � _
X � Value of all work being performed: $ B
Owner/Owner's Jejpresentative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3
Electrical Square Footage t�
Applicant Information Detailed Scope and Location of Work:
Applicant Name:
Applicant
Applicant E-Mail: __tC\J „I1[hy],,,
.r � � + oIJfy-)
Project formatton
Owner Name: ��o l —{{ 089 -Al — QpF�
Parcel#: l_ (,Ult�x �, Lk—
(For Parcel 9.contact Eagle County As ssors Office at(970,320.8640 or visit
www.eaglecoun ty.ustpatie)
(use additional sheet if necessary)
For Office Use Oniv:
Date Received:
Fee Paid:
Received From:
Cash Check#
CC: Visa J NYC Last 4 CC# exp date:.
Auth#
12-Mar-2012