HomeMy WebLinkAboutB13-0208 APPLICATION.pdf Department of Community Development
0 75 South Frontage Read
TOWN OF Vii IL Vail, CO 81657
Tel:970-479-2128
www.vaiigov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm&sprink)er)
Project Street Address: Project#:
(Number) (Street) (Suite#) DRB#:
CO-3 88 Building Permit#:
Building/Complex Name:
Contractor Information Lot#: Blank# Subdivision:
Business Name:
Business Address.- Work Class: New 0 Addition 0 Alteration{U(a
: y a (��y 14 !`A
City State:W zip: Type of Building:
Single-Family 0 Duplex 0 Multi-Family
Contact Name: _ Commercial(0 Other�'J
Contact Phone: ��
Contact E-Mail: t Work Type: Interior Exterior 0 Both
1 hereby acknowledge that I have read this application,filled out 111!!!"���"" Valuation of
in full the information required,completed an accurate plot plan, Work Included Plans Included Work
and state that all the infomnation as required is correct. 1 agree to Electrical Yes )No Yes Nv �(}�
comply with the information and plot plan,to comply with all Town
ordinances and state laws, and to buifd this structure according to Mechanical { Yes }No YesNv
the town's zoning and subdivision codes, design review ap
proved,International Building and Residential Codes and other Plumbing I17'�jYes (DNo + Yes ()No
ordinances of the Town applicable thereto.
Building Yes No Yes ONa '29'eZz
X_ Value of all work being performed: $
OwnerfOwne Repr ative Signature(Required) (value based on IBC Secilon 109.3&IRC Section 108.3) 7�
Electrical Square Footage tb
Applicant Information Detailed Scope and Location of Work:
Applicant Name: fEt_ C- f_)
Applicant Phone: >l� — I Yt Q ✓
Applicant E-Mail So— 1
Project Information
Owner Name:
f1_4
Parcel#: () i
(For Parcel 0,contact Eagle County Assessors office at(9711-WO-4640 or visit
www.eaglecounty.us/patie)
(use additional sheet if necessary)
For Office Use Only: Date Received:
Fee Paid:
Received From:
Cash Check #
CC: Visa/IVIC Last 4 CC# exp date:
Auth #
12-Mar-21112