HomeMy WebLinkAboutB13-0238 Application.pdfP_
Department of Community Development
75 South Frontage Road
Vail, CO 81657
TOWN OFO Tel: 970-479-2128
www.vailgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm &sprinkler)
Project Street Address: Project#:
2730 NT-NitJ r-D e
DRB#:
(Number) (Street) (Suite#)
Building Permit#:
[Building/Complex Name:
Lot#: Block# Subdivision:
Contractor Information
Business Name: b(PCTLT- C—LE/cm(c
Work Class: New 0) Addition(D) Alteration(0
Business Address:
City. I'—) (FL C State: CZ7 • Zi p oso Type of Building:
Q
Single-Family LJ) Duplex Multi-Family
Contact Name:
/. Commercial( Other 0)
Contact Phone: °I t 0 — 3og 4zyq
Contact E-Mail: XPf2-F�T_MC P 1 Work Type: Interior�) Exterior f-)' Both
i 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
comply with the information and plot plan,to comply with all Town
ordinances and state laws, and to build this structure according to :Mechanical Dyes t)No )Yes �jNo
the town's zoning and subdivision codes, design review ap-
proved,International Building and Residential Codes and other Plumbing "Yes &No OYes MNo
ordinances of the Town applicable thereto.
(Building Oyes (D)No VJ)Yes %W
Value of all work being performed: $ too
O er/ er' presentative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3)
Electrical Square Footage _
Applicant Information Detailed Scope and Location of Work: P-&Pf.KCC,
Applicant Name: M.G—_TCT W t1-1-1 A- 010A480
i Applicant Phone: W I T-14 Soj_M2 CdA►°.»�t1an1
Applicant E-Mail: PV
Project Information
e
Owner Name:
Parcel#:
3(For Parcel#,contact Eagle County Assessors Office at(970328-8640 or visit g
www.eaglecounty.us/patie)
use additional sheet if necessary)
For Office Use Only:
Date Received:
Fee Paid:
Received From:
Cash Check#
CC: Visa/ MC Last 4 CC# exp date:
Auth#
15-Mar-2012