HomeMy WebLinkAboutB13-0259 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#:
384 Gore Creek Drive 11
DRB#:
(Number) (Street) (Suite#)
Building/Complex Name:
Villa Valhalla Building Permit#:
Contractor Information Lot#: Block# Subdivision:
Business Name: GE Johnson Construction Company
Business Address: 25 N. Cascade Ave., Suite 400
Work Class: New 0 Addition (0 Alteration (�
City Colorado Springs State: CO Zip: 80903 Type of Building:
Contact Name:
John Halloran Single-Family 0 Duplex() Multi-Family l�
Commercial ((O Other 0
Contact Phone: (970)471-6048
Contact E-Mail: halloranj @gejohnson.com 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 I�Yes 1p�No 100
comply with the information and plot plan, to comply with all Town
ordinances and state laws, and to build this structure according to Mechanical (GYes ®)No i jYes (�No 4800
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing ()Yes (DNo ()Yes GNo
ordinances of the Town applicable thereto. i
n �_J Building Yes ®)No (F)Yes ()No 10000
X 4'J�J Value of all work being performed: $ 14900
Owner/Owner's Representative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3)
Electrical Square Footage 15
Applicant Information Detailed Scope and Location of Work: Addition of a gas
Applicant Name: John Halloran fireplace in the Northeast corner of the living room in
Applicant Phone: (970)471-6048 Unit 11.
Applicant E-Mail: halloranj @gejohnson.com
Project Information Art Sands
Owner Name:
Parcel#: 210108238011
(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#
CC: Visa/ MC Last 4 CC # exp date:
Auth #
12-Mar-2012