HomeMy WebLinkAboutB13-0274 APPLICATION.pdf Department of Community Development
75 South Frontage Road
TOWN OF �� 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#:
1255 WESTHAVEN CIRCLE
Di#:
(Number) (Street) (Suite#)
Building/Complex Name: Building Permit#:
Contractor Information Lot#: Block# Subdivision:
Business Name: New Electric, Inc
. ( }
Business Address. Box 957 Work Class: New Addition 0 Alteration (�
City Avon State: Co Zip: 81620 Type of Building:
Beth Smart Single-Family 0 Duplex t ) Multi-Family(0
Contact Name:
Commercial( } Other
Contact Phone: 970-949-4651
Contact E-Mail: beth@newelectriccolorado.com Work Type: Interior 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 G)Yes -01No OYes ONo 2a00.40
comply with the information and plot plan, to comply with all Town
ordinances and state laws, and to build this structure according to Mechanical 0Yes k,—))No 0Yes 01
the town's zoning and subdivision codes, design review ap-
proved, International B ' Ing'and Residen odes and other Plumbing Yes DNo CYes }Na
ordina es of the To n applicable ther
Building Yes )No OYes IjNo
X Value of all work being performed: $ 2000
Owner wner's R rese tative i na ure(Required) (value based on lac section 109.3 s IRC section 108.3)
Electrical Square Footage
Applicant Information Detailed Scope and Location of Work:
Applicant Name: Beth Smart Adding Can lights in bedroom and power for new bar
Applicant Phone: 970-744-4800
Applicant E-Mail: beth @newelectriccolorado.com
Project Information Matthew Horvitl Elizabeth Macleod
Owner Name:
Parcel#: 210312106018
(For Parcel#,contact Eagle County Assessors Office at(970.328-8640 or visit
www.eaglecou nty.uslpatie)
(use additional sheet if necessary)
For Office i Only:
Date Received:
Fee Paid:
Received From:
Cash Check#
CC: Visa J MC Last 4 CC# exp date:
Auth #
12-Mar-2012