HomeMy WebLinkAboutB13-0291 APPLICATION.pdf Department of Community Development
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#:
100 E. Meadow Drive 37
DRB#:
(Number) (Street) (Suite#)
Building/Complex Name: Vail Village Inn Building Permit#:
Contractor Information Lot#: Block# Subdivision:
Business Name: R& H Mechanical
Business Address:
P.O. Box 810 Work Class: New 0 Addition 0) Alteration (�
City Eagle State: CO Zip: 81631 Type of Building:
Contact Name: y
Michael Keyser Single-Family 0 Duplex D Multi-Family(�
�,
Commercial W Other 10)
Contact Phone: 970-328-2699
Contact E-Mail: michaelk @randhmechanical.com Work Type: Interior no ) 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 O)No r)Yes n)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 (F)Yes O)No ®)Yes n)No 2672.40
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing )Yes O)No DYes DNo
ordinances of the Town applicable thereto.
pp .- Building D Yes O)No DYes 0)No
X Value of all work being performed: $ 2672.4
Owner/Owner's fWsentative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3)
Electrical Square Footage
Applicant Information Detailed Scope and Location of Work:
Applicant Name: Michael Keyser Installation of a heat relief exhaust fan.
Applicant Phone: 970-328-2699
Applicant E-Mail: michaelk @randhmechanical.com
Project Information La Bottega (Delizioso)
Owner Name:
Parcel M 2101-082-56-(1-38)
(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 #
15-Mar-2012