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HomeMy WebLinkAboutB13-0340 APPLICATION.pdf DAIL 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 #: 1480 A Aspen Grove (Number) (Street) (Suite #) DRB #: Building Permit #: Building/Complex Name: Contractor Information Lot #: Block # Subdivision: Business Name: Jerry Sibley Plumbing, Inc. s: New Addition �) Alteration ':. Business Address: PO Box 340 Work Clas lJ) City Minturn State: CO Zip: 81645 I Type of Building: Kristena W att Single-Family o Duplex & Multi-Family to Contact Name: y Commercial 0 Other �) Contact Phone: 970-827-5736 -- —) Contact E-Mail: Jspinc @vail.net Work Type: Interior Exterior o Bath I hereby acknowledge that I have read this application, filled out a Valuation of in full the information required, completed an accurate plot plan, l Work Included Plans Included Work and state that all the Information as required is correct I agree to ! Electrical ©Yes ©)No ®)Yes C)No I comply with the information and plot plan, to comply with all Town . ordinances and state laws, and to build this structure according to I Mechanical pjYes ©)No O)Yes ONO 7,500.00 the town's zoning and subdivision codes, design review ap- ; proved, International Building and Residential Codes and other a Plumbing DYes O)No O)Yes DNo ordinances of the Town applicable thereto. Building O)Yes O)No (D)Yes O)No X rV�nw Value of all work being performed: $ NaN Owner/Owner's Representative Ignature (Required) (value based on 18C Section 189.3 & IRC Section 188,3) Electrical Square Footage Applicant Information I Detailed Scope and Location of Work: Applicant Name: Contractor Replace failed Buderus High efficiency boiler with Applicant Phone: Triangle Tube SOL0110 � Applicant E-Mail p`�t- I Project Information Owner Name- Roger Maurer Parcel #: 2103-121 -02-020 (For Parcel #, contact Eagle County Assessors Office at (978-328-8640 or visit i vm v.eaglecounty.uslpatie) -- - --------------------------- ------ (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