Loading...
HomeMy WebLinkAboutB13-0351 application `� Depar�ment af Comrnunity Developrnent 75 South �'rontage Raad �(��f� QF ���� �� Vail, CO 81657 TeL• 970-479-2128 www.waiago�.com De�el�pmen'� Review Coordinator BUIL�ING PERM#T APPLICATIQN (Separat� applicatians are required far a@arm & sprinkler} Rroject Street Address: Project#: 5�1'�O �oG hfn.�-:%� ,.�, Ci'iari�-��-._�— �._ �' DRB#: ,�/��I„���' (Number) (Street) ����� {Suite#) °T C��,� B�ilding Permit#: BuildingfComplex Name: ° �.✓ 'G� Cpn�ractor Information Lot#: Black# Subdi�ision: B�siness Name: �,�� ,�3!-�/4.../�1 �.��„ Business Address: �� �',�%��}/��,�;,,''._j; ,I�-�ork Class: New( ) Addition (ki } Alteration ( ) - �`�i ,r� City �� �f,?�s��.�. Stata:�_,Zip: i�+✓��!�/ �YP�af Building: Contact h.lame: ��p ,� , �,.� Single-Fami�y ( ) Duplex( ) Multi-Family(�) � �� `�"�Y�� Commercial ( ) Other�)_�-1'',,��,� f���cfJ�/�' Contact Phone: %-''�_�" , )�/����'�� Contact E-Mail: �� ��/� � �'�j y �4rk Typs: Interior ( ) �xterior( ) Bofh (�) / I hereby acltnowledge that I have read this application,filled out Valuation of in full the ir�f€�rmation required,completed an accurate plof plan, Waek Included Plans Included Wark and state that all fhe information as required is correct. I agree to �leetrical (�')Yes { )No ( )Yes (�S'}h!o �� comply with the informatifln and plat plan,to comply with all Town ordinances and state laws, and ta build this structure according to Meehanical OY�s (1(}No OYes O�lo the town's znning and subdivision codes, design review ap- pro�ed, Inters�ational Building and Residential Codes and other Plumbing ( )Yes (�(}No ( }Yes ( )�lo ordinances of the Town ap iicable thereto. ���� Bu'slding {�()Yes ( )h10 ( )Yes ( )Mo X � � � �-�� l Value of all work being performed: $ �f�O�-� �wnerlOwner's Representative Signature(Required) �value based on iBC Seetion 1b9 3&IRC Section 108.3� ' Electrical Square Foofage ��� � ,7� : _ ... _ ____ . �=; Applicant Inforrnatian Detailed Scope and Location of Work: Applicant Name: �/G C� v�%�"����. _ �~�C�r���,,•:�C� �.i'�'S��rJ��, �_��!-' � Applicant Phone: ��,�D • ,�i� - (-��/�y �7 y �,y l , �'J�� �� � y'-�"�F�! ��si�,�UI��./��� ��l✓.v' -f ApplicantE-Mail: ���/-fi'G,�� �/�l /G. �a,.�'s7 ' '' ���a,,%' �11i' '�.������w% Project Infvrmatian � _���.G71.!.�� 4.�-�G��S �G2',�.� �°�.1�-' Owner Name: C_ j� it Ti' C�` Parcel#: ��fO/-!� d;=,°� / iFOr Pareel#,contact�agle Caunty Nssessors Office at(970-328-8840 or visit www.eagfecounty,uslpatie� (use additional sheet if necessary} ['or Qf9'[ee CJse Only: Fee Paid: Date Received: Reeei�ed �ram: Cash Check # CC: Visa / MC Last 4 CC # exp date: Auth # 2fl13-Feb 01 •t/' /C