HomeMy WebLinkAboutB13-0373 APPLICATION.pdf Department of Community Development
OT 75 South Frontage Road
TOWN OF VAIL, f 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#:
141 E Meadow Dr.
DRB#:
(Number) (Street) (Suite#)
Building/Complex Name:
Solaris Building Permit#:
Contractor Information Lot#: Block# Subdivision:
Business Name: BluSky Restoration
Business Address:
770 Lindbergh Dr. #507 Work Class: New(0) Addition (0) Alteration (0)
City Gypsum State: CO Zip: 81631 Type of Building:
Contact Name:
Lee Macke Single-Family(0) Duplex(0 Multi-Family(®)
Commercial ((F) Other(®)
Contact Phone: 970-331-1846
Contact E-Mail: Lmacke @goblusky.com Work Type: Interior(®.) Exterior(0 Both (0
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 (�'es (�No (®Yes (&lo
comply with the information and plot plan, to comply with all Town
ordinances and state laws, and to build this structure according to Mechanical (®Yes ®i )No ()Yes (eNo
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing (0Yes e)No (®Yes �No
ordinances of the Town applicable thereto. �
Building (®i Yes ONo 1�JYes ONo 25000
X Value of all work being performed: $ 25000
Owner/Owner's Representative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3)
Electrical Square Footage 0
Applicant Information Detailed Scope and Location of Work: Replace Drywall and
Applicant Name: Same as contractor Finishes Removed for Glycol leak mitigation. Includes
Applicant Phone: 4A west, Trash Enclosure, Passageway, Fitness Room
Applicant E-Mail: and Valet Room
Project Information Solaris Commercial Owner LLC
Owner Name:
Parcel#: 210108293001
(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 #
2013-Feb 01