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B13-0381 APPLICATION.pdf
Department of Community Development 75 South Frontage Road TOWN OF VAtL 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#: 4630 Racquet Club Drive 14 DRB#: (Number) (Street) (Suite#) Vail Racquet Club (Bldg. 9 Building Permit#: Building/Complex Name: q ( 9� ) 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: y Contact Name: Michael Keyser Single-Family D Duplex D Multi-Family(� Commercial 0 Other 0) Contact Phone: 970-328-2699 Contact E-Mail: michaelk @randhmechanical.com Work Type: Interior ii ) 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 Yes Q)No O)Yes �)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 (D Yes Q)No (DYes (F)No 4830 the town's zoning and subdivision codes, design review ap- proved, International Building and Residential Codes and other Plumbing O)Yes ©)No tDYes DNo ordinances of the Town applicable thereto. Building Yes Q)No ©jYes Q)No X !- 'rte '°Z- Value of all work being performed: $ 4830 Own r/ ner's Representative 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 Like for like replacement of a 80% combi water heater. Applicant Phone: 910-328-2699 High efficiency upgrade not possible due to restrictions Applicant E-Mail: michaelk @randhmechanical.com regarding new flue installation. Existing WH closet to Project Information be used with no changes. Owner Name: Ann Cooper Parcel M 2101-124-06-014 (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