HomeMy WebLinkAboutB13-0385 APPLICATION.pdf Department of Community Development
75 South Frontage Road
T � 1 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#:
1139 Sandstone drive 3
DRB#:
(Number) (Street) (Suite#)
Building/Complex Name:
Indian Creek Townhomes Building Permit#:
Contractor Information Lot#: Block# Subdivision:
Business Name: Nedbo Construction -: 1.- --, _1 .1—- .
Business Address:
PO Box 3419 Work Class: New( Addition ( j Alteration
City Vail State: CO Zip: 81658 Type of Building:
Single-Family Duplex( } Multi-Family
Contact Name: Warren Krok ( }
Commercial Other
Contact Phone: 970-845-1001
Contact E-Mail: warren @nedbo.com Work Type; Interior Exterior Bath
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 No 5000
Electrical • Yes No Yes
Comply with the information and plot plan,to comply with all Town
ordinances and state laws, and to build this structure according to Mechanical OYes )No Yes I "No 500
I
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing ( Yes ONo uYes r)No 5000
ordinances of he Town applicable thereto. 27500. ........Building Yes �No i�Yes 1No ....
G`'� 38000
X Value of all work being performed: $
Owner/Owner's Representative Signature(Required) (value based cn IBC Section 109.3&IRC Section 108.3)
Electrical Square Footage 50
Applicant Information Detailed Scope and Location of Work:
Applicant Name: Nedbo Construction Re-configure existing bathroom and closet, creating
Applicant Phone: 970-845-1001 larger bathroom and smaller closet. New finishes
Applicant E-Mail: warren @nedbo.com tile,fixtures, painting, etc
Project Information
Owner Name: Barbara J. Erickson
Parcel#: 2103-014-18-002
(For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit
www.eaglecounty.uslpatie)
(use additional sheet if necessary)
................
For Office Use Only:
Date Receive d:
Fee Paid:
Received From:
Cash Check#
CC: Visa/ MC Last 4 CC# exp date:
Auth #
12-Mar-2012