HomeMy WebLinkAboutB13-0386 GRADING APPLICATION.pdf Department of Community Development
76 South Frontage Road
TOWN OF VAII Vail, CO 81667
Tel: 970-479-2128
www.vailgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm &sprinkler)
Project Street Address: project#:
630 South Frontage Road East
(Number) (Street) (Suite#) DRB#,
Building/Complex Name: Ford Park-Grading Building Permit#:
Contractor Information Lot#: Block# Subdivision:
Business Name: American Civil Constructors
Business Address:
4901 Windermere
'Work Class: New o& Addition( } Alteration
W,WW --------- .W W --
City Littleton State: CO Zip: 80120 E Type of Building:
Contact Name: John Ramsey
+Single-Family Duplex Multi-Family
Commercial Other Municipal Project
Contact Phone: 303-738-5104
Contact E-Mail: jramsey @accbuilt.com ;Work Type: interior I Exterior i Both
A _
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 ElectricelF Yes )No Yes NoA '......M . .M ..
€ comply with the information and plot plan, to comply with all Town � ,
f ordinances and state laws, and to build this structure according to I Mechanical jYes I0—"'No Yes sNo
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other k Plumbing 0Yes I )No I Yes a No
ordinances of the Town applicable thereto.
Building
0yes 1No Yes No
s
X +^"°� f "' `� ,Value of all work being performed: $ 0
Own ! ner's Representative Sign ure(Required) (value based on IBC section 109.3&IRC Section 998.3)
Electrical Square Footage
Applicant Information Detailed Scope and Location of Work
Applicant Name: John Ramsey Site Grading
Applicant Phone: 303-738-5104
Applicant E-Mail: jramsey @accbuilt.com
Project Information Vail Recreation District
Owner Name:
Parcel#: Unsubdivided parcel
(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:
Fee Paid Date Received:
Received From:
Cash Check#
CC: Visa/ MC Last 4 CC# exp date:
Auth #
12-Mar-2012