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HomeMy WebLinkAboutB13-0387 APPLICATION.pdf Department of Community Development 75 South Frontage Road TOWN OF VAIt ° 0 - Vail, co 81657 Tel: 970-479-2128 www.vaiigov.com Development Review Coordinator BUILDING PERMIT APPLICATION (Separate applications are required for alarm &sprinkler) Project Street Address: ff Project#: 10 1119Ix q-12-- DRB#: (Number) (Street) (Suite#) yy '"�� / i- Building Permit#: Building/Complex Name: t I I�1 �iCtr f e-r t .- UVU Contractor Information Lot#: Block#_ Subdivision: Business Name:_f 1-4 h1 T rj cry C �) Work Class; New(0) Addition(©) Alteration( ) Business Address: Q IJ 11 1 r4 14*✓ City od c_ State: Gi) Zip: 9API Type of Building: Single-Family(©) Duplex(C) Multi-Family(g) Contact Name: Commercial(10 Other(0) Contact Phone: Contact E-Mail: 'Work Type: Interior((� Exterior(Q Both(0 I hereby acknowledge that 1 have read this application,filled out Valuation of Work Included Plans Included Work in full the information required,completed an accurate plot plan, and state that all the information as required is correct. I agree to Electrical (�(es (ONo (iYes ( 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 ONo (DYes (ONo the town's zoning and subdivision codes,design review ap- proved,In rnaton uilding and Residentia Codes and other Plumbing WC Yes ONo Yes (�No DO ordinan of the vn applicable the to. Building lYes ©No Yes ()No DO X dr Value of all work being performed: $f•�i OOG, bo Owner/Owner' epresentative 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: I 1 ��o� zh f? <7j-_� 20 - I� j Applicant Phone: � ac)C1. Applicant E-Mail-aL,.bn _155t Cco t',ttr} ire rlC llm4ffrlt Project htfartnat n r� l t- � � � � £ 0 ',+ Owner Name: L rPS. G, r � -C2 r . Parcel#: (For Parcel#,contact Bagic County Assessors Office at(970-328-8840 or visit { CGt 4° e(KJ � vnwr.eaglecounty.us1Patie] ii') locq , vial'-ra 'w",V—ttC V1 C'q.I' 14 iq use additional sheet if necessary 't,,�_° For Office Use Only: J I 1 Date Received. Fee Paid: Received From: Cash Check# CC: Visa/MC Last 4 CC# exp date: Auth# 2013•Fcb 01