HomeMy WebLinkAboutB13-0398 Application ' Department of Community Development
75 South Frontage Road
TOWN OF VAIL` Vail,97 '7
co s
Tel: 970-49-22128 128
www.vailgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION -- --
(Separate applications are required for alarm &sprinkler)
Project Street Address: Project#:
3827 Lupine Drive B
DRB#:
(Number) (Street) (Suite#)
Duplex Building Permit#:
Private Du
BuildinglComplex Name. p
Contractor Information Lot#:_Black# Subdivision:
Business Name: Nedbo Construction
Business Address: PO Box 3419 Work Class: New(�l1 Addition( j Alteration(F)
City Vail State: CO Zip: 81658 Type of Building:
Contact Name:
Warren Krok Single-Family Duplex( Multi-Family
Commercial(0 Other 0
Contact Phone: 970-845-1001
Contact E-Mail: warren @nedbo.com Work Type: Interior 0 Exterior 0 Both no.
.... _. _ _. ..
I hereby acknowledge that I have read this application,filled out Valuation of Work in full the information required,completed an accurate plot plan, Included Plans Included Work
and state that all the information as required is correct. I a ll ree to
comply with the information and plot plan, to comply with all Town Electrical a Yes }No Yes No 3000
ordinances and state laws, and to build this structure according to Mechanical 0Yes S)No kJYes (l No
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing GYes ( )No ( Yes UNo 500
ordinances of the Town applicable thereto.
Budding OYes ONo OYes ( INo 29500
X Value of all work being performed: $
33000
Owner/Owner's Representative Signature(Required) (value based on IBC Section 1093&IRC Section 108.3)
Electrical Square Footage
Applicant Information Detailed Scope and Location f
�M �
n of Work:
Applicant Name: Nedbo Construction Remove existing deck located above garage that is
Applicant Phone: 970-845-1001 leaking. Install new decking,waterproofing. gutters,
Applicant E-Mail: warren @nedbo.com and guardrailing. Replace cedar shake ridge vent cap
Project Information with new copper cap. Replace master bedroom
Owner Name: Henry R. Pratt Revocable Trust
fireplace appliance with new unit. Replace 3 skylights
Parcel#: 2101-111-01-018
(For Parcel#,contact Eagle county Assessors Office at(970-328-8640 or visit In master bedroom with new units to match existing
www.eaglecou nty.usipatie)
(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#
12-Mar-2012