HomeMy WebLinkAboutB13-0401 APPLICATION.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAIL 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#
141 E. Meadow Dr 5H West
DRB#.
(Number) (Street) (Suite#)
Building/Complex Name:
Solaris Building Permit#:
Contractor Information Lot#: Block# Subdivision
Business Name: Rocky Mountain Construction Group
9
Business Address:
120 Willow Bridge Rd Work Class: New((0 Addition (0 Alteration (�
City Vail State Co Zip 81657 Type of Building:
Contact Name:
Mark Hallenbeck Single-Family G Duplex 0 Multi-Family(! )
Commercial G Other 0
Contact Phone: 970 476-4458
Contact E-Mail: markh@ rockymountainconstructiongroup.co Work Type: Interior Q Exterior() Both (�
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 (OYes O)No OYes ONo 5000
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 O)No OYes CONo 2000
the town's zoning and subdivision codes design review ap-
proved. International Building and-fii1tesidentlal Codes and other Plumbing OYes ONO OYes 0No 11200
ordinances of the Town pl'cable thereto
f .
Building OYes ONO OYes ONo 138610
VaVue of all work being performed $ 156810
OwnerlOwner's Representative Signature(Required) (value based on IBC section 109 3&IRC section 108 3)
Electrical Square Footage 3347
Applicant Information Detailed Scope and Location of Work: Interior remodel,
Applicant Name Mark Hallenbeck kitchen cabinets, hardwood floor, paint, tile, exterior
Applicant Phone 970 476-4458 & interior doors, and counter tops.
Applicant E-Mail markh@ rockymountainconstructiongroup.co
Project Information
Owner Name: Solaris 5HW LLC
Parcel#: 2101-082-94-033
(For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit
www.ea g lec o u n ty.uslpati e)
{use additional sheet if necessary)
I or,Of flee Vise only: Dale Received:
Fee Paid:
Received From:
Cash Check #
CC: Visa / MC Last 4 CC # exp date:
Auth #
12-Mar-2012