HomeMy WebLinkAboutD13-0015 APPLICATION.pdf Department of Community Development
0 75 South Frontage Road
TOWN OF vl�It Vail, CO 81657
Tel: 970-479-2128
www.vailgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION Demolition, shoring &
(Separate applications are required for alarm & sprinkler) excavation only
Project Street Address: Project#:
1027 Ptarmigan Road
DRB#:
(Number) (Street) (Suite#)
BuildinglCornpiex Name:
Resnick Residence Building Permit#:
Contractor Information Lot#: Block# Subdivision:
Business Name: R,A. Nelson LLC
Business Address: 51 Eagle Road #2 Work Class: New�J Addition D Alteration 0
City Avon State: CO zip: 81620 Type of Building:
Contact Name:
Jeff Beacom Single-Family Duplex 0 Multi-Family D
Commercial 0 Other
Contact Phone: 970-445-0395
Contact E-Mail: jbeacom @ranelson.com Work Type: Interior D Exterior(D Both L�J
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 )No O}Yes iv
comply with the information and plot plan, to comply with all Town
ordinances and state laws, and to build this structure according to Mechanical Dyes *)No Dyes *No
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing Oyes n)No Oyes [�No
ordina f the Town applicable thereto.
Building *Yes O)No Yes INo
X Value of all work being performed: $ 210000
Owner/Owner's Represe tiv Signature (Required) (value based on IBC section 109.3&Ilac Section 108.3) NIA
Electrical Square Footage
Applicant Information Detailed Scope and Location of Work:
Applicant Name: Mike Foster-Triumph Custom Homes Application for demo, Shoring & Excavation ONLY
Applicant Phone: (303) 475-4413
Applicant E-Mail: mikef @triumphdev.com
Project Information Eric Resnick
Owner Name:
Parcel#: 2101-092-09-006
(For Parcel#,contact Eagle County Assossors Office at(9711-326.8640 or visit
www.eaglecounty.uslpatie)
(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 #
15-Mar-2012