HomeMy WebLinkAboutB13-0407 APPLICATION.pdf Department of Community Development
OT 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#:
286 Bridge Street 4
DRB#:
(Number) (Street) (Suite#)
a Street Building Permit#:
286 Bridge Building/Complex Name: 9
Contractor Information Lot#: Block# Subdivision:
Business Name: TBD
Business Address: Work Class: New 0 Addition (0 Alteration (�
City State: Zip: Type of Building:
Single-Family( Duplex() Multi-Family(0
Contact Name:
Commercial Other(�
Contact Phone:
Contact E-Mail: Work Type: Interior(F) 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 Yes ®)No IjYes �No 30000
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 ®)No Yes ()No 7500
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing ()Yes (F�No 0Yes ( )No 0
ordinances of the Town applicable thereto. 55000
Building i Yes ®)No Yes ONo
Digitally signed by Paul Todd
X Date:2013.09.20 10:23:50-06'00' Value of all work being performed: $ 92500
Owner/Owner's Representative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3)
Electrical Square Footage 2092
Applicant Information Detailed Scope and Location of Work: Interior tenant
Applicant Name: Paul Todd electrical and data wiring, mechanical distribution, store
Applicant Phone: 303-446-0460 fixtures, and graphics.
Applicant E-Mail: Paul @toddarchitecture.com
Project Information
Owner Name: 286 Bridge Street, Inc.
Parcel#: 2101-082-41-001
(For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit
www.eaglecounty.us/patie)
(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