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HomeMy WebLinkAboutB13-0423 APPLICATION.pdf Department of Community Development 75 South Frontage Road TOWN OF MAIL 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#: DRB#: (Dumber) (Street) 11'1 (suite#) BuildinglComplex game: �f e er0� aka xy-S Building Permit#: Contractor Information Lot#: Block# Subdivision: Business Name: bai I l ix C C.0 iv[. #tce J' ' Work Class: New ) Addition j®) Alteration } 6 L) j` Business Address: City _State: 0-(C) ZIP. Type of Building: a Single-Family a duplex 0 Multi-Family 0) i'L Contact Name: 1 I�l� t» +- Commercial 0 Other P)_Uto it ko rfto- Contact Phone: � l� } S - Contact E-Mail:_ I a C f Work Type: Interior 0 Exterior Both 0 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 0Yes )No Yes i�No comply with the information and plot plan,to comply with all Town ordinances and state laws,and to build this structure according to Mechanical f }Yes )No Yes ONO proved,town's zoning and subdivision codes. design review ap- proved, International Building and Residential Codes and other Plumbing Oyes &No Dyes No ordinances of the Town applicable thereto. Building (&Yes kJJNo X Value of all work being performed: $ 9�D� Ownerlow er's epre entative Signature(Required) (value bases on IBC Section 109.3&IRC Section 108.3) Electrical Square Footage Applicant Information Detailed Scope and Location of Work: Applicant Name: Jjc�ti, � - 10CAe D)Z Ver--iicx f,.' Qv- iY> Applicant Phone: -4.14 - 3-1 > 5 � a "Y p o yj- Applicant E-Mail: fiC Project Information J Owner Name: �r�,c r Z G !!__ Parcel#: 0©+ 7 (For Parcel#,contact Eagle County Assessors Office at[979-328-8640 or visit www.eaglecounty.usiFattei (use additional sheet if necessary) For Office Use Only: Dote Received: Fee Paid: Pece€ved From: Cash Check # CC: Visa/MC Last 4 CC# exp date: Auth # 15-Mar-2012