HomeMy WebLinkAboutB13-0451 APPLICATION.PDF Department of Community Development
0 75 South Frontage Road
�Q QFt� f'F Vail, CO 81657
Tel: 970,479-2128
www.vaiigov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm &sprinkler)
Project#:
Project Street q Addre S.
I
`! � T Vim + 1�'Zcq k, I � '
DRB#:
(Number) (Street) (Suite#)
Building/Complex Name: V"�, �t°t Lfl�� C v! Building Permit#:
Contractor Information (�}} Lot#: Block#� Subdivision:
Business Name: DcnV-e( l'ir'e Gull(�
y r C,� work Class: New(Q) Addition(0) Alteration(Q
Business Address: {r Nn fti�.I �'i�r'{�, "�
city N n Vt state: 4 Zip: "4 Type of Building:
tom ► Single-'Family(i0 Duplex(0 Multi-Family
Contact Name: [ ['C
�1 �} Commercial(Q Other(10)contact Phone: { t6 `f f q
Contact E-Mail: e `"1L� � �JU} � 'ti'L Fork Type: Interior% Exterior(0 Both(0
I hereby acknowledge that I have read this application,Tilled 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 ONo (Q Yes ((:)No 5,Co c)
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 No Yes �No
the town's zoning and subdivision codes, design review ap-
proved,International Building and Residential Codes and other Plumbing I�Yes ONo OYes nNo I r
ordinances of a Town applicable thereto.
Building laYes ONo OYes ONo G C
X ?71 Value of all work being performed: $ 0
Ownerl0 er's Representative Signature(Required) (valve based on IBC section 109.3&IRC Section 108.3)
Electrical Square Footage Q
Applicant Information Detailed Scope and Location of Work: L, t a
Applicant Name: —5e- enN re nf a),?( .^� f4_rail a if :A,9
Applicant Phone: r _ }} l', A i)Lk, G CI� ��E� e � rl�t1 C
Applicant E-Mail: t�1` ° QrtV ( J�° d . Cl -yP�h � W �'f,t%„'� i �`� L`.'/
Project Information
Owner Name: Is ocd
Parcel#:
(For Parcel#,contact Eagle County Assessors Office at 1970-328-8640 or visit
www.eaglecounty.0 sf pati el
(use additional sheet if necessary)
For Off-ice Use Only:
Fee Pald: Date Received:
Received From:
Cash Check #
CC: Visa 1 NIC Last 4 CC# exp date:
Auth #
201:4-Feb 01