HomeMy WebLinkAboutB13-0454 APPLICATION.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAIL ' hail, 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 ft.
6 r1rr- tlr1l
DRB U:
(Number) (Street) (Suite#)
Building/Complex Name: Building Permit#:
Contractor Information Lot#: Block# Subdivision_
Business Name: SIRE Building Assoc
Business Address: 'PO Box 6376 Work Class: New G Addition Alteration
City Vail slate: Co Zip: 81658 Type of Building:
Contact Name.
Sarah Single-Family 0 Duplex() Multi-Family
Commercial a Other
Contact Phone: 970-390-5776
Contact E-Mail: sarah@srebuilds.com Work Type: Interior 0 Exterior O Bolh
I hereby acknowledge that I have read[his 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 I )No Yes C)No ! , 1) U
comply with the information and plot playa,to comply with all Town
ordinances and state laws,and to build this structure according to Mechanical .0Yes (])No YesNo
the town's zoning and subdivision codes,design review ap- I
proved,Intematiunal Building and Residential Codes and other Plumbing l,',Q,%Yes ONo QYes ()No 1 6X • 0 0
ordin s of the Town applicable lhereto.
Building 1'7}Yes ( NoYeSNca .
A Value of all woo`r'k being performed, $ on F
Owner/Owner's Repr9sentative Signature(Required) (value based on IBC Section 109.3&IRC section 108.3
Electrical Square Footage [)
Applicant Information Detailed Scope and Location of Work:
Applicant Name: SRE Building Assoc On 61( UU LUI I d Cr�
Applicant Phone: �y r � JlkIJIW
Applicant E-Mail: �— kVsl `�-yiGA�7• � �
Project Information
Owner Name: � 4 1 L A � + y7 � '
1 " .
Parcel#:
{Far Parcel#,contact E5gln County Assessors Office at 1970-328-8640 or visit
www.eaglecouMy.uslpatie]
(use additional sheet it necessary)
For Office Use Olnly
Date Received.
Fee Paid:
Received From:.
Cash Check #
CC: Visa J MC Last 4 CC a exp date:
Ruth #
I7-Mar-2012