HomeMy WebLinkAboutB13-0465 APPLICATION.pdf Department of Community Development
0 75 South Frontage Road
Vail, CO 81657
TOWN OF VAIL Tel: 970-479-2128
www.vailgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm & sprinkler)
Project Street Address: Project#
291 Bridge Street C-2
DRB#
(Number) (Street) (Suite#)
Lodge Plaza Shoe Store Building 'Permit#
Building/Complex Name: 9
Contractor Information Lot# ,Block# Subdivision
Business Name. Rocky Mountain Construction Group
Alteration
Work Class: New 0 Addition
Business Address 120 Willow Bridge Rd Suite 7
0
City Vail State Co Zip 81657 Type of Building:
Contact Name: Mark Hallenbeck
Single-Family() Duplex 0 Multi-Family (Qj
l
- Commercial ) Other 0
Contact Phone: 719 499-9248
kh rock mountainconstructiongroup.co Work Type: Interior O Exterior 0 Both V
mar
Contact E-Mail: � y
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 (L'JYes �}No Yes allo 14200 comply with the information and plot plan, to comply with all Town
ordinances and state laws, and to build this structure according to Mechanical GYes O)No QYes (�)No
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing 0Yes (DNo OYes (DNo
ordinances of the Town appli thereto. 55000
Building aYes 0No OYes �No
X
Value of all work being performed $ 69200
Q}vner/Owner's Representative Signature(Req�red) (value based on lac section ios 3 a zc section tos 3)
Electrical Square Footage 910
Applicant Information Detailed Scope and Location of Work
Applicant Name Mark Hallenbeck Tenant Renovation
Applicant Phone 719 499 9248
Applicant E-Mail markh@ rockymountainconstructiongroup.co
Project Information Tom Sapiro
Owner Name:
Parcel#: 210108262002
(For Parcel#,contact Eagle County Assessors office at(970-328-8640 or visit
www.eaglecounty.uslpatie)
(use additional sheet if necessary)
For Office t se OnIN: Date Received:
Fee Paid: �-
Received From:
Cash Check #
CC: Visa / MC Last 4 CC # exp date:
Auth #
12-Mar-20112