HomeMy WebLinkAboutB13-0495 APPLICATION.pdf 0 j Department of Community Development
N 75 South Frontage Road
�-� ViL.;. Vail,CO 81657
Tel: 970-479-2128
www.vailgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are requiredfor alarm &sprinkler) _
Project Street Address: Project#:
600 Vail Valley Drive F-1
DRB#:
(Number) (Street) (Suite#)
Building/Complex Name: Northwoods Condos Building Permit#:
Contractor Information Lot#:_Block# Subdivision:
Business Name: Nedbo Construction
Business Address:
PO BOX 3419 ;Work Class: New to Addition O Afteration(�
City Vail State: CO Zip: 81658 Type of Building:
Single-Family D Duplex&J. Multi-Family o
Contact Name: Warren Krok
Commercial(0 Other
Contact Phone: 970-845-1001
Contact E-Mail: warren @nedbo.com Work Type: Interior Exterior Both fQ
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 -
comply with the information and plot plan,to comply with ail Town Electrical Yes }lVo Yes No 1000
ordinances and state laws, and to build this structure according to Mechanical yes )No IYes ONo 1000
the town's zoning and subdivision codes, design review ap-
proved,International Building and Residential Codes and other Plumbing ( Yes iNo OYes GINo
ordinances of the Town applicable thereto. 6000
Building .111.1.1 QYes kNo Yes �jNo
.X. Value of all work being performed: $ 8000
Owner/Owner's Representative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3)
Electrical Square Footage 10
Applicant Information Detailed Scope and Location of Work:
Applicant Name: Nedbo Construction Install new gas log set in existing living room fireplace
Applicant Phone: 970-845-1001 will also install flue sentinel electronic damper
Applicant E-Mail: warren @nedbo.com
Project information Richard L. Michaux Irrevocable Trust
Owner Name:
Parcel#: 2101-081-19-001
(For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit
www.eag leco u nty.uslpatie)
__ ... ..._.. (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