HomeMy WebLinkAboutB13-0498 APPLICATION.pdf Department of Community Development
OT 75 South Frontage Road
TOWN OF VAIL, f 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#:
841 Vail Valley Drive
DRB#:
(Number) (Street) (Suite#)
Amphitheater Building Permit#:
Gerald R Ford Am
Building/Complex Name: p
Contractor Information Lot#: Block# Subdivision:
Business Name: RA Nelson LLC
Business Address:
51 Eagle Rd #2 (PO Drawer 5400) Work Class: New(0) Addition (& Alteration (0)
City Avon State: CO Zip: 81620 Type of Building:
Jeremiah Wendell Single-Family(0) Duplex(®j Multi-Family(®)
Contact Name: underground sanitary sewer
Commercial (� Other(�) g ry
Contact Phone: 970.445.0229
Contact E-Mail: jwendell @ranelson.com Work Type: Interior(0) Exterior(0 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 (�'es (�No (®Yes (C)NO
with the information and plot plan, to comply with all Town
ordinances and state laws, and to build this structure according to Mechanical (®Yes ®i )No Yes (®No
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing Yes ONo (®Yes GNo 32000
ordinances of the Town applicable thereto.
Building (®Yes 0i No (®Yes 0No
X Value of all work being performed: $ 32000
Owner/Owner's Representative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3)
Electrical Square Footage N/A
Applicant Information Detailed Scope and Location of Work: re-route of sanitary
Applicant Name: Jeremiah Wendell sewer line around GRFA Phase II Plaza Courtyard
Applicant Phone: 970.445.0229 this phase only included the extension of the SS line out
Applicant E-Mail: jwendell @ranelson.com of CBFW water main line work. SS connection of re-
Project Information routed SS line will happen at a later date.
Owner Name: Vail Valley Foundation
Parcel#: 2101-081-0000-2
(For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit
www.eaglecounty.us/patie)
(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 #
2013-Feb 01