HomeMy WebLinkAboutB13-0528 APPLICATION.PDF ��s'' Department of Community Development
75 South Frontage Road
r��� �� ����� Vail, CO 81657
Tel: 970-479-2128
www.vailgov.com
Development Review Coordinator
�UILDING PERMIT APPLICATION
(Separate applications are required for alarm &sprinkler)
Pro���e i Str�:et �,��g�-�ss: Project#:
�� I ��n ���d �
(Number� �Sare t) DRB#:
(Suite#)
Buiiding/Cora��lex 6Vaane: Building Permit#:
'Contrac8os�Ba�ffora�►atuon !Lot#: Block# Subdivision:
Business Name: I I �1 � 0 � � � � L e
',Business Addr�ss:��� ���—2�� `Work Class: New�) Addition � Alteration�j
- � ..�.. .� e �
�CitY �� State:��Zip. �� TYpe�of Building: � �„ �� � �� � ��� � �
' 1 Single-Family�) Duple)( Multi-Family�)
Contact Name: ��, 4'� � ���
!�._ � f,, Commercial� Other�)
Contact Phone: ,�—_l�i�l,�� _ ,.
Contact E-Mail: � " e '�jWork Type: Interior�) Exterior�j Both�
'/1
, I hereby acknowledge that I have read this application, illed 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 Elecfrical �Yes �)No �)Yes��No `
' comply with the information and plot plan,to comply with all Town
ordinances and state laws, and to build this structure according to Mechanical �jYes �)No �)Yes �jNo
the to��vr's zonir, nd subdivision codes, design review ap� �
proved, ntern io al Building and Residential Codes and other +,Plumbing �jYes �)No �jYes �jNo �
ordina c G a th� own applicable thereto. �
Building �Yes �)No �Yes �)No
'A Value of all work being performed: $� �, I�• �
Owner( w er' epre entative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3�
' ��
' ;Electrical Square Footage
Applocant 6¢�f�e�ma8eon _ . ..,, �._.....
__ .._._ .._. _.,....�._ . r _.. .. ,. �
�^ Detailed Scope and Location of Work �l,
pp � �+'11Y��1.Q� rl` �` i� {-,�, �,p /� � /
A licant Name: �t-!'�. � diVl I�� � I 1�C,VU hIG��' 1 � � ���1✓V
ApPlicant F",one _����� � l.G�� ' J/o��t/i .
Applicant E•Uiail: � �� I� C���
ProJect traffcr��ra ¢� �E� n � �
Owr�er Naruae: �
6'arce8#:L�I I ' �(�`vV�
(For Parcel#,contac4 Eagle County Assessors Office at(970-328-8640 or visit
wv✓w.eagiecounty uslpatie)
` (use additional sheet if necessary)
For Office Y�se�9n4y: �
Fee Paid: Date Received:
Received From:
Cash �;neck#
CC: Visa/ MC Last 4 CC# exp date:
Auth f`
15-Mar-2012