HomeMy WebLinkAboutB13-0535 APPLICATION.pdf Department of Community Development
OT 75 South Frontage Road
TOWN OF VAIL 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#:
DRB#:
(Number) (Street) (Suite#)
Building/Complex Name: Building Permit#:
Contractor Information Lot#: Block# Subdivision:
Business Name: MUSEOTEC INC
Business Address:
1450 Brickell Avenue Suite 2190 Work Class: New 0 Addition 0 Alteration (®j
City Miami State: FL Zip:33131 Type of Building:
g�
Mike Johnston or/and Paola Ren Ifo Single-Family 0 Duplex( ) Multi-Family(�
Contact Name:
Commercial (0 Other(�
Contact Phone: 970.390.2490 and/or 305.213.3840
Contact E-Mail:jbar @rkymtnhi.com and/or paola@loguer.con Work Type: Interior 0 Exterior 0 Both N_J
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 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 ()Yes ®)No �jYes (�No
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing ()Yes ONO 0Yes ()No
ordinances of the Town applicable thereto_
Building Yes ®)No Yes ONo
X RAMON ALONSO AiA Value of all work being performed: $
Owner/Owner's Representative Signature (value based on IBC Section 109.3&IRC Section 108.3)
Electrical Square Footage
Applicant Information Detailed Scope and Location of Work:
Applicant Name:
Applicant Phone:
Applicant E-Mail:
Project Information
Owner Name:
Parcel#:
(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 #
12-Mar-2012