HomeMy WebLinkAboutB13-0537 APPLICATION.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAIL Vail,CO 81057
Tel: 970.479.2128
www.vaiigov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarms&sprinkler)
Project Street Address: J Project*:
(Number) (Street) �r (Suite#) DRS#:
Building/Complex Name:JAIL, Building Permit#:
Contractor Information Lot#: Block# Subdivision:
Business Name: T4Cft Sa,_)
BusinesJss Address: '70 Z� Work Class: New(p) Addition(0) Alteration
City V Al L— State: Zip: Type of Building:
Contact Name: l�r A arc Single-Family(0 Duplex((j Multi-Family(0)
Commercial Other(�)
Contact Phone: 170 331 6 000
Contact E-Mail:J"a-r-& I q&ftsvK b�r ��., G6.Ca Work Type: Interior Exterior(0 Bath(a
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 ( � { _
Comply with the Information and plot plan,to comply with all Town es No es a (yet)
ordinances and state laws, and to build this structure according to Mechanical 0Yes �No Yes (�No
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other plumbing Yes AN Yes (�,�No
ordinances of the n applicable thereto. Building ayes ONo ()Yes ()No /Z�=-
X Value of all work being performed: $ 43 Zoo_ C*
Owner Representative Signature(Required) (value based on IBC Section 109.3 8 IRC Section 108.3)
Electrical Square Footage
Applicant Information Detailed Scope and Location of Work: (moo�i in
Applicant Name: &1 czv S'D , �, G e gad L°jcR
sv�
Applicant Phone: 97c) 35/ °pr]
Applicant E-Mall: r� r_{ ' j 5 ✓LSds1 ��r /d irti t Ilk
Project Information ee
Owner Name: J /Vl,a," CL-1
Parcel#:
iFor Parcet#,contest Eagle COUnty Assessors Offlee at(470.3284840 or visit
www.vaglecounty.usrpatte)
(use additional sheet if necessary)
For Office Use only:
Fee paid: Date Received:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# �Texp date:
Auth #
2013-Feb 01