HomeMy WebLinkAboutB13-0525 REV1 transmittal '� � Department of Community Development
75 South Frontage Road
T� WN OF VAIL ' vai�, CO 81657
Tel: 970-479-2128
www.vailgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm & sprinkler)
___. _ _ _. . _ .. ..- — _
��I Project Street Address: ProJect #:
' 292 W Meadow Drive ,
'. (Number) (Street) (Sulte #) DRB #:
�, Building/Complex Name: TOV Pu61ic Lib�ary Building Pertnit #:
! Contrector Information Lot #: _ Block # Subdivislon:
eusiness Name: �erry Sibley Plumbing, Inc. _. _ _.__ . _
� '� Business Address: PO Box 340 ! Work Class: New �j Addition �j Alteralion (Q '��,
� : . ...__ ._.._ _. _ . . __..
; City Mintum State: CO ZiP: 81645 Type of Building:
K�Istena W att Single-Family �j Duplex �j Multi-Famlly �j
I Contact Name: Y ; '
. ; Commerclal �j Other � ;
! Contact Phone: 970-827-5736 � _
f Contact E-Mail: Jspinc@vail.net '. Work Type: Inlerlor O Exterlor Q Both � �
.. ....... . . . ._.,... . ,.
I I here6y acknowledge that I have read this application, filled out � � Valuatlon of -
; In full the information required, completed an accurale plot plan, Work Induded Plans Included Work '�
'�� and state lhat all the Information as requlred Is correct. I agree to ;- - - - ------ -- - - - ---- ,
�'� comply with the information and plot plan, to comply with all Town :. Electncal OYes O)No OYes �QNo �.
� ordinances and stale laws, and to bulld this sWcture according to ',, Mechanical �Yes O)No pYes QNo
i the town's zoning and subdivision codes, design review ap- .
; proved, Intematlonal 8ullding and Residentlal Codes and other ; plumbing �Yes QjNo �Yes �No � �'�,
j ordlnances of lhe Town applicable thereto.
! X ��� �� � ? Building OYes �No OYes QNo O .
, _.._. _
� Value of all work being performed: $ ,
i OwnedOwner's Representative Signatur (Requlred) ; (value based on IBC Seclion 109.3 81RC Sec�lon 109.3J I,
, j Electrical Square Footage ��',
' �,.. ___. _._._.__--- _____ ___ .—_.___._....!.
��, Applicant Information � Detalled Scope and Location of Work:
Applicant Name: �erry Sibley Plumbing, Inc Add ggas pressure regulators for fireplace, boiler
' Applicant Phone: 970-827-5736 and water heater on existing gas line
� Applicant E-Mail: �spinc@vail.net
i Project Information Twon of Vail
'��. Owner Name:
Parcel #: z101 -064-07-005 '
"� (FOr Pamel #, contact Eagle Caunty Assessors Offlce at (970-328-Bfi40 or vlsit '
www.eag lecounty.uslpatle)
-������� ��"-"- --- �---- - --- '. (use addltlonal sheet If necessary)
For ORce Use Only: � Date Received: � � � � � � �
Fee Pald;
Recelved From:
Cash Check #
CC: Visa / MC Last 4 CC # exp date:
Auth #
12-Murv2012