HomeMy WebLinkAboutB13-0544 application Department of Community Development
75 South Frontage Road
T�J UVN O F V►4l l. ' va�i, 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#:
181 West Meadow Drive
DRB#:
(Number) (Street) (Suite#)
Building/Complex Name: Vail Valley Medical Center Building Permit#:
Contractor Information Lot#: Block# Subdivision:
Business Name: Vail Valley Medical Center
Business Address:
181 West Meadow Drive Work Class: New(Q) Addition (Q) Alteration (Q' )
City Vail State: CO Zip: 81657 Type of Building:
R an Ma �II Single-Family(�) Duplex(Oj Multi-Family(Q)
Contact Name: Y J
Commercial (ti Other(�)
Contact Phone: 904-0066
Contact E-Mail: magill�a vvmc.COm Work Type: Interior(�•) Exterior(i� Both (�l
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 (�lo
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 �Yes (�No
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing (�Yes �jNo �Yes (�No
ordinances of the Town applicable thereto.
Building (�Yes �No �Yes �No 20,000
X / 20
� Value of all work being performed: $
Owner/Owner's Representative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3�
Electrical Square Footage
Applicant Information Detailed Scope and Location of Work:
Applicant Name: Ryan Magill interior window replacement
Applicant Phone: 904-0066
Applicant E-Mail: magill@vvmc.com
Project Information Vail Valley Medical Center
Owner Name:
Parcel#: 210107101013
(For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit
www.eag�ecounty.uslpatie)
(use additional sheet if necessary)
For Office Use Only:
Fee Paid: Date Received:
Received From:
Cash Check#
CC: Visa/ MC Last 4 CC# exp date:
Auth #
2013-Feb O1