HomeMy WebLinkAboutB13-0491 APPLICATION Department of Community Development
75 South Frontage Road
TOWN OF VAII � va�i, co s�ss�
Tel: 970-479-2128
www.vailgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm &sprinkler)
Project Street Address: Project#:
500 l.ionshead Circle
DRB#:
(Number) (Street} (Suite#)
Building/Complex Name:
Lionshead ArCade Building Permit#:
Contractor Information Lot#: Block# Subdivision:
Business Name: Harlan Plumbing 8� Heating, Inc.
Business Address: P.O. Box 712
Work Class: New� Addition�) Alteration jQj
City S��t State: CU Z�P:81652 Type of Building:
Rand Harlan Single-Family� Duplex� Multi-Family�
Contact Name: y
Commercial�j Other�j
Contact Phone:970-876-5$87
Contact E-Mail: randyhph@hotmail.com Work Type: Interior� Exterior Oj Both 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 aYes Q)No �)Yes Q)No
comply with the information and plot plan,to comply with all Town
ordinances and state laws,and to build this structure according to Mechanicaf �jYes O)No �Yes �jNo
the town's zoning and subdivision codes, design review ap-
proved,International Building and Residential Codes and other Plumbing QjYes O)No �jYes �No
nces of the, own applicable thereto.
� Building �Yes O)No �Yes O)No
r
X �\ ' Value of ail work being performed: $��,�.��
Owner/ ner's Representative Signature(Required) �vaiue based on IBC Section 109.3&IRC Section 108.3�
Electrical Square Footage
Applicant tnformation Detailed Scope and Location of Work:
t�r�plicant Name: Randy Harfan Boiler replacement.
Applicant Phone:970-876-5$87
A��,�;r�n� �-n.��;� randyhph@hotmaiLcom
Project Information Lionshead Arcade Condominium Assoc
Qwner Name:
Parcel#:
(For Parcel#,contact Eagle Counry Assessors Office at(970-328-8640 or visit
www.eaglecounty.us/patie)
(use additional sheet if necessary)
1-"ur Office Use Only: Date Received:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp date:
Auth #
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