HomeMy WebLinkAboutB13-0469 APPLICATION Depar�ment nf Community Deyelopment
� 75 5outh Frnntage Raad
�Q�� �f VAlL ''� va�r,co s�s�7
Tel: 970-479-2�28
www.vailgav.com
De�reloprne�t Review�oordinator
BUILDING PERMiT APPLICAT�ON
(Separat�appfcations are required for aiarm &sprinkler)
Praject Street Address:
925 Red Sandskane Rd. gq �������'
Pfumber DRB#:
( 1 {Street) (Suite#}
Bu€idinglGamplex lNarr�e: ��ndStOne 7Q Buiiding Permit#.
Conirac#ar Informa�ion Lat#� Blocic# Subdivision-
6usiness�tame: G���"+��Y�'weeps of America
Business Address: �1900 W_44th Ave. Work Class; New('�) Addition(�) Alteratian(�
�� Wheat Ridge 5���: CO ZF�. 80033 Type of E3uildin�_
Contacf Name: �on Geypens Single�-Famify(� Duplex(� �,'lulti-Family( +�}
Cammefci�l(� Other{�}
Contact Phone: 72fl-940-672�
Contact E-MaiE: 1an�a chirnneysweepsofarnerica_eom Wark Type; Inte�ior(�.� ExterEor{Q Bnt�('C�
E hereby acknowiedg�#hat E ha�e read this applicafion,filled oufi Valuation of
in full the infarmation requ"rrecf,compfeted an accurate pfot plars, V1/ork Included !'Ians Included Worlc
and state tF�at afl the information as rec}uired is correct. I agree to
comply with the info�na#ion and plot pEan,ta ct7rrEp{y with all Town Eiectrical (QYes (�i No (�1'es (�la
ardina�aces and sta4e iaurs, and to b�aild this structure according#o �echanical ((�Yes �No �i Yes (�No 4994
fhe iown's zoning ae�d subdi�isian cades, design review ap-
peoved,Internatianaf Suilding and Residerrfial Cades and other p�umbing {�Yes �i tJo �,(�5 �+ �a
ordinances of the Town�ppliCa6le thereto.
Bui€ding (�Yes �No �Yes �Nn
� f °�`"'�'� ' Value of a!I waric being perforrned: $ 4994
Ownerl� er's Represen tive Signature(I�equired) f vaiue ba.sed an IBC Sedion 109.3 8 IRC Sedion 108.3}
Electric�l Square Fontage N!A
Applicant Infonnatian
Detail�cf Scope and�ocatfon of Wark:
�pplicar�t Name: Jo�Geypens
�irepiace lacated in�andstar�e 7�6A
APAlicant Fhcane: 72D-940-672'f
Applican#E-Mail: lo�@������Ysweepsofamerica_com
Project Inforrrrafion
t�wner tdame: �on Geypens
Parcel#; ��0301401021
(For ParCel#,w�act�agle Courrty Assessors OEfice at{970-328-864Q or visic
www.eag letou�y_usf patie)
(use additional shcet if necessary)
For Offee�1se Onlv:
Fee i�-aid: Date Receive�:
Receivec�From:
Cash T Check ;� -
CC: Vsa/�iC Last 4 CC# exp dat�:
Auth#
2013-Feb Ol
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