HomeMy WebLinkAboutB14-0016 �.., Department of Community Development
75 South Frontage Road
TOWN �F VAIl. � �� TeIV970-479 2128
www.vailgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm & sprinkler)
Project Street Address: Project#: ���� `���'T
���' a
C �Y�t'`��L[� �1� � D R B#:
(Number) (Street) (Suite#) �i + f _ � � I / _
� �� / Building Permit#: ��� ���
Building/Complex Name: U'r�E'��t:t�(,�L� ��'9`�Cr4f r��
Contractor Information Lot#: �' . Block#� Subdivision: v�IL���UW����---
Business Name: Uuf �,�)��f�����CGG�'�.�
�D 3�� �,�( Work Class: New( ) Addition ( ) Alteration (�)
Business Address:
City ����,;I l,�vl�, State: l� Zip: c�(�� Type of Building:
Single-Family( ) Duplex( ) Multi-Family(,� )
Contact Name: j< � ����'( Commercial ( ) Other( )
Contact Phone: �70 �aCl� �3``�'
Contact E-Mail: �Lt,t(,<1� btt C� �u lcfX1-C��f Work Type: Interior(k) Exterior O Both O
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 E�lectr'ical OYes ONo OYes ONo
comply with the information and plot plan,to comply with all Town
ordinances and state laws, and to build this struct�according to Mechanical ( X)Yes ( )No (�)Yes ( x�)No ��f��
the town's zoning and subdivision codes, design review ap- �
proved, International Building and Residen�tiai Codes and other Plumbing (n)Yes ONo (�)Yes (yc)No �l�
ordinance�of the Towr�applicable thereto.
� Building ( )Yes ( )No ( )Yes ( )No
---1��.� �
� � Value of all work being performed: $ ���(�_ i
" � value based on IBC Section 109.3&IRC Section 108.3� �
Owner/O�rne,r.'-s f�pre entative Signature(Required) �
Electrical Square Footage �;
Applicant Information Detailed Scope and Location of Work:
Applicant Name: Y��[cc� ����
Applicant Phone:
Applicant E-Mail:
Project Information ��'�,�j� ����1Z,,�
Owner Name: U �'� �TQ
Parcel#: �(�� t l�i Q�O �7
(For Parcel#,contact Eagle County Assessors Office at(9 0-328-8640 or visit
www.eag lecou nty.us/patie)
(use additional sheet if necessary)
For Office Use Only: —]�7 . � � v �
_ � � - Date Received: D
Fee Paid: ��--
Received From: ��� 1 ( ��14
' Cash Check#
CC: Visa/ MC Last 4 CC # exp date: ,
Auth # T�W� �� V���— '
2013-Feb O1
************************************************************+********�**********************
TOWN OF VAIL, COLORADO Statement
*********++******+**+************************************+**++�********+*************+******
Statement Number: R140000084 Amount: $23.75 02/17/201402:27 PM
Payment Method: Check Init: CG
Notation: ck 3091
outwest mechanical
Permit No: B14-0016 Type: COMBINATION BLDG PERMIT
Parcel No: 2103-114-0600-4
Site Address: 2249 CHAMONIX LN VAIL
Location: Brandywine Townhomes Unit #4
Total Fees: 5128 .75
This Payment: $23.75 Total ALL Pmts: $23.75
Balance: $105.00
****++***********************************************�**********************************a***
ACCOUNT ITEM LIST:
Account Code Description Current Pmts
-------------------- ------------------------------ ------------
PF 00100003112300 PLAN CHECK FEES 23.75
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