HomeMy WebLinkAboutB14-0022 application Department of Community Development
75 South Frontage Road
TOWN OF VAIL'� va�i,co s�ss7
Tel: 970-479-2128
www.vailgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm&sprinkler)
Project Street Address: Project#:
�S 1��,i- r� �v��,e u��, �.���_
DRB#:
(Number) (Street) (Suite#)
LIONSHEAD WELCOME CENTER guilding Permit#:
Building/Complex Name: IMAGINATION STATION
Contractor Information Lot#: Block# Subdivision:
BusinessName:U�,l]i��-.�.�F.nc�����, ��-����n
�
Work Class: New(�) Addition(Oj Alteration(�
Business Address:�`(S_�-�>�- �;��}__�� �.,�-4�
City VAIL State: ��• ZiP; 81657 Type of Building:
Single-Family�j Duplex�j Multi-Family(�j
Contact Name: ���.�. �. ��� �n a�� Commercial� Other�)
Contact Phone: �j�}� -3`10 - `]'�3� _
Contact E-Mail: So�u,r,_n�" '�' v�,! c'CCr�c.0� Work Type: Interior� Exterior� Both�
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 �jYes Q)No �Yes �No $600.00
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 Q)No QYes �No
the town's zoning and subdivision codes, design review ap-
proved,International Building and Residential Codes and other Plumbing �Yes �No �Yes �jNo
ordinances of the Town applicable thereto.
Building QYes �No QYes QjNo
X S Value of all work being performed: $ $600.00 �
Owne/Owner's Representative Signature(Required) (value based on IBC Section 109,3 8 IRC Section 108.3�
Electrical Square Footage
Applicant Information Detailed Scope and Location of Work:
ApplicantName: LOUIS S. ROMERSHEUSER �F.�pi� C�RCLIff FRaM��ISTINC
Applicant Phone: 970-471-0610 RECEPTACLE AND PROVIDE NEW
Applicant E-Mail: thebestele@gmail.com 20 AMP, 120 VOLT DEDICATED GFCI
Project Information��
Owner Name: A,//
Parcel#: o������,��C��-� - ----
(For Parcel�t,contact Eagle County Assessors Office at(970-328-6640 or vlslt
www.eaglecounty.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 #
12-Maz-2012