HomeMy WebLinkAboutB13-0261 APPLICATION.pdf Department of Community Development
OT 75 South Frontage Road
TOWN OF VAIL Vail, 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#:
680 W Lionshead PI 506
DRB#:
(Number) (Street) (Suite#)
Building/Complex Name:
Antlers at Vail Building Permit#:
Contractor Information Lot#: Block# Subdivision:
Business Name: Antlers at Vail
Business Address:
680 W Lionshead PI Work Class: New 0 Addition (0 Alteration (�
City Vail State: CO Zip: 81657 Type of Building:
Contact Name:
Tom Schlader Single-Family k_,A Duplex() Multi-Family((0
Commercial Other 0
Contact Phone: 970-790-5218
Contact E-Mail: tom @antlersvail.com Work Type: Interior 0 Exterior 0 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 Yes e)No OYes ONo
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 e)No Yes (�No
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing ()Yes (DNo 0Yes GNo
ordinances of the Town applicable thereto.
Digitally signed by Tom Schlader Building OYes ®)No Yes ONo 6000
Tom Schlader DN m=Tom Schlader,o=Antlers at Vail,ou,
email=tom @antlersvaiLcom,c=US
X Date:2013.°6261':5827-06'00' Value of all work being performed: $ 6000
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: Antlers at Vail Replace bedroom window and patio window with new.
Applicant Phone: 970-790-5218 Blanket DRB approval for window replacement is:
Applicant E-Mail: tom @antlersvail.com DRB#060013
Project Information
Owner Name: Shirley Rauter Living Trust
Parcel#: 2101-072-06-054
(For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit
www.eaglecounty.us/patie)
(use additional sheet if necessary)
For Office Use Only: Date Received:
Fee Paid:
Received From:
Cash Check#
CC: Visa/ MC Last 4 CC # exp date:
Auth #
12-Mar-2012