HomeMy WebLinkAboutB13-0272 APPLICATION.pdf Department of Community Development
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 212
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 0 Duplex 0 Multi-Family
Commercial Other
Contact Phone: 970-790-5218
Contact E-Mail: tom @antlersvail.com Work Type: Interior 0 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 Yes ®)No I�Yes No 3500
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 I�jYes �'JNo 0
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing �jYes �No �jYes ()No 3700
ordinances of the Town applicable thereto. 23000
DigitallysignedbyTomSchlader Building �i Yes ®)No Yes ONo
Tom Schlader em cn-Tom Schlader,1=m,ere at Vail,o0.
mail-tom @antlersvaitcom,c-U5 30200
�zte.2013.07.,7,22357-0600• Value of all work being performed: $
Owner/Owner's Representative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3)
Electrical Square Footage 70
Applicant Information Detailed Scope and Location of Work:
Applicant Name: Antlers at Vail Remodel of existing kitchen to include new cabinets,
Applicant Phone: 970-790-5218 appliances, counter tops and tile. Kitchen and bath
Applicant E-Mail: tom @antlersvail.com windows will be replaced. Blanket window approval is
Project Information covered under DRB#06-0013.
Owner Name: Kathleen Janice Flynn
Parcel#: 2101-072-06-024
(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