HomeMy WebLinkAboutB13-0418 application Department of Community Development
75 South Frontage Road
���� �� ��j� 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 Lionshead PI 502
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 Lionshead PI Work Class: New(�j Addition (�j Alteration (�
City Vail State: CO Zip: 81657 Type of Building:
Contact Name:
Tom Schlader Single-Family�j Duplex�j Multi-Family(�j
Commercial �j Other�j
Contact Phone: 970-790-5218
Contact E-Mail: tom@antlersvail.COm Work Type: Interior� Exterior� Both (�i
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 �i Yes �)No ��i Yes �No 900.00
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 �)No �Yes �No 100.00
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing �jYes �No �jYes �jNo 2500.00
ordinances of the Town applicable thereto. 6500.00
Building �Yes �)No �Yes �jNo
Digitally signed by Tom Schlader
To m S c h l a d e r �N��-Tom s�h�ade�o-A�,�e�s a��a��o� ,o000
mal_mm@a�Hers�a➢.�om.�_�5
oa�e:2o,3o9ZSO9,,3�-oboo 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 25
Applicant Information Detailed Scope and Location of Work:
Applicant Name: Antlers at Vail Remodel of existing bathroom. Replacement of window
Applicant Phone: 970-790-5218 in the bathroom. DRB#for window replacement is
Applicant E-Mail: tom@antlersvail.com DRB06-0013.
Project Information Great Reflections at Lakeside LLC
Owner Name:
Parcel#: 2101-072-06-050
(For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit
www.eag lecou nty.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