HomeMy WebLinkAboutB14-0063 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#:
660 Lionshead PL #20 (305)
DRB#:
(Number) (Street) (Suite#)
Lions S uare Lod e Building Permit#:
Building/Complex Name: a 9
Contractor Information Lot#: Block# Subdivision:
Business Name: RA Nelson LLC
Business Address: PO Drawer 5400
Work Class: New(�j Addition (�j Alteration (�
City Avon State: CO Zip: 81620 Type of Building:
Single-Family�j Duplex�j Multi-Family(�j
Contact Name: Justin Pronga
Commercial (�j Other�j
Contact Phone: 970-471-0509
Contact E-Mail: Jpronga@ranelson.com Work Type: Interior� Exterior� Both (Q
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 2000
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 250
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing �jYes �No �jYes �jNo 2000
ordinances of the Town applicable thereto. 2000
DiqitallysignedbylustinPronqa Building �Yes �)No �Yes �jNo
J u st i n P ro n g a DN cn=Justin Pronga,o=RA Nelson,ou=0perations,
mail=jpronga@ranelson.com,c=US
X °a�e:2°,4.°3.zs,s:z,:36-°6'°°' Value of all work being performed: $ 6250
Owner/Owner's Representative Signature(Required) �value based on IBC Section 109.3&IRC Section 108.3�
Electrical Square Footage 1505
Applicant Information Detailed Scope and Location of Work: Completion of
Applicant Name: �ustin Pronga interiors including flooring, masonry at fireplaces, small
Applicant Phone: 9�0-471-0509 amount of tile, mechanical trim, electrical trim, and
Applicant E-Mail: Jpronga@ranelson.com plumbing trim.
Project Information PAUL C. ELY, JR LP
Owner Name:
Parcel#: 210107201020
(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