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HomeMy WebLinkAboutB14-0033 CR1 transmittal Mar 18 14 06',06p R. Boymer Const. (970)479-9119 p 1 �epartment of Community Deveiopment 75 South Frontage Road 70WN OF VAIL `, vaii, CO81657 Tel: 970 179-2128 www.vailgov.com Development Review Coordinator BUILDING PERMIT APPLICATION (Separat2 applications are required for alarm & sprinkier) ProjecCStreet Address: Project�: � � ���% :'1:�9�'( J`�r'' DRB ik: (NumberJ (Streetj (Suite il) Building Permit#: Building/Complex Name.` ��,•�f!�l.f<T(�,� ���/1�F�I..•L?^— Contractor Information Lot#�._Block#_ Subdivision: eusiness Name:_ 'i� � ' �'�Gr'.[�'>L~ Business Address:. � _�C I!�7%� _ . `Nork Class: New ( ) Addition( ✓J� Alteration( ✓� � Gity �, State:�Zip�, ��(G�� 7ype of Buifding:/, Single-Family( i� Duplex ( ) Multi-Family ( ) Con�ac[Narne: __��� � �. ' .�.r _ � � �—�} - Commercial ( ) Other{ ) . Contact Phone: ��-f/,� �-YT.i) °"�12-�'l � � � - i` r i, ` J - � Work Type: Interior( ) EMerior( ) Both (7� Contact E-Mail�.��� � d.�.�L. �. /J�16� - ,_ �� . _ I hereby acknowledge��hat I have read ihis application,filled out Valuation of in fuli the information required,completed an accurate plot plan, Work Inciuded Plans Incfuded Work and slate that all the information as required is correc�. I agree �o Eleciricaf �(�� )Yes �( )No ��( )Yes ONo :1��,�7j�7 � comply vrith the information and plot plan,tu comply with all 7own ordinances and sta�e�aws, and to build ihis structure according to pqechanical OYes ONo f )Yes ONo (� � � � the town's zaning and subdivision codes, deslgn review ap- pioved. International 8uilding and R_sident:al Codes and other .Pl�mbing ( )Yes ONo j jYes ONo� .�-�G'�i urdinances of the Town appliraole thereto. �— Su:iding ( )Yes ( )Na ( )Yes ( )N����� � � ��� .^ Value of all work being periormed: $ ��Z�,C-l�� `� Owner� wnzrs Repre q tative Signature (Required) (�awe cased o�iec seCio� me.?a iac secnon iee.=.)�— � � Electriczl Square rootage � Applican[InformaUon Detailed Scooe antl Location o(Work Applicant Name: :� ��. _ '-� �� �.rix�'�r-: � �,�,;,�- � �, / Applicantl?hone: 4� � 7 -; _G 7 f2�/� '' ' /S%� �f'� -/-f/'!��//L' --- ,�_���G� ��--,-,—�--,— ApplicantE-Mail� � '�yyu:l��: i�1 [�� . �yt(.� /ti'L^.�l �1�/ �J� i" '�� 'S �'v.��� �! ����"/�. ,E � d �--=��'� �i�����!��—� Project Information . �J . �-'�"�.�-> , ' �� '��.� � . ti, � " � � owner Name: �'�1G�' �(��'�'`'.LI��GF-= 2 ��1.`�ly�:,�Z'r% �,�h ��`.�j}� �G19� Parcel#: 2����Z��/J��i� ��� ��(y' • � ��✓✓'''' �, �FerParceltl,concactEagleLountyASSe55orsOffiCeat�3�0-J28�8640orvisit /M7�UT��/.� L�S`-���� /��/�L���('��L-F�.�� � wwvi.eaglecounty.uslpa[ie) � '�//C/�/- 1 �/ A -� •�����`� �ftditi�'�€':i7nEC�ssary) " ��rTYZS 4'� � �r Office Use Only. Datc Received: Fee Pa d: Received Frem_ Cash ChecK� CC: Vsa/ MC �ast 9 CC F exp date: ___^. Auth d I S-Mar-2012