HomeMy WebLinkAboutB14-0090 Repartment of Comrnunity Development
75 South Frontage Road
���� �� ����� Veil, CO 81657
�el: 970-479-2128
www.�ailgov.com
DeVelopment Re�iew Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm & sprinkler)
Projeet Street Adciress: Project#:stc��-t' ZSn �.C�.{ki fM
t�!3 G o�c. Crce.l�. .�riv�.� � � oRe#: � �v 5a.1
(Number] (Street) (Suite#)
Building Permif#:
BaildinglGompfex Name�1'C. C ��L a
Contractor[nformation Lot#:�Block#� Su�division: � � �
Business Name:�c,�+�r►,c.s_�?'lr��it}'a�__Gl�sSi c.s� LL G
Work Class: New(�j Addition �j Alteration(�
Business Address: p0 �UX 7_l��i 3
City �1�0.J�rd S State: lA Zip: ��1v.3 2 TYP�of B�ilding:
Single-Family� Duplex�j Multi-Family(�}
Contact Name: Gt`�- S0.,Y1.G�S Commercial (� afher�j
�antact t�hone: °1�D � 3°ID• 02�13
Cantac#E-Mail:C��,�O. �4rYYl2.SQiY k�.G(1►M wark Typ�: lnterior Q Exteriar� Both�
J
I hereby acknowledge that I have read this applicafion,frlled out Valuation of
in fuil the infarmation required,compfeted an accurate plot pfan, Work Included Plans fncluded Work
and state that all fhe inforenation as required is correct. I agree to ��eetrical �Yes �)No �Yes �Ho �GOC�
camply with the information and plot plan,to comply with all 7own „
ordinances and state[aws, and to build this structure accarding to Mechanical �Yes �No �Yes �No
the town's zoning and subdivision codes, design review ap-
proved, international Building and Residential Codes and other PEumbing �Yes ' �jNo �Yes �,��[o �
ordinances of th applica e ihEr�ta. Suilding j�Yes �No �Yes �No �„q�t���
X Value of all work being performed: $ �(��,C�u�•�
OwnerlOwner presentati Sign re(Require } (value based on IBC Section 109.3&IRC Se�fion 108.3)
Electrical Square Footage �UO
__ .....
Applicant Information Detailed Scope and Location nf Work:
Applicant Nam�: �!k'�V12�� ��.t7.Q.�.e��r1 �EAC.� ,t� �4`cG��ll .� �fZG� I��OV�I (/Y�
Applicant Phone: ,�J�(A ' � �.��� �{'I t�-&�'YlA �l•f�'C�?� ��it�"!�l/�'Y1 �
Appiicant E-Mail: �'�'�S� ��•t��C,����� • LOt�Y'7 ^ ,�-� � �C� fi�/1 l
Project Informa � n �� � �-� U�'�� • _...._
Owner Name: I
Parce[#: 2 Q --� " � � --
(For Parcel#,contact @agle Caunty As$assors O�ce at(470-328-8640 or visit
www.eaglecounty.uslpatie)
{use additiona[sheet if necessary}
For OfSice IJse OnIy:
Fee Paid: Date Received:
Received Frorn:
Cash Check#
CC: Visa/MC Las�4 CC# exp date:
Auth #
I 2-Mar-2612