HomeMy WebLinkAboutB14-0263 Department of Community Development
75 South Frontage Road
�°' �/ Vail, CO 81657
�'��� �� ����:� � Tel: 970-479-2128
www.vailgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm &sprinkler)
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?Pro�ect Street Address: Project#: �1��� � —6 � V
fo H NcM�STAr� �r�L��
DRB#:
,(Number) (Street) (Suite#) � (�
Building Permit#: � � � ����`''�'--�
's Building/Complex Name:
Contractor Information Lot#:�Block#� Subdivision: �� V I L(�l`\�
�
'' 1, NG..
Business Name: �b\n4av� r�✓,v+�.�q uni� u��g _. __. _ __ _ __ _
S��aw (',c�tK, ,�nc. ;Work Class: New� Addition�) Alteration�
'Business Address: �'c� Bo�: t5��
City���z, State: Cv Zip: $��3j 'sTypeofBuild'ng•
�Single-Family,�) Duplex� Multi-Family�)
Contact Name: t�un�:e�n ab�hSw�_ 22 Commercial � Other�) '
'Contact Phone: ��d E�� -07 1 S ... ..._ ... .... .... _ ..... -- ---°
Contact E-Mail: d���a•.rvb? rv�ai�.c:o:M �WorkType: Interior� Extenor� 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 re uired is correct. I a ree to :- - -------- --------- --""-------- -----'
q g Electrical Yes )No �)Yes )No
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 �jNo �t��3•uZ- :
the town's zoning and subdivision codes, design review ap- �—'
', proved,International Building and Residential Codes and other =�Plumbing �Yes �)No �Yes �No -
ordinances of the Town applicable thereto. = ;
, =Building �)Yes Q)No �)Yes �)No '
°°-- _-----• ......... ....... ------ •
i,X � „�.`� ��/ Value of all work being performed: $ ��r 5�3•J�
Owner/O er's Representative Signature(Required) ;(value based on IBC Section 109.3&IRC Section 108.3�
'Electrical Square Footage
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;Applicant Information : Detailed Scope and Location of Work: C ��
APPlicantName: �cJ�C� �ab��5o,.� 3 �1374�n.�i �)��`t{-r l�J;�^ �il�l�n eartc�n,f��Ee.''
;Applicant Phone: �7(� (��'G71,S ; q,w� 5'�c�t a''sM- �-a'f` G,�i�{-ct �-a-�
ApPlicant E-Mail: duticwr. Sa�'����GnnGl� ; �.JV�✓l,u V�cw r,5 1,�� 7��e v�d �o:`l.cr
i Project Information ��b `7a '�r"'ts �'°'(� ��"� V�� ��S
:Owner Name' ��� ������ — �bq S� �n d� �K-V�tit-�.
;Parcel#: Z�t�� (i�� G S L��, r
;(For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit
;www.eaglecounty.uslpatie)
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'--- °.. —- -•--- ---- --� �--- � ..... - -- -� --•-••----......--�'�;(use additional sheet if necessary) ';
For O�ce Use Only:
Date Received:
Fee Paid: (� (� �n
Received From: � V�' LS � V �
Cash Check# D
CC: Usa/ MC Last 4 CC# exp date: ��� � 4 'fO��
Auth# L
TO,A f� OF "^'� 15 ar2012
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