HomeMy WebLinkAboutB14-0098 Rev2 applicationTOWfl"M
Department of Gommunity Development
75 South Frontage Road
Vail, CO 81657
Teh 970-479-2128
www.vailgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm & sprinkler)
Proiect Street Addtrss:[2J f"er Fl
(t{umber} (Strcet)
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(Suite #)
Project #:
DRB #:
Building Permit *l\{4 * @e I
Lot#:
-
BlockL Subdivision:
BuildinglCompler Name:
Contractor lnformation
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Value of all rrork being performed:
(vatue based on IBC Section 109.3 & tRC Seaion tOA.:)
Electrical Square Footage
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Applicant Phone:
Applicant E-Mail:
Detailed Scope and Location of Work ff*,r.cfu**L_
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Pareel #:
(For Parcd t @ttect Eade County Asses€oG OfficG ot (9?&32&06{t.rvisit
vffu,eaglecounty.usrpaff e)
(use additional sheet if necessary)
Date Received:
Business y^*u. CvS fam kflP€t)<t TS
BusinessAddress: Po BoL .lttu _ vyorkdass: ruer0 Addition6 on"orion$
ciry -€br-h\L9 state: (€-_ zip, I / L3L rvpe or euildrq .^.
"*oo ** single-ramityft-oupro 0 Mufii-Famity $
conract phone: -3lo -3 ,, * t r e t commercial o om"' o-_-_.-_----_-
Gontact E-Mait: B&nS O Grs r-*^. [<1,^.,+,<."]fr::* rvc",lnterior$) rxterior$ aou $
I hereby acknowledge that I have ieEd this applicaiion, filled out
in full the information required, compieted an accurate plot plan,
and state that all the information as required is conecl I agree to
comply with the information and plot plan, to ornply with all Tor,rn
ordinances and state laws, and to build this structure according to
the bwn's zoning and suffiMsion codes, design review ap
proved, lntemational Building and Residential Codes and other
Applicant lnformation
Appricant*r*", 1-31-rtA lJ,ttSurrY -
Electrical
Mechanical
Plumbing
Building
Valuation of
Work lncluded Plans lncluded Work
For Office Use Only:
Fee Paid:
Received From:
Cash
-
Check #
CC: Msa / MC Last 4 CC #
Auth #
exo date:
l5-Mar-2012