HomeMy WebLinkAboutB14-0303 Department of Community Development
75 South Frontage Road
���N �� ���� vai�, 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#:
2875 Manns Ranch Road
DRB#:
(Number) (Street) (Suite#)
Building/Complex Name:
Booth Creek Townhomes Building Permit#:
Contractor Information Lot#: Block# Subdivision:
Business Name: R.A. Nelson LLC
Business Address:
51 Eagle Road #2 Work Class: New(�) Addition (�) Alteration (�' )
City Avon State: CO Z�p: 81620 Type of Building:
Contact Name:
Travis Bossow Single-Family(�) Duplex(�j Multi-Family(�)
Commercial (� Other(�)
Contact Phone: �970) 949-5152
Contact E-Mail: travisb@r'anelson.COm Work Type: Interior(�) Exterior( .�j 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 required is correct. I agree to Electrical (�i Yes (�No (�Yes (�f�lo 7350
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 �i Yes (�No 96746
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing �Yes �jNo �Yes �No 4000
ordinances of the Town applicable thereto.
DigitallysignedbyTravisBossow Building (�i Yes (�No '(�i Yes �No 131543
������ DN:rn=Travis Bossow,o=RA Nelson LLC,ou,
email=travis6@ranelson.com,r—US
X � oate:zo,4.o8.,9,3:z,:49-ob�oo� Value of all work being performed: $ 239639
Owner/Owner's Representative Signature(Required) �value based on IBC Section 109.3&IRC Section 108.3�
Electrical Square Footage 64
Applicant Information Detailed Scope and Location of Work: Replace existing
Applicant Name: Travis Bossow side walks with new snow melted sidewalks.
Applicant Phone: �970) 949-5152 Build new snowmelt boiler shed.
Applicant E-Mail: travisb@ranelson.com
Project Information Pam Stenmark
Owner Name:
Parcel#: 2101-034-02-(001 Thru 035)
(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 #
2013-Feb O1