HomeMy WebLinkAboutB14-0335�
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Department of Community Development
� 75 South Frontage Road
�'°'�•�. ;.�:< Vail, CO 81657
�'��1� �� ��.�� ��' Te1: 970-479-2128
� � www.vailgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm &sprinkler)
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„ProJect Street Address: ;� u�� �t Project#: ��� f "( �v ��
��� � �C�f��C��� tJ� S��- DRB#: �� � �=o�-�—�
�;(Number) (Street) (Suite#) /; '�
Building Permit#: ,✓r�`�`��5
�Building/Complex Name:
!Contractor Information Lot#: Block# Subdivision:
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���--� ����5�-u��a� ��u�� .�_ ._ _ ____ __.
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Business Name: �
�`�� Work Class: New� Addition�) Alteration�
'Business Address: � t�' �� �� � -- .-- - _... . - `
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�,v ��� Type of Building:
,City ��I"r. State: Zip:�_
✓.--- c Single-Family�) Duplex�j Multi-Family�)
'Contact Name: ��,�,'`�r;v�. �'��� ?Commercial � Other�)
'Contact Phone:C���� �����v�-(p`� --- .............. � - - �--...._
• �,� /<� �1��� __, ,`2� y L��Work Type Interior�) Extenor�) Both�1
Contact E-Mail:�f� `/ (_,� �Q-�-�.V�'�}- '
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Valuation of
I hereby acknowledge that I have read this application,filled out VVork Included Plans Included Work
in full the information required,completed an accurate plot plan, ___
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and state that all the information as required is correct. I agree to Electrical �Yes )No ��)Yes _.� No
comply with the information and plot plan,to comply with all Town
i ordinances and state laws, and to build this structure according to Mechanical �jYes �)No �)Yes �No �
the town's zoning and subdivision codes, design review ap- - �—.
; proved, International Building and Residential Codes and other Plumbing �Yes O)No �Yes �jNo
ordinanc f the Town applicable thereto. ' � S�� =
Building �)Yes Q)No �Yes �)No ;
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` Value of all work being performed: $���� �
Owner/O er's Representative Signature(Required) ;(value based on IBC Section 109.3&IRC Section 108.3�
' i Electrical Square Footage
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'Applicant Information Detailed Scope and Location of Work:
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Applicant Name: � �f �� ���C '�b� (�P,�t�ni���_ `t"D 1�[ni � � � '!
I Applicant Phone: � G'' ��td\UC� (.� +`�'�� 4�.�'4��O�L��v�''-;
;Applicant E-Mail: ' cr�-�✓l �� �°4 ►�� �� c�'�'�'�
:Project�nformation/' ����. `�
:Owner Name: / �P,1��'�-`�" '���� �`�L�'
' �10 � -��3-�0�-�
'Parcel#: `
;(For Parcel#,contact Eagle County Assessors Office at(970�28-8640 or visit
;www.eaglecounty.usfpatie) i
� .......... .. ..... .- -- ----- - - ,(use additional sheet if necessary)
For Office Use Only: C� ' Date Received:
Fee Paid: � � ( � ' � [� C� [� � � [�
Received From: D
Cash Check#
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CC; Usa/ MC Last 4 CC# exp date: ��.� �-� � �� �'
Auth#
TOWN OF VAIi�-M�212