HomeMy WebLinkAboutB14-0457 Department of Community Development
75 South Frontage Road
TOWN OF VAIL `� va�i, co a�ss�
Tel: 970-479-2128
www.vailgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm &sprinkler)
Projec Street Address: /
� L��hs�ead �( �Qy Project#:
(Number) (Street) DRB#:
(Su ite#)
Building/ComplexName: /�h�le%f BuildingPermit#:
Contractorinformation Lot#: Block# Subdivision:
p I. /� < <
Business Name: I�a GKc� / I OUh�R Ih vMhdVLtC I r 0h t�.G�,�.p�f
Business Address: �0,6 �py t �Work Class: New(Qj Addition '.(�j Alteration (i
City /!V✓°✓� State:�Zip: ��O I� Type of Building: �
Single-Family�j Duplex(� Multi-Family
Contact Name: 4 eof
G Commercial(�j Other�j
Contact Phone: �.Z 0 " 3,/ ,� ���
Contact E-Mail: IrM G�0/1�M Goh�Y'S , (,�.hao , Gop� Work Type: Interior�Exterior� Both (Q
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 InGuded Work
and state that all the information as required is correct. I agree to Electrical `(�'�(es O)No �Yes �No SQ�,CJQ
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 �No "'—
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing '�Yes QjNo �Yes ,�No Z Q
ordinance of the Town applicable thereto.
Building �Yes �No �Yes �No ���pD
X f �^'�Y � � �V�r Value of all work being performed: $ � �
Own Owner' Repr sentatitve�S' n (R� e/quir� ��(. (value 6ased on IBC Section 109.3&IRC Section 108.3�
S I y�G'� W�i ��`' � (�� `� �-��lectrical Square Footage S�_
Applicant Information Detailed Scope and Location of Work:
ApplicantName: GVLIr��rnC(. �✓G�HGr7�i9'S� �-'f� �'el�ove�,rCO�cCe GcifG�tk
nppi�cantPnone `�aso;� lS7V'Yle � D, 37�6 ,7'6Z ` ` . I
f � C�ew,o ���.�r� af i.,/a�� �6���d �e ,uf (✓��/
Applicant E-Mail: ��4,(0�byfnG (s' C . �ol� -��f o�� y„i„J f. �.� ,�s�f. . f,�jf W��Jf
Project Information r� I/ ��; G1+�n�G / I�eQ I SCZ �ry y� i'f�
OwnerName: �✓�i� J i(�CG �e. KYI$f.✓l�! -��� ('e oLG S.oM o��ff / IrC,�,L I f
Parcel #:�/Q 7 Z �✓�O�b p/ IL Q V / � D � ��• � / c y� ! I �.
(FOr Parcel d,contact Eagle County Assessors Office at(970326-8640 or visit m��e d�f���I��I f�h y � f(�✓Q. ab0 y'
www.eag lec ou nty.uslpatie)
(use additional sheet if necessary) 3 P ��
For Office Use Only: Date Received:
Fee Paid:
Received From:
Cash Check#
CC: Visa/ MC Last 4 CC # exp date:
Auth #
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