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HomeMy WebLinkAboutB14-0066 transmittal Department of Community Development 75 South Frontage Road T��11N Qf VAIL' vai�, co s�ss� Tel: 970-479-2128 www.vailgov.com Development Review Coordinator BUILDING PERMITAPPLICATION (Separate applications are required for alarm &sprinkler) _...__.. . _.... _... _....................... J '!Project Street Address: Pro'ect#: ' DRB#: ';(Number) (Street) (Suite#) � � /,/`/,, / ,, Building Permit#: �� � V V CY CX Building/Compiex Name: ?Contractor Information Lot#: Biock# Subdivision: Business Name: Iw 1�..'1 V"�-�`���1/�- _ _ __ _ _ _ - ` Work Class: New(�j Addition(�j Alteration(� :Business Address: City State: Zip: ;,Type of Buiiding: n„ _ � �`���� � Single-Family�j Duplex�j Multi-Family(�j 'Contact Name: Y" ���' ' Commercial� Other�j <Contact Phone: �r� - �-1�- (4 — LC`-(,��j - _ . . Contact E-Mail: w�c.. �(L`� '„� � �Nork Type: Interior� Exterior� Both� �s��, ' , r�� : - . , : I hereby acknowledge that I have read this ap licati n,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 ---- _. .__... ..� fi,t.. comply with the information and plot plan,to comply with all Town Electncal �Yes �1No �Yes �No � . 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,Intemational Building and Residential Codes and other Plumbing �Yes �jNo �Yes �No � , ordinances of the Town applicable thereto. �Zr� ZZ :. Building �Yes �No �Yes �No ,�� �` . _ _ X Value of all work being perFormed: $ �'ZU"1.�'� � � Owner/Owner's Representative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3� - Electrical Square Footage . - __.. _.__�_.. . .____ _ ......... . ......... ... '_-f ;Applicant Information Detailed Scope and Locafion of Work:_ � � - � ,Applicant Name: �C1,,,e�(,L G..��,(P-� (�,� �,C��("��f' „ApPlicantPhone: ' - ' 1.���1 � 9Y ,Applicant E-Mail: A � � � ��a � Ov Project Information• • ' Owner Name: :Parcel#: !;(For Parcel#,contact Eagle County Assessors Office at(970328�640 or visit www.eaglecou nty.us/patie) _ .... __ __ ___ _ (use additional sheet if necessary) __ .,� � _ _ For Office Use Only: Date Received: � , � Fee Paid: l• , Received From: ' � Cash Check# � �.% CC: Visa/MC Last 4 CC# exp date: � Auth # { � 12-Maz-2012