HomeMy WebLinkAboutB15-0039 ��
. ,----�_
t
Department of Community Development
75 South Frontage Road
�, J Vail, CO 81657
TOWN OF VAlL ' � Tel: 970-479-2139
www.vailgov.com
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm &sprinkler)
____._. .__ __.. ___. C � ;
Project Street Address:� � � � Project#: � ��v � ,�
7pn .e,- O "'� ��
DRB#: 1�Z3 �sam3�
(Number) (Street) (Suite#)
Building Permit#: �� �`�U�v
Building/Complex Name:�� �eW�-�--
Lot#:�_Block# Subdivision: � 4 _e.I_ ! r�s 1
�Contractor Information
� ____.. .___---- -_.__..._._______..��__.___��___.__...
,__._�._____----
Business Name: ri�,' . s��-:•" �� ` �'�'�L'^'�'
Work Class: New( ) Addition( ) Alteration ( -�'
BusinessAddress: p.� i3oil 2t'o� - -
City��..►,4,°t�c State: C.a Zip: Fsi�3Z
'Type of Building:
Single-Family( ) Duplex( ) Multi-Family( �
Contact Name: �'�c�a.� � � Commercial ( ) Other( )
ContactPhone: ,��a �3L- 9�y�9 _
Work Type: Interior( ) Exterior( ) Both ( �
Contact E-Mail: �n�+tt c.on,s^ 0 !1-��� c.an�. :, : _- ,
Valuation of
I hereby acknowledge that I have read this application,filled out Work Included Plans Included Work
in full the information required,completed an accurate plot plan,
and state that all the information as required is correct. I agree to 'Electrical OYes ONo OYes ONo
comply with the information and plot plan,to comply with all Town '
ordinances and state laws, and to build this structure according to 'Mechanical OYes ONo OYes ONo
the town's zoning and subdivision codes, design review ap- Plumbing OYes ONo OYes ONo
proved,International Building and Residential Codes and other , ,.
ordinances of the Town applicable thereto. Building ( .�'Yes ( )No (✓n'es ( )No 8oD� -
_ __ __ --
Value of all work being performed: ' $ �6DD D�o�
X_, ��l .� ��- � (value based on IBC Section 109.3&IRC Section 108.3�
Owner/Owner's Representative Signature(Required) ' Electrical Square Footage
Applicant Information Detailed Scope and Location of Work: w�.,�J�., ., �: Dsert
Applicant Name: v"��' ��a'�'� �.� , r� .r ►�J SNN-� ��� ""•^�•^'$S
�
Applicant Phone: c�?o - �{'►c.- 4S';so -�, T�-�-� �ae;S-�-m►G �-�.c � c..°c'a�-
Applicant E-Mail: VU,���.�_�-�_��-T�--�°"'� —
Project Information
Owner Name: � ° `'- � �o A-�sm`re.► E�w+►+w►
Parcel#: Z��o� OfiZ - Z�oo -o� -
(For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit
www.ea g I e c ou nty.uslpati e)
_ _ " (use additional sheet if necessary) �
[� �� [� 0 � �
�._
For Office Use Only: D
_..__...
Fee Paid:
Received From: Date Received: ��� O 2 ���5
Cash Check#
CC: Visa/ MC Last 4 CC# exp date:
Auth # .�"�ll�_IIl1 f��' ���+1lw,.
�n�a_n9m