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HomeMy WebLinkAboutB15-0379 1 2` Department of Community Development 75 South Frontage Road TOWN OF VAIL f Vail, CO 81657 Tel: 970-479-2139 www.vailgov.com BUILDING PERMIT APPLICATION (Separate applications are required for alarm &sprinkler) , Project Street Address: Project#: M3-/j •o 7(41 (Number) (Street) (Suite#) DRB#: -D(1,615 b Ir)5 0 Building/Complex Name: Val L v I Vc19e 1 hn Building Permit#: 615 3 7 q I Contractor Information ` Lot#: a Block#SD Subdivision: V V Business Name: F eOi I vC , Business Address: Ma) 6i1 c e t Ave,csiiiit,zi cid i Work Class: New( ) Addition ( Alteration K) City Mlatilell State:1L Zip: 33131 1 Type of Building. - Contact Name: ShcO( kVkJ Single-Family( ) Duplex( ) Multi-Family( ) Commercial Other( ) Contact Phone: °BO-Lit--1 -9S43 Contact E-Mail: ht `CAD LQci Ver-corn Work Type Interior( Exterior( ) 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 ( )Yes ( )No ( )Yes ( )No 1(o'OCO- 0 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 ( )Yes ( )No ( )Yes ( )No 3510'0-Q' the town's zoning and subdivision codes, design review ap- proved,International Building and Residential Codes and other Plumbing ( )Yes ( )No ( )Yes ( )No [O I C.l�}•C.� ordinances of the Town appli le thereto. I ;Building ( )Yes ( )No ( )Yes ( )No j CQ !`_�/� i Value of all work being performed: $ $n Owner/Owner's Representativ Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3) Electrical Square Footage 2IZCO S111 Applicant Information ii ii p Detailed Scope and Location of Work: .ep(GI-�fki%ref Applicant Name: �l� SC)IC)Y LOw1 f 'kf-e)- 0051vte- d-F K-i`tclion, Jav,Aes/c tots Applicant Phone: c,9U 4-4 L4SL43 ; � 1A17-4J CiprttonCes/ MIC�f 'new �l�(S t Applicant E-Mail: Vt Wag) (j I ova liGtSS ealttrl I roGlicitnt fit« Project Information wi dow.) me place f O1 1Ao�nt -6 Owner Name: Parcel#: 2101 o2Z• Sc-107.-9- � � ` '� (For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit www.eaglecounty.us/patie) (use additional sheet if necessary) For Office Use Only © E V Fee Paid: Received From Date Received: E NT f) Cash Check# SEP ?8 2015 CC: Visa/MC Last 4 CC# exp date: >;1-1-5p Auth# TOWN OF VAI L. Q', s O dg 2014-0901 : a: