HomeMy WebLinkAboutB15-0420 \\
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, ; Department of Community Development
`�� ,� 75 South Frontage Road
TQWN OF VAIL� �- va�i, CO 81657
----''��' Tel: 970-479-2139
www.vailgov.com
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm &sprinkler)
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;Project Street Address: Project#: '� ✓�� � ? � �� J�O
� �� -1 �� 1���t'�1t' �� � �� �Jo��
�(Number) (Street) (Suite#) DRB#:
' �� )S ����
�� ��-1�'�i Building Permif#:
�Building/Complex Name: 0�
�Contractor Information S�i`l�/V �Lot#: Block# Subdivision:
!Business Name: �, �� "� n�.�-��' ��,� I,---- _----
Business Address: ,
Work Class: New( ) Addition ( ) Alteration� '
._ ---
;City State: Zip: �Type of Building:
;Single-Family( ) Duplex( ) Multi-Family( )
Contact Name: i
{Commercial (�Other( ) '
Contact Phone: � ,- _. - - . __ ..: � ._
Work Type: Interior( ) Exterior( ) Both )
Contact E-MaiL �
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I hereby acknowledge that I have read this application,filled out Valuation of
in fuli the information required,completed an accurate plot plan, � Work Included Plans Included Work
and state that alf the information as required is correct. I agree to 'Electrical ( )Yes (i/�o ( )Yes ( )No
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 (�lor OYes ONo
the town's zoning and subdivision codes, design review ap- '
' proved, International Building and Residential Codes and other �Plumbing OYes (�o. OYes ONo
ordinances of e T n ap ' able thereto. i
;Building ( )Yes (� ( es ( )No ��f� 6�O
_..�.�._..�._��._.__,_.__�.._.�..�......__.m__._T._�m.__.._.____,_..,m_...._____...__._._�_...--
X , �Value of all work being performed: $ � �
(value based on IBC Section 109.3&IRC Section 108.3�
'Owner/Owner's Representative Signature(Required)
Electrical Square Footage 6.3 f�
�Applicant Information ;
^,�- _p- ���. .{� j Detailed Scope and Location of Work: �
,Applicant Name: ���� ` ���iW�•-�-zya ��1,�1 1 1 1(� I11, � ^
�7 f�� �-2�-1,— t� t� � ,� 1
!Applicant Phone: �,Q ��� ; �_,��5 ' �^ y
_f j �C fl WI�IA.I�G�l� 1 t
,Applicant E-Mail: ����.y�5��Q��,�(j�('�,����p,�;�p{,�Sr
` ���, ! t,'✓l�� �3} v�2,�� �r�� a u,�:U,�'�-� �
Project Information Cg� �� ��(�s�
Owner Name:�� ����1ib'1L�Wl�Q�,j{�,
Parcel#: �l�} �'_ {�(Q"[.� ����"'Z
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(For Parcel#,contact Eagle County Assessors O�ce at(970-328-8640 or visit
www.eaglecounty.us/patie)
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(use additional s
For Office Use Only: � � _ r-�� � 7 ��' �-� i� �`/ � � � �
Fee Paid: ���" a I�J �
__....... __.__ _...._ _____...__ ._ _ __......_. _..___-,
Received From: Date Receiv �' '} ��� � � Z�15 �
Cash Check# � I t �
CC: �sa/MC Last 4 CC# exp date: �
;
a�tn # TOWN OF WAI�
'!�a F i l�/s' Plor� --- - --- �