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HomeMy WebLinkAboutB16-0104.pdf Department of Community Development 75 South Frontage Road TOWN 0&_!_ Vail, CO 81657 Tel: 970-479-2128 www.vailgov.com Development Review Coordinator BUILDING PERMIT APPLICATION (Separate applications are required for alarm& sprinkler) Project Street Address: Project#: 2893 Timber Creek Dr #C18 DRB#: (Number) (Street) (Suite#) Lodges at Timber Creek Building Permit#: Building/Complex Name: 9 Contractor Information Lot#: Block# Subdivision: Business Name: Climate Control Company Business Address: 1537 County Rd. 130 Work Class: New 0 Addition (Oj Alteration (C) City Glenwood Springs State: CO Zip: 81601 Type of Building: Contact Name: Ricki Bowden Single-Family 0 Duplex ODMulti-Family0 Commercial 0 Other 0 Contact Phone: 970-945-2326 Contact E-Mail: RBowden@cccgws.com Work Type: Interior® Exterior 0 Both (O 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 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 ()Yes O)No °Yes ONo 10,105 the town's zoning and subdivision codes, design review ap- proved, • -rnational Building and Residential Codes and other Plumbing ()Yes JNo ()YesONo o ordi = ••f the T applicable thereto. X �� C���'---____ Building ®Yes ONo °Yes CNo Value of all work being performed: $ 10.105 Owner/Owner's Representative Signature(Required) (value based on IBC Section 109 3&IRC Section 108 3) Electrical Square Footage Applicant Information Detailed Scope and Location of Work: Applicant Name: Replace Boiler with new unit. Applicant Phone: Applicant E-Mail: Project Information Scott Esbin Owner Name: Parcel#: 2103-143-22-016 (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: Date Received: Fee Paid: Received From: Cash Check# CC: Visa I MC Last 4 CC# exp date: Auth # 12-Mar-2012