HomeMy WebLinkAboutB16-0332.pdf Community Development Department
((6)
75 South Frontage Road West
TOW�! OF Vaii, CO 81657
Tel: 970-479-2139
www.vailgov.com
WATER HEATER REPLACEMENT PERMIT APPLICATION
(Permit fee = standard building fees and design review fee)
Project Street Address:
rte'&o f j,r f� n6,- 1_0,22 ,0/e22
(Number) (Street) (Suite#) Type of Building:
Building/Complex Name: One Family(x) Two Family(Duplex)( )
Project Information:
Owner Name: 8VZ 19,4 GU 5 Dir'
Parcel # '. *"` 9,1 us Submittal Requirements:
.• Joint Property Owner Written Approval Letter for new vent-
(For Parcel S,contact Eagle County Assessors Office at[9701328-8640 or visit ing (duplex or multi-family HOA)
www,eaglecounty.uslpatie} • Two(2)plan sets indicating:
Contractor Information • Materials and product cut sheets
/�
"? • Type of water heater(gas or electric)
Business Name: 6)6 (. GV/ � G� 1 • Location of water heater adjacent to existing rooms (i.e.
Business Address: 24' bedrooms,garage, etc.)
/ • Full view elevation photos of exterior venting location
City �.G'��� � State: C--C Zip: eTO2?„,3
Contact Name: Detailed Scope and Location of Work: V.,�TSG-e
Contact Phone: 72.4- - 3 zr!- 7c,%' G� £2 G tr;G
Contact E-Mail:
I hereby acknowledge that I have read this application,filled out in full the .(use additional sheet if necessary)
information required,completed an accurate plot plan, and state that all
the information as required is correct I agree to comply with the infer- ----
mation and plot plan,to comply with all Town ordinances and state laws, Valuation of
and to build this structure according to the town's zoning and subdivision Work Included Plans Included Work
codes, design provedC
,I �. ..: Td
`,41: ing'and Residential
Codes ae e ap ,, n-- ewer-appli ..le thereto. Building ( }Yes ( )No ( )Yes ( )No
X r//G
Owner/Owner's Representative Signature(Required) Value of all work being performed: $ �J //
Applicant information )/ (value based on IOC Section 109.3&IRC Section 108-3)
Applicant Name: Z7Zt
Applicant Phone: 762'19 .5) -- Z9
Applicant E-Mail:
Additional Authorized ProjectDox Users Date Received:
Full Name:
E-Mail:
Full Name:
E-Mail:
(use additional sheet if necessary)
For Office Use Only:
Fee Paid: Project#:
Received From: Building Permit#
Cash Check#
CC: Visa 1 MC Last 4 CC# Auth#: Lot#: Block If Subdivision: Fl L
2015-Dec