HomeMy WebLinkAboutB14-0224_B14-0224_1403031300.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAIL A Vail, CO 81657
Tel: 970-479-2128
www.vailgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm &sprinkler)
Project StreetcAddress: ` Project#: �f I `7 -
AJC I( J S ,,t����T
DRB#: I �{ I
(Number) (Street) (Suite#)
(&u&1 Building Permit#.
Building/Complex Name: V O U
Contractor Information Lot#: Block# Subdivision:
Business Name: AS V\ CMS:\c t,
Business Address: SbR (A n � (T 1 ' ^ 1 Work Class: New(0) Addition(0) Alteration (la
City \ State: CO Zip: ` Ul�` Type of Building:
Contact Name:
\1\.1d\-01, Single-Family(0) Duplex(O Multi-Family(0)
c\--)
� Commercial (0 Other(0)
Contact Phone: 1� 3� L 6 1�
Cts Cssf1�T s C (O Cork Type: Interior Exterior 0Both (
Contact E-Mail: l)3S\4\ cka
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 ( i'es ONo (OYes (ONo '500,003
comply with the information and plot plan, to comply with all Town
ordinances and state laws, and to build this structure according to Mechanical (ITYes ONo (fit Yes (ONo 5014OO
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing @Yes ONo ( Yes ONo SO6,000
ordinances of the Town applicable thereto.
,, Building (eYes ONo (eYes ONo 7 OD,000
X / f �t� Value of all work being performed: $ i350)0(1).00
Owner/Owner's Re•resentative Signature(Required) (value based on IBC Section 109.3 8 IRC Section 108.3)
Electrical Square Footage
Applicant Information ,M Detailed Scope and Location of Work: \ 1
Applicant Name: 43 c kG 0 � � a ` 6,-(, e- c re\f A
Applicant Phone: :76CAkAA)
Applicant E-Mail: WSVti'_rA4era5 Cm C\tc “5"01, Se\--Gk Z
Project Information
Owner Name: n taC`` �y 03r-t34, Loot„., _JctW H Pd-g
Le-k
Parcel#: 61 OK a-7-° O()'-
(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:
Fee Paid: Date Received:
Received From:
Cash Check#
CC: Visa/ MC Last 4 CC # exp date:
Auth #
2013-Feb 01