HomeMy WebLinkAboutB14-0269 Application Department of Community Development
i 4 75 South Frontage Road
'TOWN OF VVAU AVail,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#:
3816 LUPINE DR
DRB#:
(Number) (Street) (Suite#)
Building/Complex Name:
CHATEAU D'OEX Building Permit#:
Contractor Information Lot#: Block# Subdivision:
Business Name:MONTANA LOG HOMES OF COLORADO - __
PO BOX 771865 a Work Class: New 0) Addition l0) Alteration l4-!J
Business Address:
City STEAMBOAT SPRINGS State:CO zip:80477 Type of Buildm7
GABS BUTLER Single-Family IW) Duplex 0) Multi-Family 0)
Contact Name: Commercial( ) Other►....)
Contact Phone:970-846-3037 .. �_m:: _�_
Contact E-Mail:MLHOFCO@SPRINGSIPS.COM Work Type: Interior Exterior 0 Both 0
I hereby acknowledge that I have read this application,filled out I Valuation of
in full the information required,completed an accurate plot plan, I Work Included Plans Included Work
and state that all the information as required is correct. I agree to €
comply with the information and plot plan,to comply with all Town `Electrical • Yes )Nd •)Yas )Na 6CIQ{3
ordinances and state laws,and to build this structure according to Mechanical ()Yes O)No ()Yes ONo 92500
the town's zoning and subdivision codes,design review ap-
proved,International Building and Residential Codes and other Plumbing 1Yes O)No (Yes ()No 49000
ordinan es of the Town applicable thereto.
Building I Yes ONo ()Yes ONo 1376,790
X 'lkc � 0-1A404,9Value of all work being performed: $ 1,578,290 1
Owner/Owner's Representative (Required) (value based on IBC Section 1093&IRC Section 106.3)
Electrical Square Footage 4299
•
Applicant Information Detailed Scope and Location of Work:NEW SINGLE FAM
,Applicant Name: ADAM BERSIN RESIDENCE AT 3816 LUPINE DR,CONSISTING OF
Applicant Phone:303-656-0487 LOWER, MIDDLE AND UPPER FLOORS, PATIO, DEC
Applicant E-Mail:ADAMSBERSIN@GMAIL.COM AND DRIVE,CONSTRUCTED OF LOG AND STONE
Project Information ADAM S. BERSIN
Owner Name:
Parcel#:2101-111-0102-2
i(For Parcel#,contact Eagle County Assessors Office at(97O.32B-8640 or visit E
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#
15-Mar-2012