HomeMy WebLinkAboutB14-0325_B14-0325 Application_1409667300.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAIL` Vail, CO 81657
Tel: 970-479-2128
www.vai lgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm &sprinkler)
Project Street Address: Project#:
A N u6ae-T U;A-E
DRB#:
(Number) (Street) (Suite#)
Building Permit#:
Building/Complex Name: �AsG�� T DrP� ,
Contractor Information Lot#: Block# Subdivision:
Business Name:_ I'µay'JP HCSME1Su l647 -1.1-•S LLQ.
Work Class: New ' Addition 0 Alteration (O
Business Address: 'P D_ (1d)4 35 L 8
City_ State: CO Zip: 44 L tea 1 Type of Building:
Single-Family 0 Duplex( j Multi-Family 0
Contact Name: 13)ga..-1 p./..-1 PE'Sf�-av�.rC� Commercial(O Other(Qj
Contact Phone: 110 - 3'4-4 .-41 V2
Contact E-Mail: 40Y Ur.Y1 CdA.GS YMaY,0( (n. t 1u t(4Work Type: Interior(3 Exterior C Both
`'�i�J• CQyy
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 O)No ®Yes ONo ?jlo 24-0
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 2Yes (ONo =j Or
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing ( ,)Yes ONo 0Yes (ON° 4Z,3 i a2S
ordinances of the Town applicable thereto.
Building Yes O)No 0Yes ONo 14160;435
435
X (t.Q_. ea-Qgy4w2 P-L P• Value of all work being performed: $ 0-5 i D OP
Owner/Owner's Representative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3)
Electrical Square Footage 54t 11y�S� 63$�
J "5J
Applicant Information Detailed Scope and Location of Work:
Applicant Name: A.(.t[gyp.. DAv'S A..l A. Nbet0 C s
Applicant Phone: t a'a 3•2_%. 3ry '7 k ‘4
Applicant E-Mail: ail: @ SS z c Q. Genn
Project Information
Owner Name: IV U G elL sS p ear_1-7-5 LL G
Parcel#: I O I I Z- 2 0 c 3 5
(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 #
12-Mar-2012