HomeMy WebLinkAboutB14-0326_B14-0326 Application_1409667960.pdf Department of Community Development
75 South Frontage Road
TOWN OF V ` 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#:
0 8. t•• d4 u 66 e'[- L `
DRB#:
(Number) (Street) (Suite#)
Building/Complex Name:NOGG 1.-Pc^ D- PLAZX Building Permit#:
Contractor Information Lot#: Block# Subdivision:
Business Name: De5wtd11t./7 1-(01M.EF3u(1-002-S LL .
Work Class: New((in Addition 0 Alteration (O
Business Address: li)o. GeV< 3'SL$
City 5'0.6uEE State: f-c) Zip: $ !/c3 / Type of Building:
Single-Family l0 Duplex M Multi-Family(Oj
Contact Name: 15424/p4-1 0 E-30-4-1r^-/b
Commercial 0 Other 0
Contact Phone: 61 • 3 • I V 't-
Contact E-Mail: b G-r�@ eAt QY1 {r1 Work Type: Interior Exterior Both
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 34, 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 GYes O)No ®Yes ONo 'Std '
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing ( Yes ONo Qffes O)No '3 f Dt-V
ordinances of the Town applicable thereto.
/� Building QYes ONo QYes ONo �I 1 60,}35-
(�
X 1c364=-`s 1A- , Value of all work being performed: $ 22rt�®
Owner/Owner's Representative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3)
Electrical Square Footage G 20 55 4%102,
Applicant Information Detailed Scope and Location of Work:
Applicant Name: bp.V t S e fL) C�aYnJ S Tit tJ G•rt /
Applicant Phone: cl 1 O t- 9 . —3e1 d' fC•
Applicant E-Mail: ctL.._c ca !- 5"St-rcccC CcWI
Project Information
Owner Name: (t-1(j6601- prisperegi
Parcel#: i• 0 -4 c 3 1j
(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/ MC Last 4 CC# exp date:
Auth #
12-Mar-2012