HomeMy WebLinkAboutB14-0389_B14-0389 Application_1412363940.pdf Department of Community Development
75 South Frontage Road
Vail, COO1G57
TOWN OF VAITel: 970-479-2128
www.vailgov.com
Development Review Coordinator
BUILDING ����K�U� APPLICATION
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(Separate applications are required for alarm & sprinkler)
Project StreeProject#:
4 � `� � �T �u/�/]
� - DRB#:
(Number) (Street) (Suite#)
Building Permit#.
Building/Complex Name:
Lot#: Block# Subdivision:
Contractor Information
Business Name: -I-L-/(-
`�7 C7�7 �� Work Class: Newz�� Addition »'-� Alteration (�N�
Business Address: �D ��m� � 8 ' �r `�~' ``-~ =�
� 8 City �Ku �� State: Cz Zip: 01-0 Type of Buildin /�� /~~l
Contact Name: L��1��� ��L°~ \ v'`�*, �� Single-FamilyDup|exw�� �u|�i'Fami|yx��
' � � - Commercial Other
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Contact ��Phon�� /-78 ~ / ~
Contact E-Mail:14.�^�� »`^�°u��r(��s��m�c�r/ox/ ,(:*/ Work Type:
InteriorJ�� Exterior 8othm~�
Valuation of
I hereby acknowledge that| have read this application,filled out Work Included Plans Included Work
inmnmoinmrmodvnrequired,momp|�euonaccurate plot plan, ��
and state that all the information as required is correct. I agree to Electrical �res —�Nn ~ Yoo ONn \��00
comply with the infumehonand plot plan,mcomply with all Town v•
ordinances and state laws, and to build this structure according to Mechanical �0hY�a y~�mv /�\Y�n ��Nv —7 �
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the town's zoning and subdivision codes, design review ap' y_\
Residentialproved. |ntarnotiona|Bui|Uingand /—�
Cndeoondo,hor Plumbing Yes No /r�Yes *^�No / uuu
ordinances of the Town applicable thereto.
Building eyes /—nNo leYeo ONo g-^ 00
-0
X Value of all work being performed: $ .2/ ~76O.O/)
Owner/Owner's Representative Signature (Required) (value based""IBC Section mnaoIRC Section 1ona)
Electrical Square Footage / [}
Applicant Information Detailed Scope and Location of Work. [741,40vit 60
Applicant Name: ��r`/ ' L^T- �� ���� ��i �1� ��&��� // '�T � b ���Jew�([�
' � � � � ' - ` ` `~^' . ' '�
Applicant Phone: 9-3q - - ����9 /n, ~ A0,0 L~^-c., cS ��
Applicant E-Mail: 'AL ` /~emit O — 1-4 e-4_ s :25 gi 41-0‘v(
pn4vot|monmadonl r r�``� � - -- ��r��1
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Owner Name: rill v--- \V-u � -
Ap «7 F/4-�����i� epi-
Parcel#: 2\o\ - D11 ~ i�OD-4 4g-
(For
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°°°°""n/°"""*v."s/,*ie) Psi (4, .
(use additional sheet if necessary)
Fur Office Use Only:
Date Received:
Fee Paid:
Received From:
Cash Check #
CC: Visa / MC Last 4 CC # exp date:
Auth #
12-Mar-2012