HomeMy WebLinkAboutB15-0073_B15-0073_1427488860.pdfTOWN OF~ Department of Community Development
75 South Frontage Road
Vail, CO 81657
Tel: 970-479-2139
www.vailgov.com
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm & sprinkler)
------"--·--··--····"·----··--·--·--··------··----·-·--:rr~=rf-r-----. -.-.. -__ ---------.
Project Street ~dress: . (7 ,_; Project#: Y /_CJ I _:.:, --(J ( Q,::f:_ · 0 06 &«>;\JSh.-.f'.>Qo\ ·-~~j 3?s
·(Number) (Street) (Suite#)
. Building/Complex Name: l;tr-...J-;q< 1(1~-e, { 6(~ ("
Contractor Information
Business Name: (d \ l-i1vC 1"'.i'-. \.-N ' -~(":. :,\Q.\e\".>
I
Business Address: 't=¢, i.coi O l
Building Permit#: ____ .,..--,""(i:::: __ • ( ____ '; __ <_:_1 ,_r_/ ----"~-
Lot#: Block# __ Subdivision:--------
Work Class: New ( Addition ( Alteration~
City fd~fd,..<J;,. state: Ce::, Zip: E?l<b 3;;;i__ , Type of Building:
1/l l \ _ Single-Family ( Duplex ( ) Multi-Family.:K}
Contact Name: ~n_· ~t~'-t'-':f""-. -~<~c-)~·~~<~~-~=U~~---. Commercial ~ Other (
Contact Phone: Cf 70 5 9 ~ C.( 9 ('jj 'Pl' --"---------'--'-------
Contact E-Mail: A I e'f.@O:rv,~\fa..\ \_co~---
I hereby acknowledge that I have read this application, filled out
in full the information required, completed an accurate plot plan,
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
ordinances and state laws, and to build this structure according to
the town's zoning and subdivision codes, de ign review ap-
proved, International Building and Reside I Codes and other
ordinances of he Townu the
Work Type: Interior }s:J Exterior ( ) Both ( )
Work Included
Electrical ~es )No
· Mechanical ( )Yes )No
, Plumbing K>Yes )No
Plans Included
)Yes )No
Valuation of
Work
)Yes )No ~!
)Yes )No I 5 t.."'.>00
Building l>$)Yes )No )Yes )No 2 2:;cou
Value of all won< being performed' $ z>f s ~ i ~Al
(value based on !BC Section 109.3 & !RC Section 108.3)
'Electrical Square Footage ?c 0 G
Applicant Information ill /'_ l Detailed Scope and Location of Work: _______ _
Applicant Name: _ _,__ ....... f?--"'{~_'--0 __ \~-=---V\/~\.Q~~---jL.~\.-t_\-c..V'--) \-e'<>=r--eclie\
Applicant Phone: 9 ?CJ ~7~ Lf 9/'i a -'---=---'-------'---=. ~=-h-"-'_=-,,J\~ \\'--"'------. I (
_f_ l 2l __ U l.f>:~-\.e...'Z, \>e.0 f: ~\\/'-... .\-e~\.."€. \
Applicant E-Mail: _ _.!)<-.<...· ·lfl...._._··--------------rt ( ( { ' · .T..., " \l \-e_ ' <'-L\Q \_y\...) ~ :::;:;.
Project Information j S / t)--, 1 L 1
OwnerName: __ -='-"'--'---~cX_:r._~---(~~-'-----~
Parcel#: ,J I () 1 _ (I ··1 c) -() ! -(;S ~i
(For Parcel#, contact Eagle County Assessors Office at (970-328-8640 or visit
www.eaglecounty.us/patie)
(use additional sheet if necessary) ..-------------------------.., r--------":"----~~-:-"'.':::--:~
For Office Use Only: .i/
Fee Paid: _____ Jb_---',_r'-1_1 ""~=----~_: _____ _
Received From: ---------------Date Received:
Cash Check# ____ _
CC: Visa I MC Last 4 CC # ___ _ exp date: __ _
Auth# ___ _ TOWN OF VAIL.
2014-0901