HomeMy WebLinkAboutB15-0190_B15-0190 Application_1433529060.pdf Department of Community Development
75 South Frontage Road
TOWN Of VAIL - 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#:
181 West Meadow Drive
DRB#:
(Number) (Street) (Suite#)
Building/Complex Name:
VVMC-Pedestrian Protection Building Permit#:
2
Contractor Information Lot : Block# Subdivision:VN /i '$f
Business Name: L,E ®t sin+ e®iN , - (oretpo al
Business Address: ZZ N. e...Stt�E_ �4vE) S�� - '400
Work Class: New 0 Addition (0 Alteration ( )
City eoLe o SID��a. State: Co Zip: golo3 Type of Building:
Single-Family i JJ Duplex 0 Multi-Family 0
Contact Name: 0 Health Care Facility •
Commercial Other ,r
Contact Phone: 1?o (0'374
Work Type: Interior 0 Exterior 'J Both 0
Contact E-Mail: C-I ron �y„,1,6,s0 ,
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 0)No .....jYes.. ONo T 00
comply with the information and plot plan,to comply with all Town :.
ordinances and state laws, and to build this structure according to ` Mechanical cYes I )No IjjYes ONo
the town's zoning and subdivision codes, design review ap-
proved,International Building and Residential Codes and other Plumbing jYes 0)No jYes ONo
ordinances of the Town applicable thereto. t'Building I)Yes 0)No 0Yes ONo 371
000
X f Value of all work being performed: •
$ 39)50o
Owner/Owner's Representative Signature(Required) • (value based on IBC Section 109.3&IRC Section 108.3)
Electrical Square Footage
Applicant information Detailed Scope and Location of Work:
Applicant Name: l yTS Cam AtEraaEo Po .y „rs-aa ,� P E
Applicant Phone: 70 -33) - 632:gd
Applicant E-Mail: Gid } 5 3� r.fr"G CL,r� LFT
tk�tP C.Pe-E
Project Information
Owner Name: NI Ark— V TOE b.V L
Parcel#: 210107101013
(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