HomeMy WebLinkAboutB14-0381_B14-0381_1412116860.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#:
5116 Main Gore Drive North
DRB#:
(Number) (Street) (Suite#)
Building Permit#:
Building/Complex Name:
Contractor Information Lot#: Block# Subdivision:
Business Name: Back Bowls Construction
Work Class: New( j Addition (Qj Alteration (®
Business Address:
City Avon State: CO Zip: 81 Type of Building:
Contact Name:
David Gregory Single-Family(�J/ Duplex(V) Multi-Family(Q)
Commercial (Oj Other(Oj
Contact Phone: (720) 979-3408
Contact E-Mail: dgregory714@gmail.com Work Type: Interior O Exterior* Both (O
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 *)No °Yes ONo
comply with the information and plot plan,to comply with all Town
ordinances and state laws, and to build this structure according to Mechanical (QYes *)No ()Yes ONo
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing 0Yes *No ()Yes ()No
ordinances of the Town applicable thereto. $30,000
Building *Yes Q)No *Yes ONo
X Value of all work being performed: $
$30,000
Owner/Owner's Representative Signatur (Required) (value based on IBC Section 109.3&IRC Section 108.3)
Electrical Square Footage
Applicant Information Detailed Scope and Location of Work: Addition of entry roof
Applicant Name: Seth Bossung/Intention Architecture rebuild deck and rail, extend deck to south, add stairs
Applicant Phone: (970) 390-0013 from deck to grade, rebuild stairs at front entry
Applicant E-Mail: seth@intentionarchitecture.com
Project Information Jim Glenn
Owner Name:
Parcel#: 2099-182-0200-1
(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