HomeMy WebLinkAboutB14-0397_B14-0397_1412605500.pdf Department of Community Development
(1",
75 South Frontage Road
TOWN �A�� 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#:
193 Gore Creek Dr
DRB#:
(Number) (Street) (Suite#)
Building/Complex Name:
Gore Creek Plaza Building Permit#:
Contractor Information Lot#: Block# Subdivision:
Business Name: Rocky Mountain Construction Group
Business Address:
same Work Class: New(0 Addition 0 Alteration (0
City Vail State: co Zip: 81657 Type of Building:
Contact Name:
Mark Hallenbeck Single-Family 0 Duplex 0 Multi-Family 0
Commercial 0 Other
Contact Phone: 719 499-9248
Contact E-Mail: markh@rockymountainconstructiongroup.co Work Type: Interior® Exterior 0 Both 0
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 Q)No ®Yes ONo 1200
comply with the information and plot plan, to comply with all Town
ordinances and state laws, and to tructure according to Mechanical ®Yes ®)No ()Yes ONo 46725
the town's zoning and subdivision c.•-s, design eview ap-
proved, International Building and Residen - __ - and other Plumbing ()Yes ®)No °Yes ()No
ordinances of th J . applicl• - s- - • __
/ 210.1111111110"— Building ®Yes ONo !Yes ONo 15000
X Value of all work being performed: $ 62925
Ow er/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: Mark Hallenbeck Replace existing kitchen exhaust hood fan and
Applicant Phone: 719 499-9248 equipment deck.
Applicant E-Mail: markh@rockymountainconstructiongroup.co
Project Information
Owner Name: Matt Morgan
Parcel#: 2101018213010
(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:
Fee Paid: Date Received:
Received From:
Cash Check#
CC: Visa/ MC Last 4 CC# exp date:
Auth #
12-Mar-2012