HomeMy WebLinkAboutB14-0426_B14-0426_1413901800.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAIt 1 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#:
3891 Bighom #E
DRB#:
(Number) (Street) (Suite#)
Building Permit#:
Building/Complex Name:
Contractor Information Lot#: Block# Subdivision:_
Business Name: Jerry Sibley Plumbing, Inc
Business Address:
PO Box 340 Work Class: New gyp) Addition 0) Alteration 0
City Mintum State: CO Zip: 81645 Type of Building:
Kristena Wyatt
Single-Family 0) Duplex M Multi-Family I)
Contact Name: Y
Commercial 0 Other 0)
Contact Phone: 970-827-5736 __— -
Contact E-Mail:jspinc@vail.net Work Type: Interior° Exterior 0 Both O
I hereby acknowledge that I have read this application,filled out 1
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 O)No ()Yes O)No .
comply with the information and plot plan,to comply with all Town
ordinances and state laws,and to build this structure according to Mechanical BYes O)No ()Yes OjNo 14,500.00
the town's zoning and subdivision codes, design review ap-
proved,International Building and Residential Codes and other Plumbing Yes O)No QYes QNo
ordinances of the Town applicable thereto.
Building °Yes O)No ()Yes O)No
I
X - C ' j Value of all work being performed: NaN
Owner/Owner's Representative Signature(Required) ' (value based on IBC Section 109.3&IRC Section 108 3)
1 Electrical Square Footage
Applicant Information Detailed Scope and Location of Work:
I Applicant Name: Replace existing boiler with a Triangle Tube SOLO110
Applicant Phone: high efficiency.
Applicant E-Mail:
Project Information Kristine Wolf
Owner Name:
Parcel#: 2101-111-06-006
(For Parcel#,contact Eagle County Assessors Office at 1970-328-8810 or visit
www.eaglecounty.uslpatle)
(use additional sheet if necessary)
For O1Tice Use Only:
Date Received:
Fee Paid:
Received From:
Cash_ Check#
CC: Visa MC Last 4 CC# exp date.
Auth#
13-Mar-2012