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HomeMy WebLinkAboutB14-0443_B14-0443_1415118360.pdf AFRAts Department of Community Development 75 South Frontage Road TOWN OF VAIL 3 ` 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#: 5J96/ i )r),to (rorG t)d- DRB#: (Number) (Street) (Suite#) Building/Complex Name: Building Permit#: Al/51— Contractor Information Lot#: /6 Block# Subdivision: Va.1- J '-e ar�.k/1` Business Name: Vea r L,.5".2401.1 Bc ,/07e:"1 Work Class: New(° Addition (®j Alteration (el Business Address: A30 V Z 6.Q City /~a 4✓G y1Jj State: C m Zip: q-/ . 32 Type of Building: Single-Family tif Duplex(0 Multi-Family 0 Contact Name: /+ n }7711 ho/So s> Commercial (( Other 0 Contact Phone: "97 2 - 5O - J S1/ 2 Contact E-Mail:G`, h !9- YG•� c c. ffOin •cvrrj Work Type: Interior I© Exterior 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 es No Gres ONo /�m©0, comply with the information and plot plan,to comply with all Town v ordinances and state laws, and to build this structure according to Mechanical ()Yes ®)No °Yes °No the town's zoning and subdivision codes, design review ap- proved, International Building and Residential Codes and other Plumbing °Yes ONo ()Yes ()No ordinances of the Town applicable thereto. Building °Yes No °Yes °No Value of all work being performed: $11� 90Q 0 Owner/Owner's Representative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3) Electrical Square Footage 4/i9- Applicant Information Detailed Scope and Location of Work: Applicant Name: 5.1, 71.y.- fYlaLtIJ • .1 LLL ` pp '/ ' 71. " (J � 1 n,S�Y �� x'1'10 f7r� Applicant Phone: Ce, 71--- fir itf�q Applicant E-Mail: y Project Information „ Owner Name: 54•qn•i,�- ell ace i`ri5 LI-C Parcel#: Z 0 2 / / c�SZ Z0 0 O g (For Parcel 5,contact Eagle County Assessors Office at(970-328-8640 or visit www.eaglecou nty.uslpatie) (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