HomeMy WebLinkAboutB14-0451_B14-0451_1415403720.pdf Department of Community Development
75 South Frontage Road
rOW� Q� v u, 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#: `t ) 3-000_3P)23--)V-0?-,)-6
000 Wall Street �j �
(Number) (Street) (Suite#) DRB#: 1-� g q()l b c
Building/Complex Name:
Wall Street Rest Rooms Building Permit#: /L G L(
Contractor Information Lot#: Block# Subdivision:
Business Name: Aspen Wireless
Business Address:
1920 West Burnley Lane Work Class: New( ) Addition(0) Alteration(®)
City Maple City State: Ml Zip: 49664 Type of Building:
Chad Lieurance Single-Family(0 Duplex(0 Multi-Family(0)
Contact Name: DAS Wireless Pole/Cabinet
Commercial(0 Other(0
Contact Phone: 970.390.99894
Contact E-Mail: chad@aspenwireless.net Work Type: Interior(0 Exterior(Q 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 (t'es °No (®Yes (INo 2700
comply with the information and plot plan,to comply with all Town
ordinances and state laws, and to build this structure according to Mechanical °Yes (No 0Yes (®No
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing OYes ®No OYes €No
ordinances of the Town applicable thereto.
Building (QYes 3No ( Yes QNo
X —, Value of all work being performed: $ 270f1
Owner/Owner's Representative Signature(Required) (value based on IBC Section 109,3&IRC Section 108.3)
Electrical Square Footage 16
Applicant Informationo r
Detailed Scope and Location of Work: Installation of
Applicant Name: Chad Lieurance electrical wiring from New Cellular wireless pole near
Applicant Phone: 970.390.9894 popcorn wagon on wall street(Node 25)through existin
Applicant E-Mail: chad@aspenwireless.net conduit to wall street public rest room electrical closet.
Project Information tying electrical in to existing TOV meter.
Owner Name: Town of Vail
Parcel#:
(For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit
www.eag lecou nty.uslpatie)
(use additional sheet if necessary)
For Office Use Only: 4t-- j
Fee Paid: Date Received:
Received From: Received
Cash Check# 06 4 TOWN OF VAIL` By Carolyn Godfrey at 4:07 pm,Nov 07,2014
CC: Visa/MC Last 4 CC# exp date:
Auth #
/�� c� 4.)--6(. 1( 2013-Feb 01