HomeMy WebLinkAboutB15-0068_B15-0068_1427405820.pdf Av.,vi414 Department of Community Development
75 South Frontage Road
TOVail, 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#:
355 Forest Rd A
DRB#:
(Number) (Street) (Suite#)
Private Duplex Primary/SecondaryBuilding Permit#:
Building/Complex Name: p �
Contractor Information Lot#: Block# Subdivision:
Business Name:
Nedbo Construction
Business Address: PO Box 3419
Work Class: New 0 Addition 0 Alteration(0
City Vail State: CO yip: 81658 Type of Building:
Warren Krok Single-Family 0 Duplex 0 Multi-Family 0
Contact Name: Commercial 0 Other 0)
Contact Phone:
970-845-1001
°�
Contact E-Mail: warren@nedbo.com Work Type: Interior 0 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
q g Electrical ()Yes ONo ()Yes No 110000 •
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 0)No ()Yes ONo 125000
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other ,Plumbing ()Yes ONo °Yes eNo 95000
ordinances of the Town applicable thereto.
Building C)Yes ONo • Yes ONo 910000
X e , 9 Value of all work being performed: $ /1240000
Owner/Owner's Representative Signature(Required) (value based on IBC Section 109.3&IRC Section 105.3)
Electrical Square Footage 4000
Applicant Information Detailed Scope and Location of Work:
Applicant Name: Nedbo Construction Extensive remodel of existing residence including-
Applicant Phone: including-
970-845-1001 new entry with new staircase to all levels, expansion
Applicant E-Mail: warren@nedbo.com below existing garage, expand lower level on north side
New dormer and addition on upper level master suite,
Project Information Stallion Real Estate LLC
Owner Name: new decks, all new interior finishes including cabinets,
Parcel#: 2101-071-13-043
(For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit flooring fixtures, exterior finishes to match existing
www.eagiecounty.ustpatie)
(use additional sheet if necessary)
For Office-Use Only: Date Received:
Fee Paid:
Received From:
Cash Check#
CC: Visa I MC Last 4 CC# exp date: _
Auth #_
12-Mar-2012