HomeMy WebLinkAboutB15-0101_B15-0101_1428948240.pdf Department of Community Development
75 South Frontage Road
TOWN OF HAIL 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#:
29 2 AtOW V/.14. 6,79
DRB#:
(Number) (Street) t (Suite#)
Building/Complex Name: Vel 1• MSG}�1T ri ht ii7NUS Building Permit#:
Contractor Information Lot#: Block# Subdivision:
Business Name: A kS , tqTYA(. :1 r SeltV;Com' ('��
Business Address:'T3-0. 13x -7-7 Work Class: New ttJ1 Addition Alteration (16
City AVot-1 State:C0 Zip: S1(PZ a Type of Buildin :
��� �� Single-Family Duplex Tj Multi-Family(410)Contact Name:
7-41
Commercial Other
Contact Phone: 61-10. 1 J r X 2. ]7-
Contact
Contact E-Mail: G S GOD 1't 1'A C4- Iis.jCo 1 e o t- enriatiork 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 ONo (Wes DNo 244 i orae
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 •No O -
the town's zoning and subdivision codes, design review ap-
proved,International Building and Residential Codes and other Plumbing ( Yes QQNo 0Yes SNo 7,000
ordinances of the Town applicable thereto.
Building Yes ONo Yes ONo 0(N)
X Value of all work being performed: $ i Z 6J t O Q 0
Owner/Owner's Representative Signature( equired) (value based on IBC Section 109.3&!RC Section 108.3)
Electrical Square Footage 99e. S Q FT
Applicant Information ,/1 Detailed Scope and Location of Work: RP to av i n q l tAe_r
44C AS P 15045
Applicant Name: 1 J
rvam.d 'riAils l lixe s � �-k 4 tI riy. eIn •
Applicant Phone: 'Rt Con itAf 1 �1+ 1eh layOt44-. keel weld
Applicant E-Mail: AdiIel Y1eW C:IOSet l'\ t £1.ettriC[t) Payie)k atd-41)
Project Information
Nev T1�� *(1 tti miry -1-0 31't�r111/4 .
Owner Name: A Y1VI•>4 VLOU kl-ti kl l- 55Pt5 LL •
ChAtJU 1)12W/4-L Insfet �1
Parcel#: 2� O1 — 002 - 20 - Otel N1� 111 IT i� Cub,vle�Yy P�r�If Unit'.
(For Parcel#t,contact Eagle County Assessors Office at 1970-328-8640 or visit
www,eaglecounty.uslpatie}
(use additional sheet if necessary)
Fur Office Use Only:
Date Received:
Fee Paid:
Received From:
Cash Check#
CC: Visa MC Last 4 CC# exp date: _.
Auth #
12-Mar-2012