HomeMy WebLinkAboutB15-0148_B15-0148_1430846880.PDFI{lt,l/fl| tlF
Department of Community Development
75 South Frontage Road
Vail, CO 81657
Tel:970479-2139
www.vailgov.com
(Separate applications are required for alarm & sprinkler)
Lot #: Block # Subdivision:
BUILDING PERMIT APPLICATION
(Number)
r Building/Complex Name: A f- I *q Vt e-taA.-
i Contractor Information
Business N"-"t Bo,tlxk BurbJt rs . ** .
Business Address: PO &* tc/3-7 Work Class: New ( ) Addition ( ) Alteration ( )Q
city t*Wv1 state: Cto zip: 8/G2-6 lTvpeof Building:
) Multi-Family (X)contact N^ ", Qrcea Ben/+oc/< 'single-Familv( ) Duplex(
iCommercial( )Other( )
Contact Phone:
Contact E-Mail:
?zo -376-ot 3L
I hereby acknowledge that I have read this application, filled out I Work Included plans Included Workin full the information required, completed an accurate plot plan,
1and state that allthe information as required is correct. I agree to lElectrical fi)Yes ( )No ( )Yes ( )No /45f ,c'O
comply with the information and plot plan, to comply with allTown i
ordinances and state laws, and to build this structure according to iMechanical (;{)Yes ( )No ( )Yes ( )No SrUO, 0 O
thetown'szoningandsubdivisioncodes,designreviewap-
proved, lnternational Building and Residentiaf CoOlslnO-5tne, lPlumbing (y)Ves ( )No ( )Yes ( )No ?9e2eofthe,Townapp|icab|ethereto.,?:l9ilg(>OY-9:!")N:()Y:?()].No@
Work Type: lnterior Q( ) Exterior ( ) Both ( )
I valuation of
Value of all work being performed: {
(value based on IBC Section 109.3 & IRC Section 108.3)
Electrical Square Footage
Detailed Scope and Location of Work:
Dvbv r)r ftet.oiul unit ?z
/l7a - -la t-to,r1) Ltern< /krnn (n t
(use additional sheet if necessary)
' Applicant lnformation
Applicant Name:
Applicant Phone:
Applicant E-Mail:
Project Inform
Owner Name:
Parcel #:
Office at (970-328-8640 or visit
(Street)
For Office Use OnIy:
Fee Paid:
Received From:
Cash
-
Check #
CC: Visa / MC Last 4 CC #
Auth #
exp date:
Date Received:
20t4-0901