HomeMy WebLinkAboutB15-0199_B15-0199_1434050400.pdf -y,0 Department of Community Development
75 South Frontage Road
TOW/ OF VAIL : ' Vail, CO 81657
Tel: 970-479-2139
www.vailgov.com
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm &sprinkler)
Pro ect Street Address: Project#:
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Ar.... (,rvve I-44e,
DRB#:
(Number) (Street) (Suite#)
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Building Permit#:
Building/Complex Name:�f{�111 it Cell-Zellifitee.
Contractor Information Lot#: Block# Subdivision:
Business Name: Vv/ &ice "Ea,r/ -----_�---____. __..._.___.___.__._.___.__ _ _.___._.___.__. ---
I /4atG 'f Az,* Work Cass: New( ) Addition ( ) Alteration ( )
Business Address: 2.oy'5
City 6/4W4 ! State: 0Zip: 8`(31- Type of Building:
/� / ,/ / Single-Family( ) Duplex( ) Mufti-Family( )
Contact Name: L heti L f-!/rrl rGI02/
Commercial ( ) Other( )
Contact Phone: 170 - 6 t9 tf-OP Z
,Work Type: Interior( ) Exterior( ) Both (
)V
Contact E-Mail: Coll! c(Q Vai/C�s / • t �
I hereby acknowledge that I have read this application,filled out Valuation of
in full the information required,completed an accurate plot plan, Wo Included Plan ncluded Work
and state that all the information as required is correct. I agree to Electrical ( )Y ( )No ( Ye ( )No 000-0.0
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 ( ( )No f00oQO.tr.
the town's zoning and subdivision codes, design review ap- /
proved, International Building and Residential Codes and other Plumbing (1/�Y s ( )No ( )Y s ( )No 5oeo
ordinances of the Town applicable thereto.
Building ( )Yes ( )No ( Yes ( )NoZy 7.376'a,o�
-47-
X Value of all work being performed: 3 600 BOa I
Owner/Owner's Representative Signature(Required) (value based on IBC Section 109.3&IRC Section108,3)
Electrical Square Footage !I 37 ' p
Applicant Information
PP Detailed Scope andrLocation of Work:
Applicant Name: Pier- erfif"/1e# NPtit/e tdraL01 W A fork 400viir
Applicant Phone: 65/4) .561(- a/ ' r u.GN'n ,477 . A -
Applicant E-Mail: dCArdert 9e.`!27e k-.CONS v& L,.1. j'
I
Project Information /1,441,110---
Owner Name: /fait 74-AT L rGtNllkerf'
Parcel#: Z10; 0/171/SOZf /
(For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit
-
www.eag lecou nty.uslpati e)
(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 #
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