HomeMy WebLinkAboutB15-0222_B15-0222_1435266840.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAIL 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#i
_-
225 \P/'1 i )_ _4� 102A
DRB#
(Number) (Street) (Suite#)
Building/Complex Name: Wall Street Building Building Permit#:
Contractor Information Lot#: Block# Subdivision:
Business Name. Rocky Mountain Construction Group
120 Willow Bridge Rd Work Class: New(0j Addition 0Alteration (0)
Business Address: g
City Vail State: Co Zip: 81657 Type of Building:
Contact Name: ,
�
Mark Hallenbeck Single-Family 0 Duplex a Multi-Family ( II
Commercial `� Other
Contact Phone 719 499-9248
Contact E-Mail markh@rockymountainconstructiongroup.co Work Type: Interior 0 Exterior(O Both (O
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 O)No OYes ONo 14000
comply with the information and plot plan, to comply with all Town
ordinances and state laws, and to build this structure according toMechanical ®Yes O)No ()Yes ()No 7500.00
the town's zoning and subdivision codes, design review ap-
proved, International Buil.i aLCades and other Plumbing ()Yes ))No ()Yes (QNo 0
ordinances of the T. -.plicable thereto. 50000
Building ()Yes ONo ()Yes ONo
1111111"-
X I�j�" Z ' Value of all work being performed: $ 71500
Ow r/Owner's Representative Signature (Required) (value based on IBC Section 109.3 8 IRC Section 108.3)
ical Square Footage 0 ' .),
Applicant InformationDetailed Scope and Location of Work: Tenant
Applicant Name: Mark Hallenbeck improvement. New electrical and mechanical
Applicant Phone. 719 499-9248 equipment. Drywall wall/Ceilings Paint, Insulation,
Applicant E-Mail markh@rockymountainconstructiongroup.co carpet and General finishes.
Project Information Wall Street Property Owners LLC
Owner Name: lf
Parcel#: 161 - O ? _ ��U v
(For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit
www.eaglecou nty.uslpatie)
(use additional sheet if necessary)
For Office tse Only:
Date Received:
Fee Paid:
Received From:
Cash Check #
CC: Visa / MC Last 4 CC # exp date:
Auth #
12-Mar-2012