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HomeMy WebLinkAboutB15-0250_B15-0250_1436824800.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) Pro'ect Street Address:I Project#. 9y w 1� V (Number) (Street) (Suite#) DRB#: Building/Complex Name: Building Permit# Contractor Information Lot#: Block# Subdivision Business Name: JAN box Address: T O• P'ox 5qo Work Class: New aAddition(©j Alteration(0 City AN State: Co Zip: Ogg ZZ) Type of Building: �4//tyerrii Single-Family M Duplex(©j Multi Family 0Contact Name: CommerciaO Other 0jContact Phon7Q• l Y5.03 162 Contact E-Mail: �k,04CDn9 /^�{�ei .cool Work Type: Interior 0 Exterior(© Both O rS /y-h ;/ane/b0n, ' Valuation of I hereby acknowledge tIInllat I`nave read this application',filled out 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 (tJYes ©)No e/es ON 251 ZQ '. oo comply with the information and plot plan,to comply with all Town 1 ordinances and state laws, and to build this structure according to Mechanical (QYes ©)No ('S'es ON I'rjO (Q 0,0 the town's zoning and subdivision codes, design review ap- proved,International Building and Residential Codes and other Plumbing ()Yes ©)No files ( Not 3s2DO ordinances of the Town applicable thereto. / �,l/G��� '✓ � JO / BuildingYes ONO es N�1 23Q 59�X75 . AC X Value of all work being performed: $ / ' 2 /q(DS'•Ct, Owner/Owner's Representative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3) Q Electrical Square Footage Ste so Applicant Information �r� / Hiskallgst_ Detailed Scope and Location of Work: A Applicant Name: W�.�yf ,('"4�L`1 ,- Nati utoryv ioii O- sikiN t Applicant Phone: 170' '11 1990 1! FA1441 LI *MS Applicant E-Mail: h l /lit/8 w.c •C,v ] 1 @kGrw D C2144 ProjectInformation Owner ''AI.DOhI ! 'G Name: / F +lv Parcel#: �l C 1 CS / j5o0 2 (For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit www.eaglecounty.us/patie) (use additional sheet if necessary) For Office Use Only: Fee Paid: Date Received: Received From: Cash Check# CC: Visa I MC Last 4 CC# exp date: Auth # 12-Mar-2012