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HomeMy WebLinkAboutB15-0355_B15-0355 Application_1442430480.pdf Department of Community Development 75 South Frontage Road TOWN OF VAIL A Vail, CO 81657 Tel: 970-479-2139 www.vailgov.com i BUILDING PERMIT APPLICATION (Separate applications are required for alarm &sprinkler) Project Street A ress: r Project#: ' 57) talky ,,1n Ci0'de ea.S. DRB#: (Number) (Street) (Suite#) Building Permit#: Building/Complex Name: Contractor Information Lot#: Block# Subdivision: Business Name: gir'1C... k) j, e.Od\�j- facI l p\ 70 (D(�� Work Class: New( ) Addition ( ) Alteration's Business Address: V0 1 City U ( ( State:e(19 Zip: Type of Building: (A-),e. Single-Family( ) Duplex =). Multi-Family( ) Contact Name: .--0.--lc, l� e t ! Commercial ( ) Other( ) G Contact Phone: l 74 - 4.7./ 77/ _—_- - = _- _ __. �...— s- ----- Interior — InteorExterior ( ) Contact E-Mail: l� c7•Se©vs c:?0( G1Work Typef. 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 14Yes ( )No Yes ( )No /(.9/ 0a)comply with the information and plot plan,to comply with all Town j ordinances and state laws, and to build this structure according to Mechanical ( )Yes ( )No ( )Yes ( )No the town's zoning and subdivision codes, design review ap- proved, International Building and Residential Codes and other Plumbing (/Yes ( )No ( /)Yes ( )No ca..) ordinances . 1- Town applicable thereto. 0C Building (/)Yes ( )No (71Yes ( )No El X _ '_ Value of all work beingperformed: $ Owner/Owner's Representative Signat re(Required) (value based on IBC Section 109.3&IRC Section 108.3) i Electrical Square Footage Applicant Information ! Detailed Scope and Location of Work: cz, Applicant Name: S-e l/'cil'f� N a ,ac_ , a/,( bjOa s .i-�Tr)v✓" ///lee-077 AApplicant Phone: ( ) F75— —037 ` j .GJ _ ir_r�`I` a- L_ 0 A i t / . h !Applicant E-Mail: �tn� , CdJ'/I ' (( �. C � / p / �r,O Q r c ' I Yz p4Lt' S V Project Information ,- Cly 1.()_, / o C a/�j (/uf7(l��5 Owner Name: �C�S� l aY n, r)�� 6)0I� GYS‘-tt Parcel#: \C„,rC,r + liD \),P4j i,- 1,61- (-49 Pix K . (For Parcel#,contact Eagle County Assessors Office at(97 328-13640 or visit www.eaglecounty.us/patie) ,(/ . SV . ��ti (use additional sheet if necessary) ....._. _. __.._... _... . (....-.'lilr r. c.��. _...... 1....-. � ..._ . . __- For Office Use Only: Date Received: Fee Paid: Received From: Cash Check# CC: Visa/ MC Last 4 CC# exp date: Auth # 2014-0901