HomeMy WebLinkAboutB15-0379_B15-0379 Application_1445437260.pdf1
2` Department of Community Development
75 South Frontage RoadTOWNOFVAILf
Vail, CO 81657
Tel: 970-479-2139
www.vailgov.com
BUILDING PERMIT APPLICATION
Separate applications are required for alarm &sprinkler)
Project Street Address:
Project#: M3-/j •o 7(41
Number) (Street) Suite#)
DRB#: D(1,615 b Ir)5
0Building/Complex Name: Val L v I Vc19e 1 hn Building Permit#: 615 3 7 q
I Contractor Information ` Lot#: a Block#SD Subdivision: V V
Business Name: F eOi I vC
Business Address: Ma) 6i1 c e t Ave,csiiiit,zi cid i Work Class: New( ) Addition ( Alteration K)
City Mlatilell State:1L Zip: 33131 1 Type of Building.
Contact Name:ShcO( kVkJ
Single-Family( ) Duplex( ) Multi-Family( )
Commercial Other( )
Contact Phone: °BO-Lit--1 -9S43
Contact E-Mail: ht `CAD LQci Ver-corn Work Type Interior( Exterior( ) Both( )
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 ( )No ( )Yes ( )No 1(o'OCO- 0complywiththeinformationandplotplan,to comply with all Town Iordinancesandstatelaws, and to build this structure according to !Mechanical ( )Yes ( )No ( )Yes ( )No 3510'0-Q'the town's zoning and subdivision codes, design review ap-proved,International Building and Residential Codes and other Plumbing ( )Yes ( )No ( )Yes ( )No [O I C.l}•C.
ordinances of the Town appli le thereto. I Building ( )Yes ( )No ( )Yes ( )No j CQ
i Value of all work being performed: n
Owner/Owner's Representativ Signature(Required) value based on IBC Section 109.3&IRC Section 108.3)
Electrical Square Footage 2IZCO S111
Applicant Information
ii ii p Detailed Scope and Location of Work: .ep(GI-fki%refApplicantName: l SC)IC)Y LOw1 f 'kf-e)-0051vte- d-F K-i`tclion, Jav,Aes/c tots
Applicant Phone: c,9U 4-4 L4SL43 1A17-4J CiprttonCes/ MIC f 'new l(S tApplicantE-Mail: Vt Wag) (j I ova liGtSS ealttrl I roGlicitnt fit«
Project Information widow.) me place f O1 1Ao nt -6OwnerName:
Parcel#: 2101 o2Z• Sc-107.-9-
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 E VFeePaid:
Received From Date Received:
E
NT f)Cash Check# SEP ?8 2015
CC: Visa/MC Last 4 CC# exp date: 1-1-5pAuth#
TOWN OF VAI L.
Q', s Odg 2014-0901
a:
TOWN OF VAIL, COLORADO Statement
Statement Number: R150001530 Amount: $1,346.59 09/29/201510:13 AM
Payment Method:Credit Crd Init: SAB
Notation: Hilda
Solorzano
Permit No: B15-0379 Type: COMBINATION BLDG PERMIT
Parcel No: 2101-082-5402-7
Site Address: 68 E MEADOW DR VAIL
Location: Vail Village Inn Unit 501
Total Fees:8,619.84
This Payment: 1,346.59 Total ALL Pmts:1,346.59
Balance:7,273.25
ACCOUNT ITEM LIST:
Account Code Description Current Pmts
PF 00100003112300 PLAN CHECK FEES 1,346.59