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HomeMy WebLinkAboutB16-0379 Revised Permit & Values.pdfTOWN OF~ Department of Community Development 75 South Frontage Road West Vail, CO 81657 Tel: 970-479-2139 www.vailgov.com BUILDING PERMIT APPLICATION (Separate applications are required for Electrical, Alarm, Sprinkler & Public Way) l Proje~treet ~···-:---=-=~·~"'-=~ .. ~~~· ~·~·~~····~-.... ---"~~. ~"'·~·=-·---·*"~.-~~-~........, ...... .-.~-·--·~-~ .•.. Address: ! lP fi· ~~o,J "D~ ! (Number) ( Street) i Building/Camp i Project Inform lex Name: Vr c-L Jkt.,G ation\..-V P-:> ~ t:::>C'' (Suite#) r.J/4 Pc..A~ ~.~ IOI-0&2-64-0'2-~ f Owner Name: :Parcel# ? ct Eagle County Assessors Office at (970)328·8640 or visit (For Parcel #, conta www.eaglecounty. us/patie) Contractor Info rmation Business Name Business Addre uv~•r I'?L..b <e gf;Z<Jv P ss: ~":;a"' .)1! \?>I~ Project#: DRB#: Building Permit#: ~\tJ ·D~lGf Lot#: --Block# __ Subdivision: Work Class: New(Q) Addition (Q) Alteration (Q) Type of Building: Single-Family (0) Duplex (0) Multi-Family (e) Commercial (0) Other (0) i ~ ' , ....... State: { 0 Zip: City ~1/fr b.l l,s-•1 Work Type: ContactName: J~U-\PPI!S' (_oe..J12-.TI!ItS Contact Phone: d) 70 ~~J -~7-~ ~ Interior (~xterior (Q) Both (Q) Valuation of Contact E-Mail: ~~Go; V ,..,_{ ,_(i:? ~H~T. ~ ~ 1 Work Included Plans Included Work I hereby acknowledge that I have read this application, filled out in full the information required, completed an accurate plot plan, and state that all the information as required is correct. I agree to comply with the infor- mation and plot plan, to comply with all Town ordinances and state laws, ; and to build this structure according to the town's zoning and subdivision codes, design review approved, International Building and Residential Codes and !her ordinances of the Town aP. · able thereto. iMechanical ())Yes (0No (C)Yes (0)No f5q oe? ' ~Plumbing 0)Yes (Q)No (Q)Yes (Q)No f S~ ~,P~ I ! i Building OJ Yes (QNo (C) Yes (C)No ?--oa &JtP~ i-•~··---~--•~•-•~-··~~•·''"~'''~--•••, ••-,.-·~-----• '"""'''"m•~•"•"•••-•·--•-• L-'"i i Total Value of all work being performed: $ ~-&lt>tf?.i,_. !! (value based on IBC Section 109.3 & IRC Section 108.3) ~ i \-·---, -------·----·····-----,.·-·---------__] 1 Detailed Scope and Location of Work: ---......-----! -r "J ~~ 'o~ e>p vr-L-'..-r t:5.0 ( _I! F~ H ,;...u,. ~"tf2EZ.... 'Pt-\,1 11~~'~, Applicant Phone: --L-L-=--::::-=:~~u..~=-...e!!......:;;z___ _ -, J Appli".""f "E~Mail: ! ~It-· lfV/Jtrt-b \2Jt""~~ "":l'" -~~-=-------------i • / I , Addltional Authorized ProjectDox Users (r P...·l M J f, J'Z.G'l>~) ,.J. ~ ~ ~n ot-l ! Full Name: ----------------- E-Mail: __________________ _ Full Name: ------------------1 (use additional sheet if necessary) E-Mail: __________________ _ (use additional sheet if necessary) Date Received: o~©~OW~~ in' JUL 14 2016 U U L ~ For Office Use Only: Fee Paid:---------------- Received From: _____________ _ Cash Check# ___ _ CC: Visa / MC Last 4 CC # ___ _ Auth# ___ _ exp date: __ _ Rev. 2015-Dec TOWN OF VAIL