HomeMy WebLinkAboutB15-0449_B15-0449_1446677400.pdf Department of Community Development
75 South Frontage Road
Vail, CO 81657
TOWN vQIL Tel: 970-479-2139
www.vailgov.com
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm &sprinkler)
Project Street Address: Project#:
V60 1--1 n n4l etxel 1,Jai i 0 to
DRB#: V) f-- b 15ejgcl
(Number) (Street) (Suite#)
n Building Permit#:
CV
Building/Complex Name: F l-\—,e-ArS
Contractor Information iYlectnar\uuFQ ctr ess t R c- Lot#: Block# Subdivision:
fo(sa c 32'5 tGc'�'(6,�,s �i"1o52,•hoyo
Business Name: -ro rh EU 64-n5 S-vlgki r�
Work Class: New( ) Addition( ) Alteration (X)
Business Address: '?0 box 1435 ___,_,_l
City GGirOt, State: (-47 Zip: $1 (.31
Type of Building: ,
Single-Family( ) Duplex( ) Multi-Family(Ni))
Contact Name: 10 m EQ V>4.,3c...3
Commercial ( ) Other( )
Contact Phone: 9 7 C? ._39 O -KC4,8")
1� i Work Type: Interior( ) Exterior(, ) Both ( ) •
'1
Contact E-Mail: e.\0.1 e s-cb.w`i l rA Q Go`. c.a ' _...__�.___
e_ by - -���._
Valuation of
I hereby acknowledge that I have read this application,filled out • Work Included Plans Included Work
in full the information required,completed an accurate plot plan,
and state that all the information as required is correct. I agree to 'Electrical ( )Yes R )No ( )Yes ( )N°
comply with the information and plot plan,to comply with all Town I
ordinances and state laws, and to build this structure according to :Mechanical ( )Yes (7)No ( )Yes )No
the town's zoning and subdivision codes, design review ap-
proved, Intern. -onal Building and Residential Codes and other {Plumbing ( )Yes (X)No ( )Yes (0)No
•
ordinances o ,e Town applicable thereto. Building (')Yes ( )No (x)Yes ( )No S,500
XValue of all work being performed: $ (6`��Db
A) (value based on IBC Section 109.3&IRC Section 108.3)
Owner/Owner epre entative Signature(Required)
Electrical Square Footage '
Applicant Information j Detailed Scope and Location of Work:
'
Applicant Name: Q9er L )(1A-(‘-' 1 1 -S7 W oink.) 6 1cl S td n baz�v an k
Applicant Phone: 303 3`l 5`(g(-, S 7 __,,11 Z) fkd�al (1(1.0.,,- (e x s•i,:.., 1-74_9-e t..),w-�, j
\o ) )
Applicant E-Mail: Dv e e bt tSY`l,e '"iiM�d1-t y-vc-v r /Aryl_ 3) IYts Q s1 k. i',le ate. ip a Pi /
Project Information ul� 14-1 AS CN �'S
irtec,AM/inaer
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Owner Name: J066V•. Kh.s /,/Eu-w vk t< - I
i1 SI (IX IST1M c r Qx�O'�t
(tVs-P
Parcel#: 2\o1 a7 2. TD „
( o0 J
(For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit
www.eaglecounty.us/patie)
_,d ._,_.v__ (use additional sheet if necessary)
For Office Use Only:
Fee Paid:
Received From: Date Received:
Cash Check#
CC: Visa/MC Last 4 CC# exp date:
Auth #
CCc 'r5 f>1
2014-0901