HomeMy WebLinkAboutB15-0357_B15-0357_1442427480.pdf Department of Community Development
75 South Frontage Road
Vail, CO 81657
TOWNTel: 970-479-2128
www.vailgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm & sprinkler)
Project Street Address: Project#:
394 Beaver Dam Road
DRB
(Number) (Street) (Suite#)
Building Permit#:
Building/Complex Name:
Contractor Information Lot#: Block# Subdivision:
Business Name: TWC, LLC
Business Address:
PO Box 8812 Work Class: New 0 Addition (0 Alteration(0
City AvonState: CO Zip: 81620 Type of Building:
Single-Family C) Duplex 0 Multi-Family 0
Contact Name Mike Scrivens
Commercial 0 Other 0
Contact Phone: 970-376-6543
Contact E-Mail:
mike@transwestconstruction.com Work Type: Interior.® Exterior 0 Both 0
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 ONo _ 4850.00
comply with the information and plot plan, to comply with all Town ���JJJ
ordinances and state laws, and to build this structure according to Mechanical ()Yes (3)No °Yes ONo
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing °Yes ONo ()Yes C)No 6200.00
ordinances of the Town applicable thereto. 60000
Building ()Yes °)No ()Yes ONo
1
X T�� • Value of all work being performed: $ 71050
Owner/Owners Representative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3)
Electrical Square Footage 400
Applicant Information Detailed Scope and Location of Work.
Applicant Name: Dale Benditz Kitchen and family room remodel to include new
Applicant Phone: 281-844-8263 cabinets, appliances, tile &wood flooring, plumbing
Applicant E-mail: dale.benditz@gmail.com &electrical fixtures. Addition of new rotisesserie
Project Information appliance at existing interior patio foyer.
Owner Name: Dale& Susan Benditz
No additional electrical load added.
Parcel#: Vail Village Filing 3 Block 2 Lot 7
(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:
Date Received:
Fee Paid: _
Received From:
Cash Check #
CC: Visa/ MC Last 4 CC # exp date:
Auth #
12-Mar-201 2