HomeMy WebLinkAboutB16-0143 Application.pdfTDWII DF~ 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)
Project Street Address:
5020 Main Gore Place #M4
(Number) (Street) (Suite#)
Building/Complex Name: Gore Creek Meadows Townhomes
Project Information:
Owner Name: Polly & Mark Lestikow
Parcel# 2101-124-3200-4
Project#:--------------------:---
DRB #: :Jft31 /30 30:-{ ~ ·
Building Permit#: {3jLq · D I Y 3
Lot#: Block# __ Subdivision:---------
(For Parcel#, contact Eagle County Assessors Office at (970)328-8640 or visit :Work Class: New (Q) Addition (Q) Alteration (@)
www.eaglecounty.us/patie)
Contractor Information
Business Name: Foster Construction Ltd.
Business Address: PO Box 1 952 ------------------
City Edwards state: _c_o __ Zip: 81632
Contact Name: Brad Foster ------------------
Contact Phone: (970) 926-3202
Contact E-Mail: bfoster@fosterltd.com
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 other ordinances of the Town applicable thereto.
0~11/fd-X ____________________________ _
Owner/Owner's Representative Signature (Required)
Applicant Information
Applicant Name: _B_r_a_d_F_o_s_te_r ___________ _
Applicant Phone: (970) 926-3202
Applicant E-Mail: bfoster@fosterltd.com
Additional Authorized ProjectDox Users
Full Name: -------------------
E-Mail: ___________________ _
; Type of Building:
:. Single-Family (0) Duplex (0) Multi-Family (<!J)
:, Commercial (0) Other (0). ___________ _
Work Type: Interior (0) Exterior((!)) Both (C;)
Valuation of
Work Included Plans Included Work
; Mechanical ())Yes (0)No (C) Yes (C) No
{(!))Yes <C~No (~)Yes (09No 250.00
@)Yes (())No (€)Yes (0)No 20,000.00
~ ~ ~"~ -·
Total Value of all work being performed: $20,250.00
(value based on IBC Section 109.3 & IRC Section 108.3)
Detailed Scope and Location of Work: --------
Remove existing wood deck and replace with new
larger wood deck with square configuration.
. Reconfigure existing gas grill natural gas connection
: for the new deck.
Full Name: -------------------i (use additional sheet if necessary)
E-Mail: ___________________ _
(use additional sheet if necessary) -
For Office Use Only: ~ lf_Lt c%1 \. 00 -
Fee Paid: :-----~<-------~-t·== ~=='=====-___!
Received From: ---------------
Cash Check # ____ _
CC: Visa I MC Last 4 CC # exp date: __ _
Auth# ___ _
Rev. 2015-Dec
Date Received:
RECEIVED
By cgodfrey at 10:02 am, Mcly 04~ 2.016
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