HomeMy WebLinkAboutB16-0204.pdf Department of Community Development
75 South Frontage Road West
TOWN OFV►4lL ■ 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: Project#:
461 Vail Valley Drive
(Number) (Street) (Suite#) DRB#:
Building/Complex Name: Sports Courts Building Permit#:
Project Information: Lot#: Block# Subdivision:
Owner Name: Town of Vail
Parcel#210108236004
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Work Class: New(C�) Addition (C) Alteration (( )
www.eaglecounty.us/patie)
Contractor Information Type of Building:
RA Nelson Single-Family(C) Duplex(C) Multi-Family(C )
Business Name: Commercial ((i) Other(C)
Business Address: PO 5400
City Avon State: CO Zip: 81620 Work Type: Interior(C) Exterior(C) Both (( )
Contact Name: Matt Anderson
Contact Phone: 970-471-3459 Valuation of
manderson@ranelson.com
Work Included Plans Included Work
Contact E-Mail: @
I hereby acknowledge that I have read this application,filled out in full the Mechanical l`' )Yes (C)No ()Yes (C)No 4,923.00
information required,completed an accurate plot plan,and state that all 1 1,761.00
the information as required is correct. I agree to comply with the infor- Plumbing (()Yes (. )No (C)Yes (1/-)NO
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 subdivision26,270.00
codes, design review approved,International Building and Residential Building ((• )Yes (C)No (C)Yes (C)No
Codes and other ordinances of the Town applicable thereto.
Total Value of all work being performed: $440,146.85
X (value based on IBC Section 109.3&IRC Section 108.3)
Owner/Owner's Representative Signature(Required) Detailed Scope and Location of Work:
Applicant Information
Applicant Name: Matt Anderson
Applicant Phone: 970-471-3459
Applicant E-Mail: manderson@ranelson.com
Additional Authorized ProjectDox Users
Full Name: Justin Pronga
E-Mail:jpronga@ranelson.com
Full Name: Mike Cuthbertson
(use additional sheet if necessary)
E-Mail:mcuthbertson@ranelson.com
(use additional sheet if necessary)
Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/ MC Last 4 CC# exp date:
Auth #
Rev.2015-Dec