HomeMy WebLinkAboutB16-0251.pdf Department of Community Development
5- 75 South Frontage Road
TOWN OF VAIL ' Vail, CO 81657
Tel: 970-479-2128
www.vailgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm &sprinkler)
Project Street Address: Project#:
1239 Westhaven Circle A
DRB#:
(Number) (Street) (Suite#)
Building Permit#:
Building/Complex Name:
Contractor Information Lot#: Block# Subdivision:
Business Name: R & H Mechanical
Business Address: PO Box 810 825-A Chambers Ave
Work Class: New(0) Addition 0) Alteration 0
City Eagle State: CO Zip: 81631 Type of Building:
Contact Name:
Lori Rimoni Single-Family c) Duplex C) Multi-Family 0)
Commercial 0 Other O)
Contact Phone: 970.328.2699
Contact E-Mail: lorir@randhmechanical.com Work Type: Interior Q) Exterior O) Both O
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 O)No O)Yes O)No
comply with the information and plot plan, to comply with all Town
ordinances and state laws, and to build this structure according to Mechanical Yes O)No ()Yes O)No 9,525.00
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing ()Yes O)No ()Yes O)No
ordinances of the To cable thereto.
Building OYes O)No OYes O)No
A —:` iluti`` CAiI(��(L Value of all work being performed:
ri/O5115i1 $ C►,Sa$ 00 based on IBC Section 109.3&IRC Section 0wner's Re esentative Signature(Required) (value108.3)
Electrical Square Footage •
Applicant Information Detailed Scope and Location of Work:
Applicant Name: R&H Mechanical Replace (2) Furnaces
Applicant Phone: 970.328.2699 --11ca _ 20,000 ' LA. - 4_L a_CL
Applicant E-Mail: lorir@randhmechanical.com - u 1o0 OD
-TY- ,O ?:2TLt-, tc-R icu0.h-
Project Information John Hauser
Owner Name:
Parcel#: 2103-121-07-019
(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:
Fee Paid: Date Received:
Received From:
Cash Check#
CC: Visa/ MC Last 4 CC# exp date:
Auth #
15-Mar-2012
(,t-.p(U -A- `—'1 ha.,,`c.-tVLk Oar( (-l lb