HomeMy WebLinkAboutB16-0223.pdf Department of Community Development
No-
75 South Frontage Road West
Vail, CO 81657
TOWN OF VAIIL ' Tel: 970-479-2139
www.vailgov.com
BUILDING PERMIT APPLICATION
(Separate applications are required for Electrical,Alarm, Sprinkler&Public Way)
Project Street Address: Project#:
141 East Meadow Drive
(Number) (Street) (Suite#) DRB#:
Building/Complex Name: Solaris Residence Building Permit#:
Project Information: Lot#: Block# Subdivision:
Owner Name: -
Parcel#
(For Parcel#,contact Eagle County Assessors Office at(970)328-8840 or visit Work Class: New(1)) Addition(()) Alteration (n)
www.eaglecounty.uslpatie)
Contractor Information Type of Building:
Single-Family(C) Duplex(0) Multi-Family(0)
Business Name: Falcon Plumbing & Heating
Commercial(q",) Other(0) i
Business Address: 3187 Mesa Ave
City grand Junction State: CO Zip: 81504 Work Type: Interior((,) Exterior(C)) Both(0)
Contact Name: Charles Lee
Contact Phone: 970-434-0556 Valuation of
lse@falcon lumbin Com Work Included Plans Included Work
e
Contact E-Mail: p g-
I hereby acknowledge that I have read this application,filled out in full the Mechanical (C)Yes (r)No (Ci)Yes (0)No
information required,completed an accurate plot plan,and state that all /-- y^ 59,028
the information as required is correct. I agree to comply with the infer- Plumbing (*)Yes (f)No (C))Yes (C)No
mation and plot plan,to comply with all Town ordinances and state laws,
and to build this structure accordi to the town's zoning and subdivision
codes,design review epprdved,I t motional Building and Residential Building ( )Yes (0)No (0)Yes (C)No
Codes and other or Inas s of t e Town applicable thereto.
(11:,...."1-
� / i Total Value of all work being performed: $59,028.00
X \'V'- I/� I(value based on IBC Section 109.3&IRC Section 108.3)
Owner/Owner s Representati e Signature(Required)
Detailed Scope and Location of Work:
Applicant Information Install water softener and filter on domestic
Applicant Name: Charles Lee
Applicant Phone:
970-434-0556 water
Applicant E-Mail: clee@falconplumbing.com
Additional Authorized ProjectDox Users
Full Name:
E-Mail:
Full Name: (use additional sheet if necessary)
E-Mail:
(use additional sheet if necessary) 11,
Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa I MC Last 4 CC# exp date:
Auth #
Rev.2015-Dec