HomeMy WebLinkAboutB16-0226.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAII 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#
223 East Gore Creek Dr.
DRB#:
(Number) (Street) (Suite#)
Building/Complex Name:
White Buffalo Restaurant Building Permit#:
Contractor Information Lot#: Block# Subdivision:
Business Name. Rocky Mountain Construction Group
120WillBridge Rd. Work Class: New 0 Addition ('Oj Alteration (0Business Address. ow 9
City Vail State: Co. Zip 81657 Type of Building:
Contact Name.
Mark Hallenbeck Single-Family 0Duplex 0Multi-Family(0
Commercial (Oj Other
Contact Phone: 970 476-4458
Contact E-Mail: markh@rockymountainconstructiongroup.co Work Type: Interior° Exterior 0 Both
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 (QYes QNo ()Yes °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 ONo
the town's zoning and subdivision.codes, design review ap-
proved, International Building and Residential Codes and other Plumbing Yes Q)No 0Yes ()No
ordinances of o n thereto.
Building ()Yes ()No °Yes °No
r
X /G 'l - Value of all work being performed: $ 5t7o• oc;
O ner/Owner's Repre ve ignature (Required) (value based on IBC Section 109.3 8,IRC Section 108.3)
Electrical Square Footage
Applicant Information Detailed Scope and Location of Work.
Applicant Name Mark Hallenbeck
970 476-4458APPlicant Phone
(7)6TVs OM xr5T- 6us 't•C 41✓Lv
Applicant E-Mail. markh@rockymountainconstructiongroup.co kTrO Fikt; OC2X
Project Information
Owner Name: Peggy Rosenquest
Parcel#: 21010821200
(For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit
www.eaglecounty.us/patie)
(use additional sheet if necessary)
For Office f'se Only.
Date Received:
Fee Paid:
Received From:
Cash Check #
CC: Visa / MC Last 4 CC # exp date:
Auth #
12-Mar-21)12