HomeMy WebLinkAboutB16-0265.pdf Department of Community Development
(°Z1'
75 South Frontage Road West
TOWN OF va�� =` 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#:
993 Lionsridge Loop 333
(Number) (Street) (Suite#) DRB#:
Building/Complex Name: Breakaway West Condos Building Permit#:
Project Information: Lot#: Block# Subdivision:
Owner Name: James B. Vyduna
Parcel#2103-014-07-022
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Work Class: New(C) Addition (C) Alteration ((ID' )
www.eaglecounty.us/patie)
Type of Building:
Contractor Information
SRE BuildingAssociates Single-Family(C) Duplex(C) Multi-Family(()
Business Name: Commercial (` ) Other(1')
Business Address:
City State: Zip: Work Type: Interior((i.) Exterior(C) Both (C)
Contact Name: Sarah
Contact Phone: 970-390-5776 Valuation of
Work Included Plans Included Work
Contact E-Mail: sarah@srebuilds.com
I hereby acknowledge that I have read this application,filled out in full the Mechanical ()Yes ( No (C)Yes No
information required,completed an accurate plot plan,and state that all CC
the information as required is correct. I agree to comply with the infor- Plumbing (I)Yes (C)No () )Yes (C)No 4OiT D
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 Building ()Yes (C)No ( �ORD' )Yes (C)No /
Codes and other ordinances of the Town applicable thereto. ! �/
Total Value of all work being performed: $ ) D (} 7n
X /`/ `�.� (value based on IBC Section 109.3&IRC Section 108.3)
Owner/Ow er's Repres tative Signature(Required) Detailed Scope and Location of Work:
Applicant Information
Repairs at kitchen due to water damage.
Applicant Name: Contractor
Replace affected ceiling light, wall outlets&switches,
Applicant Phone:
insulation, drywall, cabinetry&floor tile. Remove&
Applicant E-Mail:
Additional Authorized ProjectDox Users replace kitchen sink to allow for new cabinets.
Full Name: Lindsey Kraft
E Mail: lindsey@srebuilds.com
Full Name: Michael Stoycheff
(use additional sheet if necessary)
E Mail:michael@srebuilds.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