HomeMy WebLinkAboutTwist_Gary.pdf Community Development Department
75 South Frontage Road West
TOWN OF VAIL 1 Vail, CO 81657
Tel: 970-479-2139
www.vailgov.com
WATER HEATER REPLACEMENT PERMIT APPLICATION
(Permit fee=standard building fees and design review fee)
Project Street Address:
7,/,c6-1-- k-tvI rlt�h 6N. .VA- 4 -q
(Number) (Street) (Suite#) Type of Building:
Building/Complex Name:NgiitfiLegL.C110.453ne Family(' ) Two Family(Duplex)
Project Information:
Owner Name: ` _, 1 j�E
Parcel# 2-ACI. — (.4-- -Lit,0ZZ Submittal Requirements:
• Joint Property Owner Written Approval Letter for new vent-
(For Parcel#,contact Eagle County Assessors Office at(970)3284640 or visit ing(duplex or multi-family HOA)
www.eaglecounty.uslpatie) • Two(2)plan sets indicating:
Contractor Information • Materials and product cut sheets
• Type of water heater(gas or electric)
Business Name: ' 7 1, .♦ • Location of water heater adjacent to existing rooms(i.e.
Business Ad ress: bedrooms,garage,etc.)
p�� _• • Full view elevation photos of exterior venting location
City \A u^ (0 State:Cp Zip: ( �.
!I
Contact Name: _-•1��loiLle I. Detailed Scop an Location of Work:
Contact Phone: # l43 ` r i irrjUL'�to3, �� pPI��4"[�
* 1 - ,� Vte� a1,CW� , IP
ler iv
Contact E-Mail: 4. C —� .
I hereby acknowle..e tha I have read this application,filled out in full the (use additional sheet if necessary
information required,completed an accurate plot plan,and state that all
the information as required is correct. I agree to comply with the infor-
mation and plot plan,to comply with all Town ordinances and state laws, Valuation of
and to build this structure according to the town's zoning and subdivision Work Included Plans Included Work
codes,design review approved,International Building and Residential _
Co es and other ordinances of the Town applicable thereto. Building (I )Yes (0)No (' )Yes (0)No
x -re._ AI .
Owner wner's Representativ nature(Required)
Value of all work being performed: $ t MO
Applicant Information (value based on IBC Section 109.3&IRC Section 108.3)
Applicant Name: 9 j f--fr,..,Co A
Applicant Phone:
Applicant E-Mail:
Additional Authorized ProjectDox Users Date Received:
Full Name:
E-Mail:
Full Name:
E-Mail:
(use additional sheet if necessary)
For Office Use Only:
Fee Paid: Project#:
Received From: Building Permit#:
Cash Check#
CC: Visa/MC Last 4 CC# Auth#: Lot#:_Block# Subdivision:
2015-Dec