HomeMy WebLinkAboutbuilding application.pdf Department of Community Development
75 South Frontage Road West
TOWN OF VAIC ' 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:
23 3 s BM-6 MUVN l i4,/J 4 �i 8 Project#.
(Number) (Street) (Suite#) DRB#:
Building/Complex Name rn°KA4a"^ 0_ _- /
Tawit h v yam_ `oist iiii ,ing Permit#:
con r
ProjectInformation: Lot#: Block# Subdivision:Name: 37M * Jl6 t4h
Parcel# OIC1 —033 C-Oo
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Work Class: New(I ) Addition(C ) Alteration
www.eaglecounty.us/patie)
Type of Building:Contractor Inform •
n Single-Family(( )
Duplex()
) Multi-Family
Business Name: Ccti_S kUcAev1sh4'commerciai(f ) Other(C)
Business Address: "PO Box 1870 City L Stat : Co Zip: f/6.58
Work Type: Interior Exterior(C`) Both(C)
Contact Name: � .001 (,.. e./
Contact Phone: � 70, S —o ,S Valuation of
''ll Work Included Plans Included Work
Contact E-Mail: rD e r l IS ks eArlokSr co#47
I hereby acknowledge that I have read this application,filled out in full the Mechanical )Yes (()No (r)Yes (C)No
information required,completed an accurate plot plan,and state that all ��
the information as required is correct. I agree to comply with the infor- Plumbing )Yes (C)No (r)Yes (C)No 0 77
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 a.. . • -rnational Building Residential Building K'es (C)No Yes (r)No �i7/
Z )
Codes and other• •.I•ances of the '.wn applicable thereto.
Total Value of all work being performed: $ /1/11.5-00
X value based on IBC Section 109.3&IRC Section 108.3)
Owner Owner's ;-• -•l • a ure(Required) Detailed Scope and Location of Work:
Applicant Information // SE £ 1T t4
Applicant Name: / i � �C—
TS
I i C +L\
6 Z
Applicant Phone: 0
Applicant E-Mail: - • - i illiffia'rtIM___ I✓,
Additional Authorized Pr ectDoxUsers
Full Name: >b `
E-Mail: O s ` VAI L _i IL a _
Full Name: i t be u / (use additional sheet if necessary)
E-Mail: CL % a 6 a•-a—
(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