HomeMy WebLinkAboutBuilding Permit Application_2.pdf Department of Community Development
75 South Frontage Road West
Vail, CO 8157
TOWN OF VAIL ' Tel: 970-479-21639
www.vailgov.com
BUILDING PERMIT APPLICATION
(Separate applications are required for Electrical, Alarm, Sprinkler&Public Way)
Project Street Address: Project#:
1406 Morraine Dr.
(Number) (Street) (Suite#) DRB#:
Building/Complex Name: Building Permit#:
Project Information: Lot#: Block# Subdivision:
Owner Name: Mike Karty
Parcel#Lion's Ridge Lot3-1406 Morraine Dr
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Work Class: New( "_) Addition(r- ) Alteration (( )
•
www.eaglecounty.us/patie)
Contractor Information Type of Building:
Single-Family( ) Duplex( ) Multi-Family(( )
Business Name: Rocky Mountain Construction Group
Commercial (( ) Other(( )
Business Address: 120 Willow Bridge Rd
City VailState: Co. Zip: 81657 Work Type: Interior((—) Exterior(C) Both (i)
Contact Name: Mark Hallenbeck
Contact Phone: 719 499-9248 Valuation of
markh rock mountainconstruction rou co Work Included Plans Included Work
Contact E-Mail: @ Y 9 p
I hereby acknowledge that I have read this application,filled out in full the Mechanical (')Yes (j)No (C)Yes ()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 ((i)Yes (C')No (C
)Yes ( \)No 14500
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 subdivision87500
codes,design review approved,International Building and Residential Building (r• )Yes (+ )No (C)Yes ((—)No
Codes and other ordinances of the own a.'' -• - ereto.
Total Value of all work being performed: $102,000.00
X �
(value based on IBC Section 109.3&IRC Section 108.3)
Owner/Owner's Representative Signature --•• = Detailed Scope and Location of Work: Deck Replacement
Applicant Information
and Window Replacement
Applicant Name: mark hallenbeck
Applicant Phone: 719 499-9248
Applicant E-Mail: markh@rockymountainconstructiongroup.co
Additional Authorized ProjectDox Users
Full Name:
E-Mail:
Full Name: (use additional sheet if necessary)
E-Mail:
(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