HomeMy WebLinkAboutB16-0388.pdf Department of Community Development
75 South Frontage Road West
TOWN OF VAlL Al' 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#:
1234 Westhaven Drive
(Number) (Street) (Suite#) DRB#:
Building/Complex Name: Liftside Condominiums Building Permit#:
Project Information: Lot#: Block# Subdivision:
Owner Name: Liftside Condominium Association
Parcel#2103-121-22-028
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Work Class: New(C)) Addition (C)) Alteration (0,))
www.eaglecounty.uslpatiel
Contractor Information Type of Building:
Single-Family(0) Duplex(n) Multi-Family(n)
Business Name: Nedbo Construction •
Commercial (r)) Other(C))
Business Address: PO Box 3419 —
City Vail State: CO Zip: 81658 Work Type: Interior(()) Exterior(C) Both(C))
Contact Name: Warren Krok
Contact Phone: 970-845-1001 Valuation of
Work Included Plans Included Work
Contact E-Mail: warren@nedbo.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 3,000
the information as required is correct. I agree to comply with the infor- Plumbing ((i))Yes (['))No (C)Yes ( )No
malion 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 Building • Yes No • Yes75,000
codes, design review approved,international Building and Residential ) �) (� (C)No
Codes and otherordinances of the Town applicable thereto. •
________.------- •
Total Value of all work being performed: $78.000
X (value based on IBC Section 109.3&IRC Section 108.3)
Owner/Owner's Representative Signature(Required) Detailed Scope and Location of Work:
Applicant Information
Remodel of existing Recreation Room of condo.
Applicant Name: Nedbo Construction
Will remove wall in between rec room and hallway
Applicant Phone: 970-845-1001
in order to create larger rec room. All egress
Applicant E-Mail: warren@nedbo.com
Additional Authorized Projectl]ox Users requirments and fire rated assemblies to remain
Full Name: in tact. New finishes throughout rec room
E-Mail:
Full Name: (use additional sheet it 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