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HomeMy WebLinkAboutB16-0390 Application.pdfTIJWIIOFa Department of Community Development 75 South Frontage Road Vail, CO 81657 Tel: 970-479-2128 www.vailgov.com Development Review Coordinator BUILDING PERMIT APPLICATION (Separate applications are required for alarm & sprinkler) Project Street Address: 710 West Lionshead Circ. (Number) (Street) Building/Complex Name: Vail Spa Conominiums Contractor Information Business Name: Climate Control Company Business Address: 1537 County Rd. 130 526 (Suite#) City Glenwood Springs state: _c_o __ Zip: 81601 Contact Name: Ricki Bowden ---------------------------------- Contact Phone: 970-945-2326 Contact E-Mail: RBowden@cccgws.com I hereby acknowledge that I have read this application, filled out in full the information required, completed an accurate plot plan, and state that all the information as required is correct. I agree to comply with the information 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 ap- proved, International Building and Residential Codes and other ordinances of the Town applicable thereto. X. ____________________ ___ Owner/Owner's Representative Signature (Requir ed) Applicant Information Applicant Name: --------------------- Applicant Phone: --------------------- Applicant E-Mail:--------------------- Project Information M K . B tt' Owner Name: c alg e le Parcel#: 2101-063-17-054 (For Parcel #, contact Eagle County Assessors Office at (970 -328-8640 or visit www.eaglecounty.us/patie) For Office Use Only: Fee Paid: --------------------------------- Received From: ----------------------------- Cash Check # ________ _ CC: Visa I MC Last 4 CC # exp date: ___ _ Auth# ____ _ Project#: ---------------------------------- DRB #: ']) U \y0'3 \0 Building Permit #: {?;, \ \...o • 0 3CiO Lot#: Block# __ Subdivision:--------- Addition 0 Alteration ((!) of Building: Single-Family 0 Duplex 0 Multi-Family @ Commercial 0 Other Q. ____________________ _ 1 Wa.k Ty~:==,n::, o::~;o ~:e~cl Work Included Plans Included Valuation of l Work ectrrcar·-QYes--(!j)No-0Yes Mechanical @Yes Q)No Qves Plumbing Qves @No Qves I Building O~_es (!)No Qves Value of all work being performed: o·No QNo 0No -----1 128oo 1 I QN~------ $ 12800 (value based on IBC Section 109.3 & IRC Section 108.3) Electrical Square Footage Detailed Scope and Location of Work: Installation of a Mini-Split AC system. se ad i i (u d tonal sheet 1f necessary) Date Received: 'RECEI1tED By .cgod{rey alB: 15 am, S~p 15t201~i ,,~ , f:,;l " \ 12-Mar-2012