HomeMy WebLinkAboutB16-0460.pdf Ark Department of Community Development
75 South Frontage Road West
Vail, CO 81657
TOWN OF VAIL
Tel: 970-479-2139
www.vailgov.com
BUILDING PERMIT APPLICATION
(Separate applications are required for Electrical,Alarm, Sprinkler&Public Way)
Project Street Address: Project#:
1139 Sandstone Drive 2
(Number) (Street) (Suite#) DRB#:
BuildinglComplex Name: Indian Creek Townhomes Building Permit#:
Project Information: Lot#: Block# Subdivision:
Owner Name: Barbara J Erickson
Parcel#2103-014-18-002
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Work Class: New((l) Addition(C)) Alteration (C))
www.eaglecounty.uslpatie)
Contractor Information Type of Building:
Single-Family( ) Duplex(0) Multi-Family(C))
'Business Name: Nedbo Construction Commercial(0) Other(0)
Business Address: PO Box 3419
City Vail State: CO Zip: 81658 Work Type: Interior(n) Exterior O) Both(C)
I Contact Name: Warren Krok
I Contact Phone: 970-845-1001 Valuation of
warren nedbo.com Work Included Plans Included Work
Contact E-Mail: @
I hereby acknowledge that I have read this application,filled out in full the Mechanical O)Yes (( "))No (CYes ((ii)No
information required,completed an accurate plot plan,and state that all
the information as required is correct. I agree to comply with the infer- Plumbing 6i))Yes ((j)No (C)Yes (f)No 3000
oration 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 approved,International Building and Residential Building ( )Yes (0)No (C)Yes (CNo 62000
Codes and othe ordinances of the Town applicable thereto.
Total Value of all work being performed: $65000
X I(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 New Kitchen- replace all cabinets, countertops,
Applicant Name: Nedbo Construction
Applicant Phone:
970-845-1001 , appliances, fixtures etc. All Plumbing and electrical
to keep same rough in locations
Applicant E-Mail: warren@nedbo.com
Additional Authorized Projectbox 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