HomeMy WebLinkAboutB17-0039.pdf Department of Community Development
75 South Frontage Road West
Vail, CO 81657
TOWN �
On 3 Tel: 970-479-2139
www.vailgov.com
BUILDING PERMIT APPLICATION
(Separate applications are required for Electrical, Alarm, Sprinkler&Public Way)
Project Street Address: Project#:
62 E Meadow Drive 304 [370]
(Number) (Street) (Suite#) DRB#:
Building/Complex Name: Talisman Condominiums Building Permit#:
Project Information: Lot#: Block# Subdivision:
Owner Name: David Birnbaum
Parcel# 210108205014
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Work Class: New( ) Addition ( ) Alteration (s )
www.eaglecounty.us/patie)
Contractor information Type of Building:
Single-Family( ) Duplex( ) Multi-Family(•• )
Business Name: Custom House Construction Corp.
Commercial ( ) Other( )
Business Address: PD Box 3026
City Eagle State: CO Zip: 81631 Work Type: Interior( ) Exterior( ) Both( •)
Contact Name: Lori Mowder
Contact Phone: (970)904-2157 Valuation of
Contact E-Mail:
lori@customhouseconstruction.com
Work Included Plans Included Work
I hereby acknowledge that I have read this application,filled out in full the Mechanical (• )Yes ( )No ( •)Yes ( )No 75,000
information required,completed an accurate plot plan,and state that all 75,000
the information as required is correct. I agree to comply with the infor- Plumbing (• )Yes ( )No ( •)Yes ( )No
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 Building • • 550,000
gn
codes, design review approved,International Building and Residential g ( )Yes ( )No ( •)Yes (' )Na
Codes and other ordinances of the Town applicable thereto.
r
03./ Total Value of all work being performed: $ 700,000
X i -\,� L L� (value based on IBC Section 109.3&IRC Section 108.3)
Owner/Ownflr's Representative Signature(Required) Detailed Scope and Location of Work:
Applicant Information Removal of all interior finishes, reconfiguration of
Applicant Name: Lori Mowder/CHC
970 904-2157 some interior walls, replacement of exterior windows
Applicant Phone: (970)
tori customhouseconstruction.com and sliding door. New MEP and installation of new
Applicant E-Mail: @
Additional Authorized ProjectDox Users interior finishes throughout.
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