HomeMy WebLinkAboutD16-0006.pdf Department of Community Development
75 South Frontage Road West
TOWN OFV9L ` 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#:
450 E. Lionshead Circle, Vail, C
(Number) (Street) (Suite#) DRB#:
Building/Complex Name: Treetops Plaza Building Permit#:
Project Information: Lot#: Block# Subdivision:
Owner Name: Chabad Vail c/o Dovid Mintz
Parcel#2101-064-04-030
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Work Class: New((---) Addition ((') Alteration ((i )
www.eaglecounty.us/patie)
Contractor Information Type of Building:
Single-Family(C) Duplex(' ) Multi-Family( )
Business Name: TDB Commercial ((i) Other(C)
Business Address:
City State: Zip: Work Type: Interior ) Exterior(C) Both ( )
Contact Name:
Contact Phone: Valuation of
Work Included Plans Included Work
Contact E-Mail:
I hereby acknowledge that I have read this application,filled out in full the Mechanical r)Yes ((•')No (C)Yes (C)No n/8
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 C)Yes ( )No ((^)Yes (C)No n/a
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
codes, design review approved,International Building and Residential Building )Yes (C)No ( )Yes (r)No
Codes and other ordinances of the Town applicable thereto.
Total Value of all work being performed: $10,000.00
X (value based on IBC Section 109.3&IRC Section 108.3)
Owner/Owner's Representative Signature(Required) Detailed Scope and Location of Work: Minor demolition of
Applicant Information
non load-bearing partitions.
Applicant Name: Michael A. Hazard AIA
Applicant Phone: 970.376.0066
Applicant E-Mail: mha@vail.net
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