HomeMy WebLinkAboutB14-0145_B14-0145_1398702840.pdf Department of Community Development
75 South Frontage Road
TOWN OF VA1� kVail, co e1657
Tel: 970-479-2128
www.vailgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm &sprinkler)
Project Street Address: Project#:
031, 0,51.4e ri:n ' 3i0
DRB#:
(Number) (Street) (Suite#)
�� 6���Ck e- Building Permit#:
Building/Complex Name: L1 d - � �
Contractor Information Ct.lillt4-...A-fie Lot#: Block# Subdivision:
Business Name: ill ILIAQ 3 i C�c-
Work Class: New( ) Addition( ) Alteration(>.
Business Address:
Cityil-e,L- State: 01 r‘ Zip:� 7
Type of Building:
Single-Family( ) Duplex( ) Multi-Family(xc)
Contact Name: i19( 1 Commercial( - ) Other( )
Contact Phone: 2-I -C 2'C 6
Contact E-Mail: r i Du _c/j�.(��, 0E-r-Wark Type: Interior Exterior( ) Both( )
1' �F
I hereby acknowledge that I have read this application,filled out Valuation of
in full the information required,completed an accurate plot plan, Work Included Plans Included Work
and state that all the information as required is correct. I agree to Electrical merles ( )No (>Yes ( )No Oehn,05
comply with the information and plot plan,to comply with all Town
ordinances and state laws, and to build this structure according to Mechanical (>4)Yes ( )No (AYes ( )No At r .CC
the town's zoning and subdivision codes, design review ap-
proved,International Building and Residential Codes and other Plumbing ( Yes ( )No Yes ( )No .1,150 co
ordinances of the Town applicable thereto. Building (AYes ( )No Yes ( )No .00.
X c�� — 4-4 4-45.1r..i.... Value of all work being performed: $ -390Det,
O Owner's -epreentative Signature (Required) (value based on IBC Section 109.3&LRC Section 108.3)
Electrical Square Footage .CT •
Applicant Information �/� Detailed Scope and Location of Work: �-i/.:r r _ F3i
Applicant Name: -�i � ill 1 �� i " � oC-Ti al COg ti�1 / , i osYt\I
Applicant Phone: 2( B "en � 1/p (D fyC'i.i ) 11-11-CA-Al MPV) P rd l AT'e- k)
Applicant E-Mail:JI/Y.U.LLEV._Cc c i l ii"�13 Q eakyi Q .
t fQ
Project Informationz,
Owner Name: ( L t ,1/44L.71.--X-e-
Parcel#: 16 S(7 0'
0�
(For Parcel 0,contact Eagle County Assessors Office at(970-328-(3640 or visit
www.eaglecounty.us!patie)
(use additional sheet if necessary)
For Office Use Only: Date Received:
Fee Paid:
Received From:
Cash _ Check#
CC: Visa/ MC Last 4 CC# exp date:
Auth #
2013-Feb 01