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HomeMy WebLinkAboutB16-0087.PDF Department of Community Development 75 South Frontage Road West TOWNOF VAIL " 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: 7� Project#: '/I/b CO/t2W(�rr%e Thi Lir (Number) (Street) (Suite#) DRB#: Building/Complex Name:11 F E S r C /II0•tel .1— Building Permit#: Project Information: Lot#: Block# Subdivision: Owner Name: ciad i Parcel# .2/e)f^ / /5 "-co _._ _.--_ �.................. (For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Work Class: New( ) Addition t12 Alteration( www.eaglecounty.us/patie) Type of Building: Contractor Information / / I Single-Family( ) Duplex( ) Multi-Family( ) To Business Name: wry [ - V4 I r Commercial(Other( ) Business Address: 75 S6�t; ti Freet.4.3e gfi �o•S7�_ =---�__..___ __ __ City (lam r ,( State: Co Zip: eas7--- Work Type: Interior( ) Exterior( ) Both 0.4 Contact Name: �o K /c", - -- ____---..__..._ -__-_—_— - --.-_... I Contact Phone: 'V -- '7 4 ^ CD 9 (17 Valuation of Work Included Plans Included Work Contact E-Mail: JG.t.c - Q V a,T'�rnu • D +i.A. • I hereby acknowledge that I have read this application,filled out in full the Mechanical ( )Yes ( )No ( )Yes ( )No 3tO,f OO information required,completed an accurate plot plan,and state that all the information as required is correct. I agree to corn. .•• th the infor- Plumbing ( )Yes ( )No ( )Yes ( )No /$O COO mation and plot plan,to corn. with all Town or-r'es and state laws, and to build this structure.=Arding to thei zoning and subdivision codes, design review=.. oved,Internati.'' ilding and Residential Building ( )Yes ( )No ( )Yes ( )No NiL2 5 e0 Codes and other) ances of the T. n applic.ble thereto. Total Value of all work being performed: $ 1700 O00 X / (value based on IBC Section 109.3&IRC Section 108.3)) Owned* r s Representative Signature(Required) Detailed Scope and Location of Work: .Add,?tom "v Appl' - t Information / f frNOvQ o`in f Ct.•t ✓C wtoel�( e is { Applicant Name: TO 1 C) / 0-6 4.1 Jc....i 1 / Applicantqfrer© -' 3 b 09"7 7 S4-1 c�Gir.)ft. .'1l Vat-L.) tee,v4/rG�� Phone: Applicant E-Mail: d/(+. Oaf /Fe Li •GOBI 4'1 r° -�ICRf f vt t c 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