HomeMy WebLinkAboutB17-0082_B17-0082_1491320100.pdf Department of Community Development
75 South Frontage Road West
Vail, CO 81657
TOWN OF VAiI' Tel: 970-479-2139
www.vailgov.com
BUILDING PERMIT APPLICATION
(Separate applications are required for Electrical,Alarm,Sprinkler&Public Way)
Project Street Address: Project#:
54 heave' Dotw, S
(Number) (Street) 1l (Suite#) DRB#:
Building/Complex Name: N(A Building Permit#:
Project Information: Lot#: Block# Subdivision:_
Owner Name: f'ave ( ^,‘ D VeIpMernI' LLC
Parcel# ZI O 1 - 0-1 I - 13 -
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Work Class: New( ) Addition(0) Alteration(0)
www.eaglecounty.us/patle)
Contractor Information Type of Building:
c aI Single-Family(0 Duplex( ) Multi-Family(0)
Sr
Business Name: (A I .no( ASS.G►t�,rl e5 Commercial(0 Other(0
Business Address: 2V S treel-
city l t/nrr tS State: Co Zip: ''I 63Z Work Type: Interior Exterior(0 Both
Contact Name: COct-( Sts-I - C'.1MG,V1
Contact Phone: C1 a - - -70-1Z5 Valuation of
Contact E-Mail: C a P-1 e U I Sr b uta H- Cv Vh Work Included Plans Included Work
I hereby acknowledge that I have read this application,filled out in full the Mechanical ()Yes ONo ()Yes ONo I 7S,bbb
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 DYes ONo ()Yes ONo I SSi�z>�
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 Building070)Yes ONo Yes ONo 367 00a D
codes,design review approved,International Building and Residential
Codes and other ordinances of the Town applicable thereto.
Total Value of all work being performed: $ -1 0°b��
X (value based on IBC Section 109.3&IRC Section 108.3)
Owner/Owner's Representative Signature(Required) Detailed Scope and Location of Work1 O0C C.tV, CX.5k:vIS
Applicant Information
(^0.r +`InrF C'tn�aV� SkrviCCtn,r�e,) VP�(acG W;tk net✓ S'1"MICA'vt,'c'e-
Applicant Name: A
Applicant Phone: Q1 D —�1U5 - ?� Au ne.W � ►.c�oto h croa1MQ`) l / v elvWs)
Applicant E-Mail: Cot -I L4I 'b lot i�� -C.c�1M e)(4- �:V1 iSIil cc) ,h4- n skes Vncd io i co, S,� twt s,
Additional Authorized b
IIProjectDox Users Plntnn ;h SyW tf Q AACP � I OW10ISCaref loic _ d
/ C4?e
Full Name: [Al L in ok v I,✓q,y uv/At Li
E-Mail: (4 i J p (41-c1014., + - co t"1
Full Name: ftO6 S1 e CV'tt
t (use additional sheet if necessary)
E-Mail: hob tAtSrbut,� Ik • Cath
(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