HomeMy WebLinkAboutParrish application.pdfTOWN Of~ Department of Community Development
75 South Frontage Road West
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: :f
q \Jco\ )Se>au . ·)o
(Number) (Street) ~ r-, (Suite#)
Project#:-----------------
ORB#: ________________ _
\h:>\rnQ'f )ioust \.VY\t\&m1n1 ~rYl
Building/Complex Name: -=---=-=-+-'1~~~-t=-;...,,....,lt'="""".....-T'"""'rJ-Building Permit#: --------------d.\>w. ct Vul -oat:
' Project Information: Lot#: Block# __ Subdivision:
·ownerName: Yo.-\ ?o,rr)Sh -------
Parcel # «Z.\ D ) 0 7 ) D <Qeo I . I
(For Parcel#, contact Eagle County Assessors Office at (970)328-8640 or visit
www.eaglecounty.us/patie)
Work Class: New (
Type of Building:
Addition ( Alteration (~
\ . \ Single-Family ( ) Duplex ( ) Multi-Family<\>
Business Name: A\)~ )'y') V)t1 Coo S'IDM:.j1 C1YJ J LLC Commercial ( ) Other (
Contractor Information
I
i Business Address: £Q. )3 C:X: 10151f -· .. ~c.·.,=c=c=·=~,===·====~~=c~""~·=·=,==·=·~===···=~= .·.==········ ..... _ =·~==-,·==·=·~
'City ~f?SLlWl State: [D Zip: e,\{iz3 ·7 ! Work Type: Interior <N., Exterior ( ) Both ( )
·Contact Name: le...e.,....-/\,\ '-ewtytf\
Contact Phone: Cf]Q 37{p 0/59'0
Contact E-Mail: o\\ew1 ctr\ \~e @J h?\md\ \ • C01']
I hereby acknowledge that I have read this application, filled out in full the
information required, completed an accurate plot plan, and state that all
the information as required is correct. I agree to comply with the infor-
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
Codes and other ordinances of the Town applicable thereto.
Work Included
Mechanical ()\)Yes )No
Plumbing ()\)Yes )No
Plans Included
Valuation of
Work
)Yes
)Yes
)No JOO
)No fi 5CP I
Building (.>9~:~ )No )Yes )No q > ::3 00
Total Value of all work being performed: $ \) 150() j
(value based on !BC Section 109.3 & !RC Section 108.3) I
·. Detailed Scope and Location of Work: Be m 0 Ck:2 I
• Applicant Information \ . L \ \ + \ \ } { · L_ .\. LC eb.,~::!lt~ .1Lcx:r})f0Vil1 COY\\/-£v~ 1uo _s.nPlllP
Applicant Name: .A))~mcn1 CQ)SJUA\:.i1Cfl1 L · · :±o ~\b. b N .\..i \
Appl;cant Phone: ~;:z: ~ i -Cl. 1'-'"-~ -\v\ S_ oWl".t, ~\,Q -If
i Applicant E-Mail: a\~~ ~\ e~ oiD. cOrtj fus:-\?~U7V)Y{ yY)Q \ rl fua<.. CVl ~ slp u,fr:
. Additional Authorized ProjectDox Users i "'~ SlJC5V\>C--\I q)~ an 6 b eq A I
· Full Name: : Neu2 -?a\(\ CJ Sdl\ lC T'.'xhs:x \A .s.\ -fo. f\ . ,
'E-Mail:. __________________ _ s v
! Full Name: ------------------, (use additional sheet if necessary)
i E-Mail: __________________ _
· (use additional sheet if necessary)
For Office Use Only: \ 1 , " • / c;
Fee Paid: ______ V\ __ v __ "l_·_J~------
Received From: _____________ _
Cash Check# ___ _
CC: Visa / MC Last 4 CC # __ _ exp date: __ _
Auth# __ _
Rev. 2015-Dec
Date Received:
MAY 0 ~ 2016
L--c l<;D
TOWN OF VAIL