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HomeMy WebLinkAboutB16-0157.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 Electrtcal, Alann, Sprinkler & Public Way) Project Street Address: . ]\{) \1Jfs..\ l1"os\..k:a.c\ Cf<, 3of · (Number) (Street) (Suite#) Building/Complex Name:\) c.u\ $~ Ccn Mro) h' • Project lnfonnation: ft\ A\-( cfle!3Y!-.1-i., 1 IM ifcID Pf'r(2.[~~~1 • L M vTI Owner Name: M1 CnQlLL\ f) le r ·Parcel# '-I 6 IO ~a L 70 I V2 . (For Parcel #, contact Eagle County Assessors Office at (970)328-8640 or visit ' www.eaglecounty.us/patie) Contractor lnfonnation ' Business Name: N \ e ma 11 i Business Address: PC?.~ ""o'Be> 'City C?\JrD:Ul'V\ State: CD Zip: 1'\ (p 3 ± · Contact Name: Lee, Alle tYlCJf \ ' Contact Phone: g ·10--3 JCJJ -0 <6go , Contact E-Mail: aJ[w qt!) ee @boh1101 J1 C£111 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 infonnation 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 er ordinances of the Town applicable thereto. : Applicant Name: Lee Alf e VY\ C(.i> ; Applicant Phone: 97/2 ·-?ilfP --0 f2C/6 l Applicant E-Mail: CJ\\ efl1Cfr\) ee ~b?)trJCif \, C@11 ' i Additional Authorized ProjectDox Users 'Full Name: ------------------ E-Mail:. __________________ _ Full Name: ------------------ E-Mail:. __________________ _ (use additional sheet if necessary) For Office Use Only: Fee Paid: --------.,+---.----..:,.--,...,,....---;~-->}: Z:.. I ..........__ l U · I <1 Received From: ______ "'J _ __,_./_U7 ___ -.--__ cash Check # ____ I 0 ".1 .:·, CC: Visa I MC Last 4 cc# -~at~~i _,_ __ _ ~ <Z--JO \ . Auth # c, u .::> ' ) J ) -Rev. 2015-Dec .-- Project#'. ________________ _ DRB#: ________ :------------1Jtf¥~ Pennit #: 1; } b ~ 0 t c;7 Lot#: Block# __ Subdivision:-------- . Work Class: New( ) -----·1 Addition ( ) Alteration )J(> ! '. Type of Building: Single-Family ( ) Duplex ( ) Multi-Family 9(> 'Commercial ( ) Other ( ). __________ _ ! Work Type: Interior )Xt Exterior ( ) Both ( ) !.,._----,,.,.,.---,--.;:~-~~~-,,-==--,,"';--:-_•~-.,...,...-:-.:--,.-~.-c:··-:--:~-;c-,=.,..,... . .,.-.-.~'""·•...,-,,-c-·•-,,•·•·•···--~~-o-··----,·---·- Valuation of Work Included Plans lnduded Work Mechanical ( )Yes )No )Yes )No ; Plumbing P<.}Yes ( )No )Yes ( )No I~~> )Yes )No J(p51.COC' 'B~ild!n~---~!..:~---"_( ____ ~~o ( . ···-.. _ ""'~,.·~---~ .• ., ,, ... 1 f_· Total Value of all work being perfonned: $ ) ]!:51 a:i5, r~ , (value based on IBC Section 109.3 & IRC Section 108.3) ' DetaUed """!'and Location of Worlc l?.>jna il , • 3 bc;\,fu(lT/}(}') , '6 ~}chin , 1ntr.Naz., doeg,.s. Q.r'\~ --\M.rr \ . (use additional sheet if necessary) Date Received: ~©~aw~~ MAY 1 u 2016 @ TOWN OF VAIL