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HomeMy WebLinkAboutB16-0369 Application.pdfTOWIIOF~ Department of Community Development 75 South Frontage Road Vail, CO 81657 Tel: 970-479-2128 www.vailgov.com Development Review Coordinator BUILDING PERMIT APPLICATION (Separate applications are required for alarm & sprinkler) -r---------------------------------------------------------------------------, : "s}7z..-..•t·'"r~o"'t~s ~ ~~j -~; 1-::::" -:»-) _<L8_\_Y,-·u_3_9_1 ___ c_~_b_)_ i (Number) (Street) (Suite#) 0 ll!e :-.!= W 1 N! Building Permit#: b llo ·D3ln'1 l Building/Complex Name: __,!L!l._._..__ .... ~~:C ..... _"'""'"...:..-.-'-"-""'~'""'----- r : contractor Information Block# __ Subdivision:-------- iBusinessName: Htsh (J!l~vtvflttN f3ur/JeR.< •-================~ Lot#: : PO f) n /) '::l {], r Work Class: New a Addition 0 Alteration ~ 1 Business Address: .. oGK e'-T .:J ::..t-\)0' :City FJ. V---A-71./J!-7 State: Co. Zip: C6"! 6 3 ;{ ~-T~~~-~f-B~ilding: . ------- ll ~ n I./ I I ! Single-Family 0 Duplex 0 Multi-Family ~ ContactName: ul)v;c}. Kp~be..-CommerciaiO OtherQ. __________ _ Contact Phone: _Of:.....;7o.....Oc:..._~=3'---'7'----=b_·-_Lf-=-· _G_Cf-----""8"'------ i Contact E-Mail: ,{J:tve.kaa6d t2{;;?/)1t/. co#// Interior® Exterior 0 Both 0 ! -·~---~-·--·--·-·--... --··---~------.-·--·--·-----·---~-----~-------r "--------..., •• ----~---~-----~--~-·--~-·--~~ ~--~-------~-----··--. !; , I hereby acknowledge that I have read this application, filled out ; 1 in full the information required, completed an accurate plot plan, Work Included Plans Included Valuation of i Work and state that all the information as required is correct. I agree to ,. Electrical ~s ·o, _ ~No ~Yes QNo comply with the information and plot plan, to comply with all Town ·: 'D''' ~ · ordinances and state laws, and to build this structure according to ;; Mechanical ®Yes o~ _ ~No ~Yes o~-No the town's zoning and subdivision codes, design review ap-1 '01' proved, International Building and Residential Codes and other Plumbing ~es QNo ~es 0No j;. '10(]J1GG ordinance the Town applicab e there 0 0 · ' · Applicant Information Applicant Name: Ott V; i /(oRb d Applicant Phone: Cj 7(3 -3 7 b .-4-B :J lL :Applicant E-Mail: [)Ave. k& 12 b't:'-1 .... c;; m /1 t /, c:..e.-t'1 -.Project Information A f) · 1 owner Name: ~/ R Yl/ f:l-n.e)L ./-1-v Ill c.. Lfl/}5t:Jyv Building @Yes QNo ~~Yes ( No "f-~000,0~ ~~;~~~~-~,;~~~~-~~;~~-~~~~:~·: ---~---;~ g;;~ i<JJ t/9{)()C I (value based on IBC Section 109.3 & IRC Section 108.3) ~} \ 1 Electrical Square Footage J q ~ I lo~tcill~d-sco·;;;d L.~c~ti~~-:;"t-w~;k: {)e vn<=-t)tt+ha:J/ i kd:t.-h~t--cv vVttlf i.· New ft<Amr&. tn,AeJb I (' I {) 7 l fVcw Cet/112--) 7;(;v.-; vl~feuxJ 1 l-A)1.e.a.f5r()~v~ ! Re-~:Jif/7/V/6 8~-tfh poOWT5-/<:1 +Uze.& fsll-ln) i: M;:/e-flee....{-~,~ 11-J fJ1t~e1/l fVeu.;CAYV l;c;~f)· . {VevU f{ec..fa,;_,J t"'-fief~ t/lt?eJM7- Parcel #: d. I 0 I .-a b 3 ~ J 2 -00 I N J C f) i (For Parcel#, contact Eagle County Assessors Office at (970-328-8640 or visit ' e (.,V tl OBI?, s,l Le-: fl')Oef. oe R-) j Tt< I YV! , www.eaglecounty.us/patie) 7 . ------------·--•"-------.... -~ ---~-----~· -----·------------------".1: (use additional sheet if necessary) For Office Use Only: Fee Paid: ____ ....!.L/--'45.......__• La~~----- Received From:-------------- Cash Check# ___ _ CC: Visa I MC Last 4 CC # ___ _ Auth# ___ _ exp date: __ _ DateRecei 1M ~©~~\;§~ n 0 u n SEP 0 7 2016 u TOWN OF VAIL 12-Mar-2012