HomeMy WebLinkAboutB17-0289_Building_Permit_Form_2015-Dec_1501513020.pdf
Project Street Address:
__________ ______________________________ ___________
(Number) (Street) (Suite #)
Building/Complex Name: ________________________________
Project Information:
Owner Name: __________________________________________
Parcel #_______________________________________________
(For Parcel #, contact Eagle County Assessors Office at (970)328-8640 or visit
www.eaglecounty.us/patie)
BUILDING PERMIT APPLICATION
(Separate applications are required for Electrical, Alarm, Sprinkler & Public Way)
Project #: __________________________________________
DRB #: ____________________________________________
Building Permit #: ___________________________________
Lot #: ____ Block #____ Subdivision: ___________________
Contractor Information
Business Name: ________________________________________
Business Address: ______________________________________
City ______________________ State: _______ Zip: ____________
Contact Name: _________________________________________
Contact Phone: _________________________________________
Contact E-Mail: _________________________________________
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.
X___________________________________________________
Owner/Owner’s Representative Signature (Required)
Applicant Information
Applicant Name: ________________________________________
Applicant Phone: ________________________________________
Applicant E-Mail: ________________________________________
Additional Authorized ProjectDox Users
Full Name: ____________________________________________
E-Mail:________________________________________________
Full Name: ____________________________________________
E-Mail:________________________________________________
(use additional sheet if necessary)
Detailed Scope and Location of Work:
(use additional sheet if necessary)
Work Class: New ( ) Addition ( ) Alteration ( )
Type of Building:
Single-Family ( ) Duplex ( ) Multi-Family ( )
Commercial ( ) Other ( )__________________________
Work Type: Interior ( ) Exterior ( ) Both ( )
Total Value of all work being performed: $______________
(value based on IBC Section 109.3 & IRC Section 108.3)
For Office Use Only:
Fee Paid: _________________________________________
Received From: ____________________________________
Cash _________ Check # ___________
CC: Visa / MC Last 4 CC # _________ exp date: ________
Auth # _________
Date Received:
Work Included Plans Included
Valuation of
Work
Mechanical ( )Yes ( )No ( )Yes ( )No __________
Plumbing ( )Yes ( )No ( )Yes ( )No __________
Building ( )Yes ( )No ( )Yes ( )No __________
Department of Community Development
75 South Frontage Road West
Vail, CO 81657
Tel: 970-479-2139
www.vailgov.com
Rev. 2015-Dec
680 Lionshead Place 506
Antlers at Vail
Shirley Rauter Living Trust
2101-072-06-054
Antlers At Vail
680 Lionshead Place
Vail Co 81657
David Collins
970 376 8182
dcollins@antlersvail.com
David Collins
970 376 8182
dcollins@antlersvail.com
Tom Schlader
tom@anltersvail.com
2400
7500
9900
Remove existing
Bath tub and replace with new cast iron Tub. replace
existing plumbing fixtures with new fixtures in same loca
location. install new tile in bath and shower walls. Instal
new tile on bath floor. Replace toilet with new toilet in
same location.
07/31/17