HomeMy WebLinkAboutOTC15-0014_OTC15-0014_1427750880.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAIL ` Vail, CO 81657
Tel: 970-479-2128
www.vailgov.com
Development Review Coordinator
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BUILDING PERMIT APPLICATION
r (Separate applications are required for alarm & sprinkler)
Project Street Address: Project#:
2000 Chamonix Lane
ORB#:
(Number) (Street) (Suite#)
Building Permit#:
Building/Complex Name:
Contractor Information Lot#: Block# Subdivision:
Business Name: Colorado Delta Mechanical
Business Address:
6056 E Baseline Rd# 155 Work Class: New(0 Addition (0 Alteration (0
City Mesa State: AZ Zip: 85206 Type of Building:
Leslie Single-Family 0Duplex(0 Multi-Family 0
Contact Name: Commercial 0 Other 0
Contact Phone: 866-692-5273
Contact E-Mail: copermits@deltamechanical.com Work Type: Interior 0 Exterior() Both ()
I hereby acknowledge that I have read this application,filled out Valuation of
in full the information required,completed an accurate plot plan, Work Included Plans Included Work
and state that all the information as required is correct. I agree to Electrical ()Yes ®)No ()Yes ()No
comply with the information and plot plan, to comply with all Town
ordinances and state laws, and to build this structure according to Mechanical ()Yes O)No °Yes ONo
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing 'Yes QNo ()Yes QNo 1018.28
ordinances of the Town a plicable thereto.
- / 4. Building ()Yes 1 No ()Yes ONo
Xtel./Al/41
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+ ,��'4 Value of all work being performed: $ 1018.28
Ownener's Re rE ento ve Signature (Required) (value based on IBC Section 109.3&iRc Section 10e.3)
Electrical Square Footage
Applicant Information Detailed Scope and Location of Work: Replace 50 gallon
Applicant Name: Leslie electric water heater 4500 Watts inside of the house.
Applicant Phone: 866-692-5273 Disconnect/Reconnect
Applicant E-Mail: copermits@deltamechanical.com
Project Information
Owner Name: Linda Greif
Parcel#: l 2,t0�-12'tj-02 6[�
(For Parcel#,contact Eagle County Assessors Office at(970.328.6640 or visit
www.eaglecounty.us/patie)
(use additional sheet if necessary)
For Office Use Only: Date Received:
Fee Paid:
Received From: _
Cash Check # _
CC: Visa/ MC Last 4 CC # exp date:
Auth #
12-Mui-2u 12