HomeMy WebLinkAboutB16-0441.pdfTOWNOF9
Department of Community Development
75 South Frontage Road
Vail, CO 81657
Tel: 970-479-2139
www.vailgov.com
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm & sprinkler) ------------··-·-··--·-------·----·-··»·--·-··-·-·•»••••»•·----.-----------------------.
Project Street Address:
L/.IJ 3l§ Va ~.L Ra'1uQ+ Clubbr ,_ l
(Number) (Street) (Suite#)
Building/Complex Name:\J~l RC?.Cft<..e.T C• f ~
Contractor Information
Business Name: l('CB C1'vl~hc..~
Business Address: 3 ]?>OS' ~ ~
City fk_,,., <A--State: C> Zip: c; I bdO
Contact Name: Lo i,l. IA :e..-HC!'f-#=
Contact Phone: 3 t:> '3 £lf8 £B 77
Contact E-Mail: l< t.B C<2 I\. Sh '-". ('.., 4-to ""'
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 information 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 ap-
proved, International Building and Residential Codes and other
ordinance of the Town applicable thereto.
Applicant Information
Project lnformatiorr.-.. n.. Ii" l .J.t.
Owner Name: UiZ..~\. l\. L-ft'cr-' ISo l ?'Y
Parcel #: 'd. L6l t--( ..'l Y D ~OD (
(For Parcel#, contact Eagle County Assessors Offce at (970-328-8640 or visit
www.eaglecounty.us/patie)
For Office Use Only: ~ ·-'j \ , {o ·
Fee Paid: --------=-:::Y ________ _
Received From: _____________ _
Cash Check# ___ _
CC: Visa / MC Last 4 CC # ___ _ exp date: __ _
Auth# ___ _
Project#:-----------------
ORB#: __ "\::>_. _f?B~1 f'-<-(; _~ -"-a___._<f__,_·,s""-6~. __ _
Building Permit#: __ · _t;_]_/ £~--~~o~t-+-. ____ _
Lot#: Block# __ Subdivision: _______ _
· Work Class: New ( Addition ( Alteration cX)
Type of Building:
Single-Family ( Duplex ( ) Multi-Family (X)
• Commercial ( ) Other (
. Work Type: Interior ~ Exterior ( ) Both ( )
Valuation of
Work Included Plans Included Work
Electrical ( '):Yes )No ( )Yes )No
Mechanical ()()Yes )No C~Wes )No ,;lbb~
Plumbing ()('}Yes )No (X)Yes )No n~oo~
Building !>()Yes )No (,?<)Yes )No ~ qf)C>"!°'
Value of all work being performed: $ 7 [CC1 :2 j
(value based on IBC Section 109.3 & IRC Section 108.3)
· Electrical Square Footage
TOWN OF VAIL
2014-0901