HomeMy WebLinkAboutB17-0019 (2).pdfDepartment of Community Development
75 South Frontage Road
Vail, CO 81657
Tel: 970-479-2128
www.vailgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
. S r:ro ~ RS~ate applications are requ ... i_re_d_f_o_r _al_a_rm_&_s_p_n_·n_k_le_r) __________ ___,
Project Street Address: . . Project#:
St1B f. L1d~shed C.~r ~.;tob ------------
oRs#: ______ ~----~------(Number) (Street) (Suite#) '"!":? 1 9 \ /' + e.. fl) · + /)_ . ( '< Building Permit#:---=-'°-\ _~_O-.::Oc_..\_._--'--''---Building/Complex Name:J&l t\ oq ro1 l'l \....D t'\00.:J
Contractor Information Lot#: Block# __ Subdivision:--------
Business Name: /<. C..B ~£h .rC*I; "'Tue. ..
Business Address: '3 ]?,OS 1..\-wy (p '\
" City A <.»o 1A State: (J, Zip: "8 t {;m~.o
Contact Name: Lobn: e I HD Af0 ....
Contact Phone: 3 b 3 -S-'i 8 -')£,"] J
Contact E-Mail: kc...b boppt> <e't.o.ML:c..•,rt-.11\~t
Work Class: New( Addition ( Alteration <{(>
Type of Building:
Single-Family ( ) Duplex ( ) Multi-Family ( )()
Commercial ( ) Other ( ) _________ _
Work Type: Interior KJ 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
comply with the information and plot plan, to comply with all Town ct ( '" · --~' ,~------=---
ordinances and state laws, and to build this structure according to Mechanical ( )Yes ( )No ( )Yes ( )No
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing O(')Yes ( )No ( )Yes (~No ! SOC:l ~
ordinances of the Town applicable thereto. v ,'I.A to.I _ "'~ Building (tA.)Yes ( )No )Yes V\./No 3 B t{)~
X ~c}--~ Valueofallworkbelngperformed: $ ·W:>;po; i
Owner/Owner's Representative Signature (Required) ; (value based on IBC Section 109.3 & IRC Section 108.3) S 1 "'$6 L
Applicant Information
Applicant Name: 5o...r<\Q,< CL.:> o. ~ o 1te_. .
Applicant Phone:----------------
Applicant E-Mail:----------------
Project Information µAl M. .A-fJ Owner Name: _______________ _
Parcel #: ~ 9-\ D \ 6& '3 i 6 0 I 0
(For Parcel #, conta~e County Assessors Office at (970-328-8640 or visit
www.eaglecounty.us/patie)
For Office Use Only:
Fee Paid:----------------
Received From:--------------
Cash Check# ___ _
CC: Visa I MC Last 4 CC # ___ _ exp date: __ _
Auth# ___ _
, Electrical Square Footage ,
--c;~;~ii~ci ·s~ope a~ci L~~ti~~ ~!-w;k:l(4(..W4;;"¥{-·ia s k-4?
,;(_ <££-~>P"-~~ :s;tigQ,,0 I J. -5 ~ '~~{-~
fY\.,()u-€__. '/"Ct. V"\. ', ·~ 5 ~ V\. \<.. 4 '4 ,..\ ~ce-1-, ' . .
"t-o w~ ...e..¥',s--h~ ~w...s. ~ts.
Fv---~!":L •10A/ bu,.=-,v"-~ wed\ ~~
bl\..,±kK>t<>-w" ~J clo~. C.t"'~'"~wk.."d;)
(use additional sheet if necessary)
Date Received: RECEIVED
H:t:J 0 8 2017
Town of Vail
2013-Feb 01
01/13/2017 16:49 6313518357
RECEIVED 01/18/2017 08:23AM
JAYNA THAN
VANTAGE POINT·VAIL CONDOMINIUM ASSOCIATION
APPLICATION FOR REMODELING
Condominium unit number V f )Ob
PAGE 01
Owners' name(s) _ ___;,,1",...;u ..... c....,.f ____,,M~Pi'-fhA __ l'\_~/ __ ~_r0_/ __ {,v--..:..J_;l /'-1_
1
........vi __ r ___ _
Home Address _ ___.?-_'1. __ l_l--"tt-'-j..,...t:/...___p_O ..... r_:;;,h ___ ()~).__l_v4? _______ _
flv11'-+>h=;br\, /LL-1 l J7'-t 5
Home Phone ") / :,r/ ~t, / Mobile Phone Q (, 7fo{ J-l"77
Email J A..'1 '451 {i) t?jtt'bn },·...(), "Vl~'l-Second Email t'wo/, lt.v {)"'f' 't> 'y.~,1~1'
Remodel description (please be specific and use additional paper if needed)
Please provide a copy of the Homeowners' Insurance and the Contractor's Liability Insurance Certificate.
Starting Date {!.im l AA'l11lj®-4 ~ Completion Date ,--::f ~ ~ 1/
"l;o,/
::::~ Vantatlii_E'um• M~~tion's ~~I ru~::d -~·~~
Approved by _ ___ Date i2frl~'l(l't
Contractor ___________ _ Mobile Number _________ _
Contractor ___________ _ Mobile Number _________ _
Contractor ___________ _ Mobile Number _________ _
Contractor ___________ _ Mobile Number _________ _