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HomeMy WebLinkAboutB16-0450.pdf e Department of Community Development ' 4 75 South Frontage Road West ���� OF VAil f Vail, CO 81657 Tel: 970-479-2139 • www.vailgov.com BUILDING PERMIT APPLICATION (Separate applications are required for Electrical,Alarm, Sprinkler&Public Way) Project Street Address: Project#: (Number) (Street) (Suite#) DRB#: Building/Complex Name:BL4p%..,,e_ 7 i/V`t i-il.� ' I ,/ Building Permit#: -- 1 (.0 — 0 q S C) Project Information: Lot#: Block# Subdivision: Owner Name: Al 2' o/,dam„ Tim. .s: Parcel# Z/,/ — D7,9z e/g- (For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Work Class: New(C) Addition(C.) Alteration(G1 www.eagleco u nty.us/patie) Contractor Information Type of Building: Single-Family(C) Duplex(()Multi-Family(C') Business Namewd;ie.-I.c�4 i .r ,2GAi cZ 4 Commercial(C) Other(C) Business Address: 2p. Zc,i ‘Thz. City cds4,0,.a..�/ State: cc Zip: Fi634 Work Type: Interior(C) Exterior(( oth (0) Contact Name: 4-i c./74.,..e..-Z .7 Contact Phone: 92 -z3 /r Syy f Valuation of Work Included Plans Included Work Contact E-Mail: /,<�s,ef_D,v.I7//w;L 10dA.,�„"L.Lan- I hereby acknowledge that I have read this application,filled out in full the Mechanical (")Yes (C)No (C)Yes (C)No information required,completed an accurate plot plan,and state that all the information as required is correct. I agree to comply with the infor- Plumbing (C^)Yes (C)No (C)Yes (()No 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 Building ( es (C)No ( "))Yes ()No -75((..o Codes and other ordinances of the Town applicable thereto. e/ //�� .6557 Total Value of all work being performed: $ 29, t X / �� (value based on IBC Section 109.3&IRC Section 108.3) Owner/Owner's Representative Signature(Required) Detailed Scope and Location of Work: Applicant Information Ae2e Applicant Name: /f/c..n--fr ,�-N�ic /� / _//< // _ i�.L fur. cGdfK G — /k /ZEcLasr� Applicant Phone: Z/Z — ofr - /'T3 3 7 Applicant E-Mail: i/236.‘,- ,•,-,_ r - �.uu,%L .GD/l r _ _3 /J Cit /��u✓✓ Z //At l / ��� Additional Authorized ProjectDox Users /D -io -/r: cr /e-- , '. r,/...f 7` /Lrr Full Name: .P�:./Y....f /,/4t ,5,. I:4_4_ /3.�-f,1 E-Mail: / Full Name: (use additional sheet if necessary) E-Mail: (use additional sheet if necessary) Date Received: For Office Use Only: E © \V Fee Paid: D Received From: CACI-to ( 201u Cash Check# OCT 2 0 CC: Visa/ MC Last 4 CC# exp date: '� Auth # Rev.2015-Dec - TOWN OF VA I L I