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HomeMy WebLinkAboutB16-0187.pdfTOWN OF~ Department of Community Development 75 South Frontage Road Vail, CO 81657 Tel: 970-479-2139 www.vailgov.com fZ-oY?rtt IC BUILDING PERMIT APPLICATION (Separate applications are required for alarm & sprinkler) Project Street Address: / ,/~ · 7£2 =20->-:f 7-7aC(· CrccJ __ _ (Number) (Street) (Suite#) : Building/Complex Name: c·'oy cl I SJ/ Project#:----------------- DRB#: __________ -=~,,.,.------ Building Permit#: __ b-=--'-'-1,b_...__Q_' 1_8_._7_,__ __ _ Contractor Information Lot#: Block# __ Subdivision: _______ _ Business Name: ~ m, {,~2 ~C."1-i.( hv C -······ · -------·--------------------------·-- Business Address: Ao _ i5'cy,{, , ?cf/) Work Class: New ( Addition ( Alteration ( . City £11;. / ~ state:l c) Zip: i/tl 2 ° Type of Building: ) Multi-Family(~ ,,...-:-~..../ Single-Family ( Contact Name: ~ "'), ~ //-;T/4f?' <.r Duplex ( ) Other ( Contact Phone: ~ 5' 2o {J5' 0 /? 63 • Commercial ( ,...-"'... ~ "'/7 =) ,/?r-F/*7 / Work Type: Contact E-Mail: "-../ /1.., / .,,.,-~C/' ~°'/"~ ·CL'l . Interior ( ) Exterior ~h ~ 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 ordinances of the Town applicable thereto. Work Included E ctrical es ( )No ·Mechanical ( )Yes ( )No •Plumbing (~··( )No Plans Included Valuation of Work )No ,..._. --~ )Nr bQJ. c0 )Yes )Yes . Building ( )Yes ( )No '-----'----'-----~·)Ye~s~~)N~o~~~~~ • Value of all work being performed: $ __ Z:~a~C>~'-~-~ · i (value based on IBC Section 109.3 & IRC Section 108.3) ti on -~ i Detailed Scope and Location of Work: _______ _ Applicant Name: _"-.J--'"-'-rr_~---"------------~ ,_L ~Jr C: 0 " Applicant Phone: _..3_,_)'--"0_2~?i_('__3_· _____ . . . .· \ / -7.5 ..... '--~ ~ /_/ j / _ ~(_,~:;,,._/_,8~--r-~<2~3~5~C../_C _ __.75'_Ct_._~,,,._)_'~- Applicant E-Mair.-J 0 ,lr,,,fl2c,r~ify,~ ~ <---l.2-1-L Project Information / ~ <-c ' / h c: J Owner Name: c_.e-...J..:>/ l V/9,f'l) <I-oJ/,-vj/flJ. 07 Parcel #: 2/oJ -//4 -2o --00'2... (For Parcel (contact Eagle County Assessors Office at (970-328-8640 or visit www.eaglecounty.us/patie) For Office Use Only: . JJ-13 . 7 c;-- Fee Paid: ______ _,,_, --l-4£1F--'r±::_-L--"------- Received From: _____________ _ Cash Check# ___ _ CC: Visa / MC Last 4 CC # __ _ exp date: __ _ Auth# ___ _ (use additional sheet if n Date Received: ©r~n~~~ MAY 2 4 2U16 I~) TOWN OF VAIL_. ___ _ 2014-0901