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HomeMy WebLinkAboutB14-0144.pdf Department of Community Development 75 South Frontage Road TOWN OF VAII Vail, CO 81657 Tel: 970-479-2128 www.vailgov.com Development Review Coordinator BUILDING PERMIT APPLICATION (Separate applications are required for alarm & sprinkler) Project Street Address: Project#: 124 Willow Bridge Rd 3 C/D (Number) (Street) (Suite#) DRB#: Building/Complex Name: Village Center Building Permit#: Contractor Information Lot#: Block# Subdivision: Business Name: Rocky Mountain Construction Group Business Address: 120 Willow Bridge Road Work Class: New(cJl Addition 0 Alteration(C) City Vail State: CO Zip: 81657 Type of Building: Contact Name: Mark Hallenbeck Single-Family 0 Duplex C) Multi-Familyl0» Commercial 0 Other(oj Contact Phone: 970-476-4458 cell 719 499-9248 Contact E-Mail: markh@rockymountainconstructiongroup.co Work Type: Interior O Exterior i'\.J Both (O 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 � comply with the information and plot plan, to comply with all Town ()Yes iONo ©Yes iONo 1500 ordinances and state laws, and to build this structure according to Mechanical ()Yes O)No ()Yes tl:JNo 1446 the town's zoning and subdivision codes, design review ap- proved, International Building and Residential Codes and other Plumbing ()Yes ONo OYes ®No 7382 ordinances • the Town .,�+licable thereto) Building ()Yes QNo €Yes c No 32000 Value of all work being performed: $ 42328 Owner/iwner's Representative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3) Electrical Square Footage 2177 Applicant Information Detailed Scope and Location of Work: Applicant Name: Mark Hallenbeck See attached scope of work Applicant Phone: 970-4764458 Applicant E-Mail: markh@rockymountainconstructiongroup.co Project Information Jeff Gentry Owner Name: Parcel#: 210108208034 (For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit www.eaglecounty.us/patie) (use additional sheet if necessary) For Office Ilse Only: Fee Paid: Date Received: Received From: Cash Check# CC: Visa/MC Last 4 CC# exp date: Auth # 12-Mar-2012