HomeMy WebLinkAboutB14-0152.pdf Department of Community Development
75 South Frontage Road
TOWN OFIn 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#:
i 7 L (701,--e-& OR_ 572/5-7 3
(Number) (Street) (Suite#) DRB#:
��, n a , ! Building Permit#:
Building/Complex Name: [}JI► V
Contractor Information Lot#: Block# Subdivision:
Irk 1+- ` 4)
Business Name: �� �U 1 � C---
Work Class: New(0 Addition (Qj Alteration(0
Business Address: L -1
City State: Zip: Type of Building:
Single-Family 0 Duplex 0 Multi-Family •i�4,
Contact Name: JUS
Commercial C) Other 0
Contact Phone: C1�l� 3\D �-11
Contact E-Mail: a_kel- $F QL I l cIS ( y-' Work Type: Interior Exterior O 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 Yes QNo jgres ONo /z,are)comply with the information and plot plan,to comply with all Town /`-' ��
ordinances and state laws, and to build this structure according to Mechanical plies O)No e C es ( No ,3011,)
)
the town's zoning and subdivision codes, design review ap-
proved,International Building and Residential Codes and other Plumbing 91 es ONo 'es
ordinances of the Town applicable thereto.
Building 9,Yes ONo es ONo /� e7z7
XJ -
� Value of all work being performs $
Owner/Owner's R sentative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3)
Electrical Square Footage 7)3 1 7)
Applicant Information Detailed Scope and Location of Work:
Applicant Name: L G+f Zvv
i ���
t �,Y,�
Applicant Phone: .fc I„� n �rnc�e c ra,t1 r-y e.J "31 1
Applicant E-Mail: l l c1,� Ni?k C'���
Project Information 1
Owner Name: more__ P
Parcel#: (1OL " VGo2 0c29
(For Parcel#,contact Eagle County Assessors Office at(9703283640 or visit
www.eaglecounty.uslpatie)
(use additional sheet if necessary)
For Office Use Only:
Fee Paid: Date Received:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp date:
Auth #
12-Mar-2012