HomeMy WebLinkAboutB14-0171.pdf Department of Community Development
75 South Frontage Road
TOWN OF UAllL h 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#:
DRB]ft
(Number) (Street) (Suite#}
Building Permit#:
BuildingIComplex Name: 1--.:o+ns c S h
contractor Information Lot#: Block# Subdivision_ ..
Business Name: ,c __e. 4sP. z'-
WorkClass: New 0 Addition 0 Alteration (
Business Address: k.W Ve3,.r 11 €k .
City -16r.e ki.A_ State: LL Zip: Li 01 Type of BulldIn
Single-Farnily Duplex (0 Multi-Family{ }
Contact Narrae: •} n tl-'2' . --..--- Commercial 0 Other
Contact Phone. (o so - L 7 - 5 sw .. ._-._ _
Contact E-mail: 1l.11\i z. +s 7_ 162 c .Lc+tn
Work Type: Interior Exterior Beth flp
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 Flans Included Work
and state that all the information as required is correct. I agree to Electrical ()Yes grNo Yes ONO 96
comply with the information and plot plan,to comply with all Town
ordinances and state laws. and to build this structure according to Mechanical (}Yes '4)No °Yes No Cie
the town's zoning and subdivision codes. design review ap-
proved, International Building and Residential Codes and other Plumbing &Yes ONo &Yes ONo ti 5 D.i
ordinances of the Town applicable thereto.
Building ()Yes ®No °Yes ONo
if OrIt
Value of all work being performed; $ 1
Own eri er's Representative Signature (Requited) (vara based on EC Se tic i 109.9&IRC SedInn l oa.3)
Electrical Square Footage -
Applicant Information Detailed Scope and Location of Work:-sL+en i -/ ce lar„c
Applicant Name: 6. 7.'-eN #�Lajk- a"rq. 1 ,dLL k- ' % : t�.
Applicant Phone: t -30 - {013 CC) AA , ,c4i.3ce .r:\ c. 4tl L is
Applicant E-Mail: 1,,j ,..\_;._.e .z-e_- Ate-(. fnr,, r ,rM oc 4
Project Informatio r -1i-e-0.-in j . \vtn i. c kmAi&
Owner Name: A,,\- - a ei - e1
ik ?- s 'o.-si -,.....40,:\ `ode
Parcel#: tiD ii (I é 3 '` 0 1 �
Ifor Parcel#,contact Eagle County A#-N.C5SVr3 Orrtc at 1970-32B-85441 cre vOa { [\1/4_l.,S LIN.
www-eaglecou nty-uslpatle}
(use additional sheet it necessary)
Fur Office Use Only:
Date Received:
Fee Paid: .. .._ .... _----__--r—
Received From:
Cash Check 0
CC: Visa} MC Last 4 ICC# exp date:
Auth #
12-Mar-20]2