HomeMy WebLinkAboutB14-0210.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAIL A 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#:
183 Gore Creek Drive 1
DRB#:
(Number) (Street) (Suite#)
Building/Complex Name:
Gore Creek Plaza Building Permit#:
Contractor Information Lot#: Block# Subdivision:
Business Name: WT Construction, LLC
Business Address:
PO Box 2633 Work Class: New( ) Addition C) Alteration(0
City Edwards State: CO zip: 81632 Type of Building:
GregSands Single-Family 0Duplex 0) Multi-Family(C)
Contact Name:
Commercial (a Other C)
Contact Phone: 970.390.0293
Contact E-Mail: gsands@hermesgrp.com Work Type: Interior Exterior 0 Both
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 r
Electrical Yes Q)No ()Yes ONo 10000
comply with the information and plot plan, to comply with all Town
ordinances and state laws, and to build this structure according toMechanical ()Yes (DNo Yes ONo 0
the town's zoning and subdivision codes, design review ap-
proved,International Building and Residential Codes and other Plumbing ()Yes (jNo Oyes ()No 1000
ordinances of applicable thereto. � 139000
Building ()Yes ONo °Yes (No
X Value of all work being performed: $ 150000
Owner/O ja s Repratative Signature(Required) (value based on IBC Section 109.3&IRC Section W8.3)
Electrical Square Footage 2408
Applicant Information Detailed Scope and Location of Work: Primarily aesthetic
Applicant Name: Kimberly&Jean Michel Chelain - Left Bank interior remodel including new carpet, new paint,
Applicant Phone: 970.331.6156 refurbishing existing bar, refinishing existing cabinetry,
Applicant E-Mail: playinvail@gmail.com installation of LVT, installation of rubberized flooring,
Project Information door replacement, reinstallation of existing plumbing
Jean
Owner Name: Michel Chelain-Ricochez Inc.
fixtures & installing new light fixtures.
Parcel#: 2101-082-10-006
(For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit
www.eaglecounty.us/patie)
(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