HomeMy WebLinkAboutB14-0218.pdf Department of Community Development
' 75 South Frontage Road
TOWN OF VAIL Vail, CO 81657
Tel: 970-479-2128
www.vailgov.com
Development Review Coordinator
SOLAR THERMAL/PHOTOVOLTAIC PERMIT APPLICATION
(Separate applications are required for a new electrical panel or any roof alteration)
Project Street Address: Project#:
0398 6u f'f Ac.., C✓e-c,X
(Number) (Street) (Suite#) DRB#:
Permit#:
Building/Complex Name:
Contractor Information Lot#: Block# Subdivision:
Business Name: .4c iNe- k� /eS `104f �-
Work Class: New('A Addition ( ) Alteration ( )
Business Address: Po ggX 76.1'
City 4 ia'° State: (0 Zip: &/"6a.0 Type of Building/:
l ` ) Single-Family(V) Duplex( ) Multi-Family( )
Contact Name: so") Vi/e .✓i 43`6 Commercial( ) Other( )
Contact Phone: 70-36( 44233
Work Type: Interior( ) Exterior( of Both ( )
Contact E-Mail: rs0�r Ir/rc !'✓�P✓ICV C3>C Orn
X Solar Type: /
Owner/Owner's esentative Signature(Required) Photovoltaic(/) Solar Thermal( )
Applicant Information
Applicant Name: '5,46-b Y► We rjs�1'
Applicant Phone: 4-7 0 -3(5 IS- oZ
Applicant E-Mail: 5'1 e c- 1't/e-c./k,/?)4c
ProjectInformation
Owner Name: , 1 jJf
''h
Parcel#: < �f3
(For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit Value of all work being performed: $ Cly
www.eaglecounty.us/patie) (value based on IBC Section 109.3&IRC Section 108.3)
Detailed Scope and Location of Work: 64.5 6L,-) -r; 5-15/ct'i
(use additional sheet if necessary)
For Office Use Only: Date Received:
Fee Paid:
Received From:
Cash Check #
CC: Visa / MC Last 4 CC # exp date:
Auth #
15-Jul-1 f