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HomeMy WebLinkAboutB14-0220 Application.pdfTOWN OF~ Department of Community Development 75 South Frontage Road Vail, CO 81657 Tel: 970-479-2128 www.vailgov.com Development Review Coordinator BUILDING PERMIT APPLICATION (Separate applications are required for alarm & sprinkler) .----------------------------------------, Project Streyt Address: tJ 2 s=t-t C-0 lunib. (1 I::!:.-(}r. (Number) (Street) Jee.:..=..? __ (Suite#) Project#: PRJl 3-0Ci:;1 ORB #: I l/ {).!) 3 I Building/Complex Name:-------------Building Permit#: _B_1_4_-_0_2_2_0 _________ _ Contractor Information Lot#: B_ Block# __ Subdivision: 8. O-ho[n ,L/:) u Business Name: Va, k C:..'-c {ieM Bu , /(!:;;12_ ·~--"-"".".'~--~~~-~="-"".".'--~=~ r) .") v a.. Work Class: New ©J Addition 0) Alteration Q Business Address t;O. o() lL_ _ _2,,_00"-'=--7 ____ _ city k l'va Li$~ State C. 0 Zip: fi"/(DJ2 Contact Name C /. _,,_,Y,_fo,,_,_._-'---:l 1.___l!'-=Jr1-'-'-"c.a...--+h.._.,..~.._.s-;._.o-"'-'h.'---.~- Contact Phone: 9-2& -?Ot-1 -<!J '?.._I 2- Type of Building: Single-Family,0 Duplex 0 Multi-Family a Commercial 0 Other o) _________ _ Contact E-Mail:C:/, n 1?Jl1 cefi Va., 'f-C:..(Lfh;ry. C()IJI Work Type: Interior 0 Exterior 0 Both~ I hereby acknowledge that I have read this application, filled out in full the information required, completed an accurate plot plan, and state that all the information as required is correct. I agree to comply with the information and plot plan, to comply with all Town ordinances and state laws, and to build this structure according to the town's zoning and subdivision codes, design review ap- proved, International Building and Residential Codes and other ordinances of the Town applicable thereto. ) X~__,0..,,...~""-'-_._~~~~~~~~- 0wner10 Applicant Information Applicant Name: Applicant Phone ---------------- Applicant E-Mail:----------··----- Project lnforrnat .. io.n \,Ii,~ di X/ ~ \J~ Owner Name:___ _____ JV-U ) ~ ~4 Parcel#: 2.)<Qj{;._ 2-2-J"CJ() :5 (For Parcel#, contact Eagle County Assessors Office at (970-328-8640 or visit www.eaglecounty.us/patie) ~-----·-·-·-·-----------.,.---------, For Office Use Only:.-/-/-j-l/' <.7/. g <{:. ree Paid: _]I_ ···~J,_~-~->~Q+------- Received From:--·--·-···------ Cash Check # ___ _ CC: Visa I MC Last 4 CC # __ _ exp date: __ _ Auth# __ _ Valuation of Work Included Plans Included Work -EiedrlCai -~Yes O)No-~)Yes·-oNoSO~<JUO ·· Mechanical ~Yes Q)No ~Yes 0No 5",, 0&0. · Plumbing (j),Yes Q)No @Yes 0No f9 ? (){)(}. Building <()Yes Q)No f{JYes 0Not~~~~ Value of all work being performed: $ ( 1-/00. 00 0 (value based on 16C Seciion 109.3 /l. IRC Section 108.3) r ' Electrical Square Footage t-1 'J,? / Detailed Scope and Location of Work:------- CCJn >" ro kt Cf: c,, ne~ (use additional sheet if necessary) Date Received: TOWN Of~ Received By Carolyn Godfrey at 10:08 am, Jun 13, 2014 I 5-Mar-2012