HomeMy WebLinkAboutB14-0255.pdfDepartment 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 Street Address:
1230 S. Westhaven Circle
(Number) (Street) (Suite#)
Building/Complex Name: ---------------------
1 Contractor Information
Business Name: Evans Chaffee Construction Group
Business Address: 77 Metcalf Road ----------------
City Avon state: _c_o __ Zip: 81620
; Contact Name: Andy Halminski
'.Contact Phone: 970-376-7712 -----------------
: Contact E-Mail: andy@evanschaffee.com
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
om;oan~ appl;"ble therato.
x {~-"=--
' Owner/Owner's Representative Signature (Required}
Applicant Information
•Applicant Name: 4.u'f J~1,..J)"'-.,.
Applicant Phone: 910-]'?& · 1'7 I d--
Applicant E-Mail: __ t_V_1d--+1~e~· ~Cu.~·1~11~J_c_j_,,1_._ffi~--~_. c._ . ..a_wc __ _
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! Project Information D .d 8 d h . Owner Name: av1 ra s aw
For Of~ce Use Onlf 0\ 1 J'1 l 0 Fee Paid: l """" ,.
Received From: ______________ _
Cash Check # ____ _
CC: Visa / MC Last 4 CC # ___ _ exp date: __ _
Auth# ___ _
.--------........ ,..---------------------------------.
Project#: .-=\)R_-::) Jlf -0 /cJ_ 'J
ORB#: bi2:{3./ '160 95.
·12 1 u _ 6,'l cc_ Building Permit#: __ -D:.___I __ __:_·~----'==------
Lot#: Block# __ Subdivision: _______ _
• Work Class: New 0) Addition 0) Alteration @
Type of Building:
Single-Family 0) Duplex (!) Multi-Family Q
Commercial 0 Other o). __________ _
Work Type:
Eiedricai
Mechanical
'Plumbing
Building
lnteriorQ)
Work Included
@Yes Q)No
@Yes Q>No
(!)Yes Q)No
@>Yes Q>No
ExteriorQ Both@
Valuation of '.
Plans Included Work
@)Yes 'Q>No 12000.00 I
QYes @No 2400.00
QYes @No 4200.00
@Yes Q)No 175000.00
Value of all work being performed: $ ____ 1_9_3_60_0_
(value based on IBC Section 109.3 & IRC Section 108.3)
Electrical Square Footage 587
i Detailed Scope and Location of Work: Finish crawlspace
area of residence. Includes new concrete slab, wood
framing, new exterior window, hydronic baseboard heat,
electrical lighting and outlets (service remains the same)
remodel to existing bathroom and additional bathroom.
' (use additional sheet if necessary)
TOWN OF VAfUs-Mar-012