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HomeMy WebLinkAbout-B14-0279 application.pdf12-Mar-2012 Project Street Address: __________ ______________________________ ___________ (Number) (Street) (Suite #) Building/Complex Name: ________________________________ BUILDING PERMIT APPLICATION (Separate applications are required for alarm & sprinkler) Project #: __________________________________________ DRB #: ____________________________________________ Building Permit #: ___________________________________ Lot #: ____ Block #____ Subdivision: ___________________Contractor Information Business Name: ________________________________________ Business Address: ______________________________________ City ______________________ State: _______ Zip: ____________ Contact Name: _________________________________________ Contact Phone: _________________________________________ Contact E-Mail: _________________________________________ 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 otherordinances of the Town applicable thereto. X___________________________________________________ Owner/OwnerÂ’s Representative Signature (Required) Applicant Information Applicant Name: ________________________________________ Applicant Phone: ________________________________________ Applicant E-Mail: ________________________________________ Detailed Scope and Location of Work: (use additional sheet if necessary) Work Class:New ( ) Addition ( ) Alteration ( ) Type of Building: Single-Family ( ) Duplex ( ) Multi-Family ( ) Commercial ( ) Other ( )__________________________ Work Type:Interior ( ) Exterior ( ) Both ( ) Project Information Owner Name: ________________________________________ Parcel #: ___________________________________________ (For Parcel #, contact Eagle County Assessors Office at (970-328-8640 or visit www.eaglecounty.us/patie) Value of all work being performed: $______________ (value based on IBC Section 109.3 & IRC Section 108.3) Electrical Square Footage ______________ For Office Use Only: Fee Paid: _________________________________________ Received From: ____________________________________ Cash _________ Check # ___________ CC: Visa / MC Last 4 CC # _________ exp date: ________ Auth # _________ Date Received: Work Included Plans Included Valuation of Work Electrical ( )Yes ( )No ( )Yes ( )No __________ Mechanical ( )Yes ( )No ( )Yes ( )No __________ Plumbing ( )Yes ( )No ( )Yes ( )No __________ Building ( )Yes ( )No ( )Yes ( )No __________ Department of Community Development 75 South Frontage Road Vail, CO 81657 Tel: 970-479-2128 www.vailgov.com Development Review Coordinator íîé α½µ´»¼¹»É»­¬ Ó¿­¬·ºº Ü»ª»´±°³»²¬ô ײ½ò ÐòÑò Þ±¨ îðçê Û¼©¿®¼­ÝÑ èïêíî α² ß³¿­­ çéðóíçðóëèîé ®±²à³¿­¬·ºº¼»ª»´±°³»²¬ò½±³ Ô«µ» η½¸¬»® çéðóíéêóíèëë ´«µ»à³¿­¬·ºº¼»ª»´±°³»²¬ò½±³ Ö±­» ݱ®²·¼» îïðïóðéïóïéóððî íðððð éðððð îððððð íððððð îîëí ײ¬»®·±® ®»³±¼»´ ¬± ·²½´«¼» µ·¬½¸»²ô ¾¿¬¸®±±³­ô ¾»¼®±±³­ô º·®»°´¿½» ú ­¬¿·® ½±³°±²»²¬­ò ̸»®» ©·´´ ¾» ¿² ¿¼¼»¼ ´±º¬ ¿¾±ª» ¬¸» µ·¬½¸»²ò ß ²»© ¾«²µ ®±±³ ©·¬¸ »¹®»­­ ©·´´ ¾» ¿¼¼»¼ò ß ²»© »¨¬»®·±® ¹¿­ º·®» °·¬ ¿²¼ °¿¬¸©¿§­ ©·´´ ¾» ¿¼¼»¼ò ß º»© ´·¹¸¬·²¹ ½¸¿²¹»­ ©·´´ ¾» ³¿¼»ô °»® °´¿²ò Luke Richter By Shelley Bellm at 4:51 pm, Aug 04, 2014 PRJ14-0142 B14-0279