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HomeMy WebLinkAboutB14-0286.pdf Department of Community Development 75 South Frontage Road TOWN OF DI Vail, CO 81657 Tel: 970-479-2128 www.vai lgov.com Development Review Coordinator BUILDING PERMIT APPLICATION (Separate applications are required for alarm &sprinkler) Project Street Address: Project#: 675 Lionshead Circle 343 (Number) (Street) (Suite#) DRB#_ Building/Complex Name: Arrabelle Building Permit#: Contractor Information Lot#: Block# Subdivision: Business Name: C&C Plumbing & Mechanical Business Address: PO Box 2294 Work Class: New 0) Addition 0 Alteration (® City Gypsum State: CO Zip: 81637 Type of Building: Contact Name: Rob Faddick Single-Family l Duplex(:) Multi-Family 0 Commercial (©j Other(Oj Contact Phone: 970-337-9443 p@ V m.com can k ria dc Work Type: Interior(� Exterior Both 0 Contact E-Mail: y 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 Electrical Oyes 0)N° ()Yes QNo comply with the information and plot plan,to comply with all Town ordinances and state laws, and to build this structure according to Mechanical ( Yes ©)No ()Yes ONo the town's zonin• and subdivision codes, design review ap- proved, I. er . ional :ui wig and Residential Codes and other Plumbing ( Yes O)No ()Yes No 550.00 ordinan.e ef the T•w applicable thereto. Building Yes ( No °Yes ( No X ar" _ Value of all work being performed: $ 550 Own Mr er's repres..ntative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3) Electrical Square Footage Applicant I formation Detailed Scope and Location of Work: Applicant Name: Installation of gas lines. Applicant Phone: Applicant E-Mail: Project Information Owner Name: V Al I R --9011 . Parcel#: alnk4.3ct;re7" 1 (For Parcel#,contact Eagle County Assessors Office at(970.328-8840 or visit www.eaglecounty.uslpatie) (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