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HomeMy WebLinkAboutB14-0287.pdf Department of Community Development 75 South Frontage Road TOWN OF 0 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: Project#: 675 Lionshead Circle 372 DRB#: (Number) (Street) (Suite#) Building/Complex Name: Arrabelle Building Permit#: Contractor Information Lot#: Block# Subdivision: _ Business Name: C&C Plumbing & Mechanical I, Business Address: PO Box 2294 Work Class: New(aj Addition 0 Alteration (0 City Gypsum State: CO Zip: 81637 Type of Building: Contact Name: Rob Faddick Single-Family C) Duplex M Multi-Family tO) Commercial 0 Other Contact Phone: 970-337-9443 Contact E-Mail: kyria@candcpm.com Work Type: Interior 0 Exterior 4Both 0 I hereby acknowledge that 1 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 Yes O)No ()Yes Iallo comply with the information and plot plan, to comply with all Town ordinances and state laws, apd to build this structure according to Mechanical ()Yes ©)No ()Yes ()No the town's zoning and ub.'6ision codes, design review ap- proveds Into ational ilsing and Residential Codes and other Plumbing (DYes ()j No Yes ONo 550.00 o dirt itc-- of the Tow* applicable thereto. �� Building ()Yes iNo ()Yes iOjNo • r.4 .0464. . Value of all work being performed: $ 550 Ow .►e ner's eprese tative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3) Electrical Square Footage A.plicant Inf rmation Detailed Scope and Location of Work: Applicant Name: _ Installation of gas lines. Applicant Phone:_ Applicant E-Mail: Project Information f �c c� Owner Name: V k1L ire 2V Parcel#: c9`i() I. )( Q, "g-�.L - 1 (For Parcel#,contact Eagle County Assessors Office at(970-328-8640 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