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HomeMy WebLinkAboutB14-0291.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: '"'b I Y.D3 fY'\012..~ivU6. _IL (Number) (Street) (Suite #} Building/Complex Name: Su:wJ. \R.~'I e~St.. Contractor Information Business Name:\J1u..1"'-tf'\ b~~l.i.i Business Address~--""-"~~{sJ.p~. _4 ___________ _ City ff\ ll'IlVll!..N State:(.o=-=--_Zip: 81 ~t..15 Contact Name:611....1.. GRD~~Q...\ Contact Phone: ~ /() • 6'1D-O / t)f, Contact E-Mail:UC-n.o%AU ~'i' Ctx"' C.i:..':l.1 , t'Jl'_,"'I 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 md;n•ooes of the ~ppU".'ble theceto. x \;)J.t.~ . ~ Owner/Owner's Representative Signature (Required) Applicant Information Applicant Name: \,,}'-LI~"'"' 6fl.l:h.SC::::.~ Applicant Phone: C, /Q-3 9()-575 8 Applicant E-Mail: \ J <:J~sSAR:I" v:,. T (£1'""> GMi , Mi\ j Project lnformatior<:J Gol-' .r: • , jOwnerName:~_--'-\1~_0_~--=--=o~"~"'------- jParcel#: '2.103-ll.C..-c:Fl-O'?...i Project#: <:(.fl2 ~(J,_o ·~ 2$>4 ORB#: vg.6/lf_o~Cj Building Permit#: ~I Lf -Od--'1 ( Lot#: Block# __ Subdivision: _______ _ r·· \!Work Class: New Q Addition OJ Alteration • ;.T;~-~-~i·a·~·iici·i~~·;············ ........... ······· ·-······ ....... ··········· ! Single-Family tl>i Duplex a Multi-Family Oi \Commercial Q Other Q __________ _ f::.::::::::::::::::::::::::::::::::::::::.:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::! \ !WorkType: Interior QJ Exterior 9 Both Q . . .. ••u••u•--••--*<•••••••••••-••••-•••••H-•••-•••• -•-->O•oo.o••><••••••••••••••••H•••••••••••••••••••••••<>•••• Valuation of i Work Included Plans Included Work · i·Erear:rcar······ove-s···o)r: .. ro-····ow'es····of\i0··············----············1 j Mechanical Qves QJNo Q)Y~s ~o ; ~Plumbing Qves QJNo Qves ~No l.~~!!~.i-~~ .......... Oi~:~ .... O~-~-~---Q~:~ .... ei.~~---·-···· ······-·········· l Value of all work being performed: $ ?JZ/Jb';D O ·1 l (value based on IBC Section 109.3 & IRC Section 108.3) I ~ Electrical Square Footage -ez ----------------------------------------------------------------------------------- ! Detailed Scope and Location of Work: -------- l &T 1 \;.1oe.. D~l ~ lVe.u.J Dc.J.:.1~ -t ; (For Parcel #, contact Eagle County Assessors Office at (970-328-8640 or visit l.:":"::~g.l:~o-~~~:lf5.'~~~'.~!. .. "..................... . ············ J! (use additional sheet if necessary) ~------------------------. ------------------------------------------------------------------------------------------------------------------------ For Office Use Only:. ,--- Fee Paid: & } Received From: --------------- Cash ____ Check# ____ _ CC: Visa I MC Last 4 CC# ___ _ Auth# ___ _ exp date: __ _ o ~©m!OW!~ n AUG 1 3 2014 U LG l{'0 TOWN OF VAIL -Mar-2012 ~ 11 fd 15j__ ******************************************************************************************** TOWN OF VAIL, COLORADO Statement ******************************************************************************************** Statement Number: Rl40001195 Amount: $63.00 Payment Method:Credit Crd grossart 08/14/201409:46 AM Init: CG Notation: me william Permit No: Bl4-0291 Type: COMBINATION BLDG PERMIT Parcel No: 2103-122-0902-4 Site Address: 1403 MORAINE DR VAIL Location: This Payment: $63.00 Total Fees: Total ALL Pmts: Balance: $165.46 $63.00 $102.46 ******************************************************************************************** ACCOUNT ITEM LIST: Account Code Description Current Pmts PF 00100003112300 PLAN CHECK FEES 63.00