HomeMy WebLinkAboutB14-0293.pdf • Department of Community Development
75 South Frontage Road
TOWN OF VAN_ Vail, CO 81657
Tel: 970-479-2128
www.va it g ov,cora
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm &sprinkler)
Project Street Address: Project#:
DRB#'
(Number) (Street) J . �(Suite 4)
Buil dinofCompfex Name: V( ay� +{1i CII ' Building Permit
Contractor Information �}+ Lot#; Block# _ Subdivision: --
Business Name: fii C.a.0 4 YAZAA+J 1- �tMCE.
Business Address;{ ; (4 + Work Class: New 0 Addition 0 Altoration
City state: co Zip: 1& 7 Type of building'
ry� + Bingle-Family ) Duplex } Multi-Family j
Contact Name: '=f.:c, �+ cly►Ei-
Commercial® Other
Contact Phone; 970- , o+ia •
-
Contact E-Mail: irl‘olue41.5 .J ir`+?.5 1eLC Y ,Work Type: Interior 0 Exterior 0 Both
I hereby acknowledge that I have read this application,filled put . 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. J agree to .EIectricall Yes No fjOY.liS ON0 l r{ C J
comply with the information and plot plan, to comply with all Town
ordinances and state laws, and to build this structure according to Mechanical GYes ONo arres ONo
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing ()Yes ONlo ()Yes ONO _.
ordinances of the Town applicable thereto.
Building ()Yes ONO J)Yes ONo
. X ��Y _ :Value of all work being performed: $ /ilika, 00
Owner/Owner's Representative Signature (Required) (Inhie b $<"-(1 on IBC S cUon 1092&IRG SOGUoa 946.a)
Electrical Square Footage .
Applicant Information Detailed Scope and Location of UVork:
Applicant Name; VAIL kawhiC2
Applicant Phone: p gr
Applicant E-Mail: .---.-_
Project Information
Owner Name:
Parcel#: d1of —o1 J -0101. -
(Foy RANI)!#,contact E4 Iu Gou r ty Assessors office kit(.9.7.6.,i13-164111 Ur vieiE
www-eaglecouisry-uslpatle] •
{Use eddiiibnal sheet W necessary)
For Officc Use Only;
Fee Paid: Date Received:
Received From:
Cash . . . Check#
CC: Visa f MC Last 4 CC # exp date:
Auth f
- -
12-Mar-21112