HomeMy WebLinkAboutB14-0302 Application.pdf /
:.,--, Department of Community Development
75 South Frontage Road
) Vail, CO 81657
TOWN OF VAIL Tel: 970-479-2128
www.vailgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm & sprinkler)
Project Street Address: Project#:
2-1-2.,2- Cn a-r%NA
DRB#:
(Number) (Street) (Suite#)
Building Permit#:
Building/Complex Name: LOFT!1�t'[ r'C -T , J
Contractor Information Lot#: (3 Block# 13 Subdivision:V ML Z-D(re-
Business Name: V A I L CuSTm (-B' LT)--S
Z� � � AueS�i 2-0w� Work Class: New ) Addition 0) Alteration 0)
Business Address:
Zip: Type of Buildin..
City CbeNP*'e—DS State: i��32
c � Single-Family f;$) Duplex 0) Multi-Family 0)
Contact Name: 136-N1-,o J % ECoG ' Commercial 40 Other 0)
Contact Phone: q7D ` 33R—LP t3d
Work Type: interior®) Exterior Qj Both
�0 C.0 0.AI
Contact E-Mail:-Bt.. C S�Ovv. . c.A tn.\
Valuation of
I hereby acknowledge that I have read this application,filled out Work Included Plans Included Work
in full the information required,completed an accurate plot plan,
and state that all the information as required is correct. 1 agree to Electrical of Yes ®)No )Yes No ihri l?0
comply with the information and plot plan,to comply with all Town ®) � 52.1b00.1°)
ordinances and state laws, and to build this structure according to Mechanical }Yes No )Yes No
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing iYes ®)No Yes }No 3f, ttNc)
ordin. ces of e Town applicable thereto. ry
Building Lellirk Yes r )N0 )Yes ®)No f((D% 0OO�( ~ice Valueofall being performed: $1300, /40.00
Owner/Owner's Representative Signature(Required) (value based on ICC Section 109.3&IRC Section 108.3)
Electrical Square Footage 5c39 5F-
Applicant
FApplicant Information Detailed Scope and Location of Work: [
Applicant Name: Be-AKD a'@ir C61ASk-r to1A. o ck New S�v�rile-
Applicant Phone: 910~ 3 3( (/�3.v fO:JvtJltl 6,(W-�•
Applicant E-Mail: 1^.v\0 C2, V P'.1L CuStb •COW\
Project Information
Owner Name: 6t-1\1/\0 Ls-kJ/II-Pr
r
Parcel#: 2I03 ~ NZ— 0'3" 0f2–
(For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit
www.eag I ecou nty.usipatie)
(use additional sheet if necessary)
For Office Use Only: Date Received:
Fee Paid:
Received From:
Cash Check#
CC: Visa / MC Last 4 CC# exp date:
Auth #
1 5-Mar-2012