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B14-0304 Application.pdf
Department of Community Development 75 South Frontage Road TOWN OF VAIL` 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#: 193 GORE CREEK DRIVE B DRB#: (Number) (Street) (Suite#) Building Permit#: Building/Complex Name: Contractor Information Lot#: Block# Subdivision: Business Name: LULULEMON Business Address: 1818 CORNWALL AVE Work Class: New(0) Addition (0) Alteration (Q) City VANCOUVER State: B.C. Zip: V6J1C7 Type of Building: Contact Name: HETAL SHAW Single-Family(0 Duplex(0 Multi-Family(0) Commercial (Oi Other(®) Contact Phone: 310-263-3500 Contact E-Mail: hshah@menemshasolutions.com Work Type: Interior(i ) Exterior(0 Both (0 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 (0Yes (0No (eYes (©No 20000 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 a®No ®Yes G. the town's zoning and subdivision codes, design review ap- proved,International Building and Residential Codes and other Plumbing ®Yes ®No ®Yes €No ordinances of the Town applicable thereto. Building (®i Yes ®No €Yes ONo 168000 XValue of all work being performed: $ 188000 Owner/Owner's Representative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3) Electrical Square Footage 1611 Applicant Information Detailed Scope and Location of Work: INTERIOR Applicant Name: BLAINE BAUMAN IMPROVEMENTS INCLUDING ACCESSIBLE STAIRS, Applicant Phone: 310-263-3547 NEW FIXTURES, NEW FITROOMS, NEW LIGHTING, Applicant E-Mail: bbauman@menemshasolutions.com ACT CEILING IN BACK-OF-HOUSE, AND NEW Project Information FINISHES. Owner Name: GORE CREEK PLAZA, LLC Parcel#: 2101-082-13-016 (For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit www.eaglecounty.us/patie) (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 # 2013-Feb 01