HomeMy WebLinkAboutB14-0320.pdf Department of Community Development
75 South Frontage Road
TOWN Q 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: t Project#:
436 3 1.16145rrdcye. /001, 52.4
(Number) (Street) (� i '(Suite#) DRB#:
Building/Complex Name: S real fr_ W I� i J s+ Building Permit#:
Contractor Information Lot#: Block# Subdivision:
Wtd
Business Name: (/I CPAS*t/tlJ'l Q„ G(nt?
��jj "T Work Class: New 0j Addition 0 Alteration ( 0
Business Address:po 130x �a?3
City EQf «( S State:C.0 Zip: 81631 Type of Building:
Contact Name: /7
Jr4san 12t/S se II Single-Family 0 Duplex('U Multi-Family((&
Q�1 Commercial 0 Other 0
Contact Phone: "t 10. 3OU, 90 3
Contact E-Mail: ' OMI• . i f j .• if � • ,(4 , Work Type: Interior( Exterior Both
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 (ryes ONo ()Yes ONo
comply with the information and plot plan,to comply with all Town Livuti
ordinances and state laws, and to build this structure according to Mechanical GYes c)No rJYes ONo J !50
the town's zoning and subdivision codes, design review ap-
proved,International Building and Residential Codes and other Plumbing il[il Yes 0)No °Yes ONo 35 75
ordinances of the Town applicable thereto. �0
��G��i� Building VI Yes ONo Yes ONo
X �'� Value of all work being performed: $ J 63 p95.00
Own r4wner's Representative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3)
Electrical Square Footage -ray-F4 2
Applicant Information tt
t/ Detailed Scope and Locationof Work: ICJ h h
Applicant Name:J t Q QVsse-[ cot bthel-six Nit A SiwJ is a
Applicant Phone: ��. 3Q6• ROa3 J
Il ��,� rh k.t�(-Ic�eN a�� Ir�t�
Applicant E-Mail: YtSIGN cal(I ohs+rADA jro�,CoPy610AA
Project Informattiioon J
Owner Name: J jt�jllh^R�.VSS( ��
Parcel#: a103o1go / 05a
(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 #