HomeMy WebLinkAboutB14-0340.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#:
2335 Bald Mountain Rd. #9
DRB#:
(Number) (Street) (Suite#)
Building Permit#:
Building/Complex Name:
Contractor Information Lot#: Block# Subdivision:
Business Name: Jerry Sibley Plumbing, Inc
Business Address: PO Box 340 Work Class: New 0Addition 0Alteration G
City Minium state: CO 21p: 81645 Type of Building:
Single-Family Q Duplex( ) Multi-Family G
Contact Name: Kristena Wyatt
Commercial 0 Other C
Contact Phone: 970-827-5736
Contact E-Mail: ispinc@vail.net Work Type: Interior 0 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 i Electrical ", Yes ONo ()Yes Na
comply with the information and plot plan,to comply with all Town 1 Q
ordinances and state laws, and to build this structure according to Mechanical ()Yes Q)No °Yes ONo
the town's zoning and subdivision codes,design review ap-
proved,
International Building and Residential Codes and other Plumbing °Yes ONo °Yes ONo
ordinances of the Town applicable ereto.
Building °Yes OND °Yes No
X z I I Value of all work being performed: $ \I f2CV PO
Owner/Owner's Representative ignature(Required) (value based on IBC Section 1x9.3&ERG Section 108.3)
Electrical Square Footage
Applicant Information Detailed Scope and Location of Work:
Applicant Name: Jerry Sibley Plumbing, Inc Replace existing 80% boiler and gas fired atmospheric
Applicant Phone: 970-827-5736 water heater with 96% boiler and indirect water heater
Applicant E-Mail: jspinc@vail.net r�ritk� t
�•P1Uiz.e,_ 11D !
Project Information 1 c 14e -T1j- - �' c L t o
Owner Name: Regina O'Brien
Parcel#: 2101-033-02-009
!(For Parcel#,contact Eagle County Assessors Office at(970328-8644 or visit
www.eagiecou 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 #
12-Mar-2012