HomeMy WebLinkAboutB14-0341.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#:
114 Willow Rd #30
(Number) (Street) (Suite#) DRB#:
Riva Ridge Chalets South Building Permit#:
Building/Complex Name: g
Contractor Information Lot#: Block# Subdivision:
Business Name: Nedbo Construction
Business Address:
PO Box 3419 Work Class: New 0 Addition 0 Alteration(0
City Vail State: CO Zip: 81658 Type of Building:
Contact Name: Warren Krok
Single-Family 0 Duplex 0 Multi-Family 0
Commercial 0 Other 0
Contact Phone: 970-845-1001
Contact E-Mail: warren@nedbo.com 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 Electrical (yes 0)No Yes ONo 14000
comply with the information and plot plan,to comply with all Town -
ordinances and state laws, and to build this structure according to Mechanical °Yes3)No lYes ONo
the town's zoning and subdivision codes, design review ap-
proved,International Building and Residential Codes and other Plumbing °Yes ONo °Yes No 10000
ordinances of the Town applicable thereto.
Building €Yes cNo °Yes ONo 162000
X Value of all work being performed: $ 186000
Owner/Owner's Representative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3)
Electrical Square Footage 1200
Applicant Information Detailed Scope and Location of Work:
Applicant Name: Nedbo Construction Renovation of existing unit, updating of existing
Applicant Phone: 970-845-1001 finishes including new wood flooring, new carpet, new
Applicant E-Mail: warren@nedbo.com cabinets and kitchen appliances, new doors and trim,
Project Information new painting. Will also be replacing the existing
Owner Name: Halle, Ellen- Riva Ridge 30 LLC
windows with same for same change
Parcel#: 2101-082-20-013
(For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit
vommeaglecounty.us/patie)
(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