Loading...
HomeMy WebLinkAboutB14-0366.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#: (fir u cf.-Vitt-44m. Ci RG Lily C- 1. DRB#: (Number) (Street) (Suite#) Building/Complex Name: Alk RA43E;-tBuilding Permit#: � Contractor Information 1"114) Lot#: Block# Subdivision: Business Name: to T )oU 1.1 Business Address: line VIo13.AGPc�-E Work Class New('fl} Addition Alteration (� ` City 1!nit-, State: CO Zip: g IfeS 1 Type of Building: ��� 4:1-S814 � e Single-Family 0Duplex 0 Multi-Family 0 Contact Name: ry Commercial KD Other Contact Phone: a h to 504 — 410 Contact E-Mail: JNA,);Lc OA 2€.441,1:tiei 'J.COM Work Type: Interiorer Exterior troth 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 I2Kes t©)No 0Yes ONo W 342'O comply with the information and plot plan,to comply with all Town ordinances and state laws, and to build this structure according to Mechanical eres ®)No (D)Yes ONo c=)1 6-15e) the town's zoning and subdivision codes, design review ap- proved, International Building and Residential Codes and other Plumbing ( Yes ONo cYes ONo ordinances of the Town a plicable thereto. ti Building l(es ONo °Yes C)No 3511A° X Value of all work being performed: 470, O O O 0 Owner/0 is Representative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3) Electrical Square Footage (DV'? S F Applicant Information Detailed Scope and Location of Work: Applicant Name: Pk' t. 1-1040 it)FIV &--f. %01t, alc OA f: Applicant Phone: '303 - 44 4) - 04(4, 0 TA/ A. Nola —Sliao&Ivo& Applicant E-Mail: f av1 C -10dda?chi1-er.(vwe C.,ovi,s 6wAtn t_t't-1.0 N Erzeit ei4i A, Cs Project Information ` )./ 61/ 49 w Owner Name: U�k1�L fiFlor�-r s £e0e L'LN�„//C • r Parcel `.lo - 0!03 Dfio - 1 (For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit P14 of�-C/�T]DA' - M ?W) "LF Pi's- www,eaglecounty.uslpatie) (use additional sheet if necessary) For Office Use Only: Fee Paid: Date R eceived: Received From: Cash Check# CC: Visa/ MC Last 4 CC# exp date: Auth# 12-Mcr-2012