HomeMy WebLinkAboutB14-0367.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAIL i 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#:
001'34 cant-- L( N ao7
DRB#:
(Number) (Street) (Suite#)
Building/Complex Name: \JAIL, ( 0\_►-e.OV>f s .,70v►ill,'DI'I Building Permit#:
Contractor Information Lot#: Block# Subdivision:
Business Name: filfaci bd
1':
Business Address: )
x NO,- Work Class: New 0 Addition (0 Alteration(
City r State: Zip:(6 )6.931
. Type of Building:
Kt Single-Family 0 Duplex 0 Multi-Family
Contact Name: eV-
�$ Commercial(0 Other j
Contact Phone: 9-io �. Cf"
u-,
il �) Work Type: Interior Exterior Both
Contact E-Mail: Ek 1 Lint yeti
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 ONo Yes ONo �, � '"`
comply with the information and plot plan,to comply with all Town
il yP
ordinances and state laws, and to build this structure according to Mechanical i( Yes )No °Yes ONo the town's zoning and subdivision codes, design review ap- ri
proved, I - -= 4i ilding and Residential Codes and other Plumbing , Yes ONo ( Yes No ---i e--
ordin. - o t T,�- t.pplicable thereto. t
, jii Building ()Yes ONo ()Yes ONo �+ _:
X "! .i "Pr Value of all work being performed: $ of
Own= /Owner's R -° entative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3)
.acz nt
Electrical Square Footage )"1
Applicant Information Detailed Scope and Location of Work: [A
,,.„kit VI
Applicant Name: t 1` -
. 1 TO C2) 4C411
Applicant Phone: eilift- LP1.r l�ty0`' � ( r Kl f
Applicant E-Mail. rx ,, Mkt 1 0 aki 1 I Jet iu it , C .SBU
Project Information I 1\( NIC-0-- LAt)tt-rmil
Owner Name: AP,04,a i AcDID 'p,IkV14a C.IkLD L -1 '
Parcel#: 210 ® 'l i ''O 4- -O5'
(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 #
12-Mar-2012