HomeMy WebLinkAboutB14-0392.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAII. ` 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#:
[�L kAl • OJ15aLarl, C :t tz 3 1 L7
DRB#:
(Number) (Street) (Suite#)
1. Or\ ,�� Building Permit#
"
Building/Complex Name: � \
Contractor Information Lot#: Block# Subdivision:
Business Name P-6101\l51+ kc-S3 C
Work Class: New 0 Addition 0 Alteration
Business Address !'�
City State Zip Type of Building:
Single-Family Duplex Multi-Family Pr
Contact Name , Lir of kr-]
qCommercial C) Other
Contact Phone: 1 0 5 Z-I(-40
Contact E-Mail: 5 Work Type: Interior Exterior 0 Bath 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 ONo Ayes ONo 106r) .
comply with the information and plot plan,to comply with all Town
ordinances and state laws, and to build this structure according to Mechanical Yes ONo °Yes to
the town's zoning and subdivision codes, design review ap-
proved,International Building and Residential Codes and other Plumbing ekes ONo 0.Yes ONo Z O C
ordinances of the Town applicable thereto.
Building °Yes ONo ()Yes ONo
X Value of all work being performed: $:JtJf Mb e
Owne Owner's presentative Signature(Required) (value based on IBC Seciian 109 3 a IRC Section 108.3)
Electrical Square Footage I U 3
Applicant Information Detailed Scope and Location of Work:
Applicant Name: lr' I�-roori-1 V-1 l3dX-N
Applicant Phone:
Applicant E-Mail.
Project Information ._, {
Owner Name:_ ��PX(i�( �l
Parcel#: 1QI "' 0(0 ?j —( -of C ,
IFor Parcel#,contact Eagle Co my Assessoraa office at 1970-328-8640 or vlslt
www.eag i ecounty.uslpatie)
(use additional sheer if necessary)
For Office Use Only:
l}.iie Received:
Fee Paid:
Received From:
Cash Check #
CC: Visa/ MC Last 4 CC# exp date:
Auth#
12-Mar-2012