HomeMy WebLinkAboutB14-0421.pdf Department of Community Development
75 South Frontage Road
TOWN DEO d 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#:
4695 Racquet Club Drive 9-20
DRB#:
(Number) (Street) (Suite#)
Vail Racquet Club Building Permit#:
Building1Complex Name: q
Contractor Information Lot#: Block# Subdivision:
Business Name: C&C Plumbing &Mechanical
Business Address:
PO BOX 2294 Work Class: New a Addition 0 Alteration(0
City Gypsum State: CO Zip. 81637 Type of Building:
Contact Name' Kyria Keyser/Curt Wells Single-Family C) Duplex 0 Multi-Family 0
Commercial 0 Other
Contact Phone: 970-432-0009/970-337-9443
Contact E-Mail: office@candcpm.com Work Type: Interior 0 Exterior 0 Both 0
I hereby acknowledge that I have read this application, Filed 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 }N° 0Yes C)No
comply with the information and plot plan.to comply with all Town
ordinances and state laws,and to build this structure according to Mechanical C)Yes 0)No )Yes (No 9280.00
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing cYes }No Oyes ONOordinances of the Town dppllfcabie thereto.
Building ()Yes ()No ()Yes )No
'•X +n` �+��- ��—�� Value of all work being performed: $ 9280
Ownerlane 's Relpr se t;ari\ie Signature(Required) (value based on Be Section 109.3&inc Section 1o8.3)
1Ii Electrical Square Footage
Applicant Information Detailed Scope and Location of Work:
Applicant Name: C&C Plumbing & Mechanical remove and replace existing boiler and water heater
Applicant Phone: with new Triangle Tube Excellence 110,
Applicant E-Mail: a high efficiency combination boiler!water heater
Project Information Kate Badenheimer
Owner Name:
Parcel#: 2101-124-06-020
(For Parcel#,contact Eagle County Assessors Office al(970-3288640 or visit
www.eaglec o unty.u stpatte)
(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: -
Ruth #
12-Mar-2012