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HomeMy WebLinkAboutB14-0437.pdf Department of Community Development 75 South Frontage Road TOWN OFte 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#: 9, 1( Oor -�.cro". D QUI. (st), DRB#: (Number) (Street) (Suite#) I, f Building Permit#: Building/Complex Name: � ir, - -- Contractor Information Lot#: Block# Subdivision: Business Name: -Inv C,op�.; 0 # I, , �c�-9 i,DS--7-0,1114, ! `)f Work Class: New(Qj Addition 0 Alteration (0----'Business Address: TO City e l`Lla..v\ State:_Cfli Zip: BOLI C.6p Type of Building: ((�� Single-Family i0 Duplex(0 Multi-Family 0 Contact Name: � P 1C7� D 1e,t Commercial (3 Other 0 Contact Phone: e1-lo - 53 1 - ?N 'I Work Type: Interior° Exterior Both (O Contact E-Mail: ie.).@4--hiLroowpCO.60 OA 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 i(D)No °Yes GrIClo 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 O No ()Yes OW o the town's zoning and subdivision codes, design review ap- proved, International Building and Residential Codes and other Plumbing ()Yes ONo ()Yes (&lo Of ordinances of the Town applicable thereto. /� l Building ()Yes ©}No ()Yes @Klo � R� X O12,,r- / 1[ Value of all work being performed: $ 95-141g CO 0 Owner/Owner's Representative Signature (Required) (value based on IBC Section 109.3&IRC Section 108.3) Electrical Square Footage n Applicant Information Detailed Scope( and Location of Work: Fla} }- Applicant Name: �(L P,t•1 pLe -12LL1-- Dl# l0D1-' A �G , 1nS Ag,rt) Applicant Phone: q.70- `7 t-(R-7,N - 0�� Pb( tSo -1-4.Pi.ri lb" _kt$oP-CIL, d-U2&S 1;,v Applicant E-Mail: Id-lo lei @4.it„.!'f,pPvQ C'Q,C0✓� ,• a4 — Di - .i. C. ii! , 1 04 Project Information J Owner Name: UQ-1zoesLL;S1-‘ LSO i l f ,I__C., 1 aQ Parcel#: O91173 )14-lt5Olq- 11' / I/ JJ I ( J I 'I I (For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit Ql�µ pt(--S)l9 It S lP-)ciw, epcLL.. O-And IJ0`-S(o- ICL-( 1-. www.eaglecounty.uslpatie) J CPS li (use additional sheet if necessary) For Office l'se Only: Date Received: Fee Paid: Received From: Cash Check # CC: Visa/ MC Last 4 CC # exp date: _ _ Auth # _ 12-Mar-2U 12