HomeMy WebLinkAboutB14-0445.pdfDepartment of Community Development
75 South Frontage Road
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:
782 Potato Patch, Vail
(Number) (Street) (Suite#)
Building/Complex Name:-------------
Contractor Information
Business Name: Climate Control Company
Business Address: 1537 County Rd. 130
City Glenwood Springs state: _c_o __ Zip: 81601
Contact Name: Ricki Bowden -----------------
Contact Phone: 970-945-2326
Contact E-Mail: RBowden@cccgws.com
I hereby acknowledge that I have read this application, filled out
in full the information required, completed an accurate plot plan,
and state that all the information as required is correct. I agree to
comply with the information and plot plan, to comply with all Town
ordinances and state laws, and to build this structure according to
the town's zoning and subdivision codes, design review ap-
provei;1,-lrtfer ational Suildl(lg and Residential Codes and other
orc}iriance ft -y>wn aP,Plicable ;hereto
I ___ , ~--, ~,,.1 ~;~;,,~· .i ,,·r'--
,,.,,:'-~ ·"'
.------~----------~-~---.
Project#: Pb\ 4 -0 [, dQ
DRB#:------------------~
Building Permit#: --"'}3:;_.;_/ L-f_-_0----'l(_l{.i.....::.5_-__ _
Lot#: __ Block# __ Subdivision:--------
Work Class: New 0 Addition 0 Alteration ({!)
Type of Buildi~
Single-Family {!A Duplex a Multi-Family 0
Commercial 0 Other Q __________ _
Work Type:
Electrical
Mechanical
Plumbing
Building
Interior(!) Exterior 0 Both 0
Work Included
QYes @No
@Yes QJNo
Oves @JNo
QYes @No
Plans Included
Qves QNo
Qves QNo
Oves 0No
Qves QNo
Valuation of
Work
2,292
Value of all work being performed: $ ____ 2_._2_92_
(value based on IBC Section 109.3 & IRC Section 108.3)
Electrical Square Footage
Detailed Scope and Location of Work:--------
Applicant Name: ----------------Replace furnace with new unit. -..:.------------------~
Applicant Information
Applicant Phone:----------------
Applicant E-Mail:----------------
Project Information A d 0 1 Owner Name: n rew a Y
Parcel#: 210106301001
(For Parcel #, contact Eagle County Assessors Office at (970-328-8640 or visit
www.eaglecounty.us/patle)
For Office Use Only: ,,H. -oO
Fee Paid: -------'y"""-_I_~_) _' _. _______ _
Received From:---------------
Cash Check # ___ _
CC: Visa I MC Last 4 CC # __ _ exp date: __ _
Auth# ___ _
(use additional sheet if necessary)
Date Received:
TOWN Of~ Received
By Carolyn Godfrey at 9:26 am. Nov 05, 2014
12-Mar-2012