HomeMy WebLinkAboutB15-0012.pdfTOWllOF~ Department 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:
530 South Frontage Rd East
(Number) (Street) (Suite#)
Building/Complex Name: Ford Park Lower Bench lmprovem
Contractor Information
Business Name: Town of Vail Dept of Public Works
Business Address: 75 S. Frontage Rd.
City Vail state: _c_o __ Zip: 81657
Contact Name: Todd Oppenheimer
Contact Phone: 970 390 4678
Contact E-Mail: TOppenheimer@Vail.gov
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-
proved, International Building and Residential Codes and other
ordinances of the Town applicable thereto.
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x Mike Kowalski ~~~:i~k1@ra11e1soo.rom.o=RA Nelson. CN=M1ke Kowalski ------Date· ' '
Owner/Owner's Representative Signature (Required)
Applicant Information
Applicant Name: Mike Kowalski -----------------
App Ii cant Phone: 970 445 0351 -----------------
App Ii cant E-Mail: mkowalski@ranelson.com
Project Information T f V .1 Owner Name: own ° ai
Parcel#: 2101-081-00-002
(For Parcel#, contact Eagle County Assessors Office at (970-328-8640 or visit
www.eaglecounty.us/patie)
For Office Use Only:
Fee Paid: ________________ _
Received From: ______________ _
Cash Check # ____ _
CC: Visa I MC Last 4 CC # ___ _ exp date: __ _
Auth# ___ _
PRJ14-0369 DEV13-0001 Project#:------------------
DRB#: __ D_R_B_l_4_o_s_1_o_J_s __________ _
Building Permit#: _B_1_s_-_0_0_1_2 __________ _
Lot#: Block# __ Subdivision:--------
Work Class: New(!') Addition 0 Alteration (Q
Type of Building:
Single-Family 0 Duplex 0 Multi-Family a
Commercial Q Other {!)_m_u_n_ic_ip_a1 _______ _
Work Type: Interior Q Exterior 0 Both@
Valuation of
Work Included Plans Included Work
Electrical @Yes Q>No @Yes QNo 34,490
Mechanical (!°)Yes Q>No @Yes 0No 25,786
Plumbing @Yes QNo @Yes 0No 25000
Building @Yes 0No @Yes QNo 1164724
Value of all work being performed: $ __ 1 ..... 17<89'"'"7H8-i4.'li2A-76H
(value based on IBC Section 109.3 & IRC Section 108.3) 1,250,000
Electrical Square Footage 500
Detailed Scope and Location of Work: Restrooms and
Park improvements at Ford Park
(use additional sheet if necessary)
Dat~ Received:
~Received
TOWN OF \VAlLg By Carolyn Godfreyat4:21 pm, Jan 21, 2015
12-Mar-2012