HomeMy WebLinkAboutB15-0013 Application.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAILVail, 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#:
3000 booth falls rd
(Number) (Street) (Suite#) DRB#:
Building/Complex Name:
vail mountain school Building Permit#:
Contractor Information Lot#: Block# Subdivision:
Business Name: Birdseye custom carpentry
Business Address:
P.O. Box 161 Work Class: New 0 Addition 0 Alteration(0
City Redcliff State: Co Zip: 81649 Type of Building:
Jason Salani Single-Family 0 Duplex 0 Multi-Family 0
Contact Name: Commercial 0 Other 0
Contact Phone: 970-376-8849
Contact E-Mail: birdseyeccrc@gmail.com Work Type: Interior 0 Exterior Q Both 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 ElectricalYes ONo ®Yes ONo
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 ONo
the town's zoning and subdivision codes, design review ap-
proved,Intemational Building and Residential Codes and other Plumbing ()Yes ONo ()Yes ONo
ordinances of the Town applicable thereto.
Building ®Yes ONo ()Yes ONo 6000.00
Value of all work being performed: $ 6000
Owner/Owner's Representative Signature(Require t-'n,s (value based on IBC Section 109.3&IRC Section 108.3)
Electrical Square Footage
Applicant Information Detailed Scope and Location of Work: creating storage
Applicant Name: Brian Counselman area under stair well
Applicant Phone: 970-477-7165 office 970-390-9648 cell
Applicant E-Mail: bcounselman@vms.edu ***please send all correspondance to applicant
Project Information Brian Counselman Facility Manager @ VMS
Owner Name: vail mountain school
Parcel#: 2101-023-0600-1
(For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or Watt
www.eaglecounty.us/patie)
(use additional sheet if necessary)
For Office Use Only: Date Received:
Fee Paid:
Received From:
Cash _ Check#
CC: Visa/MC Last 4 CC# exp date:
Auth#
12-Mar-2012