HomeMy WebLinkAboutB15-0027.pdfr I I TDWNOF~ Department of Community Development
75 South Frontage Road
Vail, CO 81657
Tel: 970-479-2139
www.vailgov.com
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm & sprinkler)
~roject Street Addr:e~: , ~ .._ . , ,~
) ... ] 53 ~\D.~ "¥ \ (\ f\ L( \:..... ~\. t._~J.-
(Number) (Street) ~~ .. C.:.. (Suite#)
Building/Complex Name: \\..,e 0 ~~" , ) (_(:ee\::
Contractor Information
Business Name:
Business Address: ) :?:i1.a9S' ~ , i..e "'-:"--\ ' ~~-_.,."'"-' ....... --= ................ ~~-· .... --_._ ___ _
State: Co Zip: 8 \~"i S---
Contact Name: --~-"-',"":Si:::;;;."...;"vt-c-..._ .. ~-----------
Contact Phone: C\,;:zo ~q.._""1,'7 -... Q).. C\,,5?
Contact E-Mail: 5> f'~ ~ '\.JCJ. • .1.' \. , 'C\.E: ~
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.
Applicant Information
Applicant Phone: -~s""'""~_g_..""]_,_~2--~D~~~°'~\'S_.._> _____ _
Project#: -~~b'-~I _S_' ---0 __ 0~~~~----
DRB #: _D-=-f_L-=~-'~5_. o_u_3_o _____ _
Building Permit#: .lS J .!_~ --CV.J ;)-/
Lot#: Block# __ Subdivision: _______ _
Work Class: New ( Addition ( V'( Alteration (
Type of Building:
Single-Family (
Commercial (
Duplex (
Other (
) Multi-Family ( ../"(
Work Type: Interior ~ Exterior ( Botr. i/;
Valuation of
Work Included Plans Included Work
Electrical
Mechanical
Plumbing
Building
)Yes
)Yes
( "'1Yes
( )Yes
)No
)No
)Yes
)Yes
)No (v)Yes
)No ( )Yes
)No
)No
)No '-'\9co.oo
)No
Value of all work being performed: $ \ ~. oo
(value based on IBC Section 109.3 & !RC Section 108.3)
Electrical Square Footage
Detailed Scope and Location of Work: _______ _
'
\ o.,S. ¥ ),,~.
Applicant E-Mail: Sob ~ , ic .. :J,. , r--.ia. ~. ;'> 1::;. ~ -\ ... -, \.\~-tJ\Cb~11 &~tt'.Ai~\:-Nn-V--r--~a.~.....,~-v--__,~--=l!?--.=---__,..~\-'~'~'~~~~'LD,__._u..~""'L-"='~-
Project ln~fonnation ~· . . 'l ~_';-f"="('. ..o\ ..,, -c..e
Owner Name:____:._::_:~~ \ ~ti' ~\.0"3\~s\'-\C\3 ~~ ~..\-e.,\.. £~ \oca~
Parcel #: · ' · · . · . · . atJL
(For Parcel#, contact Eagle County Assessorsotfice at (9i32i86400TViSi \ S:O " ODO
www.eaglecounty.us/patie)
(use additional sheet if necessary)
For Office Use Only: f 1;; ') .. s<J
Fee Paid: _____ I_ er:>'--__________ _
Received From: ______________ _ Date Received:
Cash Check# ___ _
CC: Visa / MC Last 4 CC # __ _
Auth# ___ _
exp date: __ _
TOWN OF~ Received
By Carolyn Godfrey at 2:35 pm, Feb 18, 2015
2014-0901