HomeMy WebLinkAboutB15-0029.pdfTOWN OF~ 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 Addrf\Ss: :\, (' "2 :l':r~=s "6.. ' """ '"~ \ c.\:..~ '-" .--:/
(Number) (Street) ~. C.... (Suite #)
Building/Complex Name: \.N:::.e.bc:· ... > ~k
Contractor Information
Business Name: S.~ ,.,,, c.,,. ?\~ '"" 'S
Business Address: ~~qy ~u"'\ ::>.... '-{
State: C..O Zip: ~\ t.4't $""
Contact Name: --'--'~"-"'""""""P>~-----------
Contact Phone: Cl\.::> <P -<3. ""7 7 -o *--'?\?
.---~~~~-=-~~~.,.....-~~~~~~~~~~~--. no::s-I S--Qo· .~ :7' Project#: __ If~ 1U'-' _______ --~D.~------
ORB#: _________________ _
Building Permit#: ___ .. _b~l_!_;_· _--(J __ u_··-~_a--+\,~--
Lot#: Block# __ Subdivision: _______ _
Work Class: New a Addition @' Alteration (0
Type of Building:
Single-Family 0 Duplex a Multi-Family R:5
Commercial 0 Other Q __________ _
ContactE-Mail: ~~~kType:
s.~ e ~-~
Interior@-Exterior 0 Both 0
Valuation of I hereby acknowledge that I have read this application, filled out
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
comply with the information and plot plan, to comply with all Town QYes Q)No QYes QNo
Qves QJNo QYes 0No ordinances and state laws, and to build this structure according to Mechanical
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 Name: ~"' b>~? ,,. \.co ...,, ~
Applicant Phone C\;?7 -o".::LO\ ~
Applicant E-Mail: ~~ '2 , , o' .. 1 ~ '"'T*"
Project Information . ~
Owner Name: bk or ).~::i;?'\--'-c ~ c -.........:::::
Parcel#: ':;Lto·?>\W~\\...\.co\ S:
(For Parcel #, contact Eagle CoufltY'ASiessors Office at (970-328-8640 or visit
www.eaglecounty.us/patie)
For Office Use Only: .i.L.JJ;·)
Fee Paid: ____ _,_~~-='-~c;r-________ _
Received From: _____________ _
cash Check # ____ _
CC: Visa / MC Last 4 CC # ___ _ exp date: __ _
Auth# ___ _
Plumbing
Building
0ves QNo e,Jves 0No ~\-Seo .ro
QYes QNo QYes QNo
Value of all work being performed: $ \f>oo • o 0
(value based on IBC Section 109.3 & IRC Section 108.3)
Electrical Square Footage
Detailed Scope and Location of Work: ~-------
(use additional sheet if necessary)
Date Received:
TOWN Of~ Received
By Carolyn Godfrey at 2:37 pm, Feb 18, 2015
I 2-Mar-2012