HomeMy WebLinkAboutB15-0030.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#: __ ~_.,_KS/ __ )_1_'_~,·_-_o_u __ ~_\_6 _____ _ Project Street Address:
'-~· ·~ ~ 33 ~ "t°"~ \ s;.ro. \:<..
(Number) (Street) 'e>~ C... (Suite#)
Building/Complex Name: _N--g~_..r""'~==--"---"-~...:;i-==-'--'-
Contractor Information
BusinessNarne: .S.~ S?~,, "Y".s
Business Address: ~C..'1:9' ~'1 ~'j
City ~..-31 State: C-o
Contact Name: _ ___..¥(:=-.,,..,e--.. ---------------
Contact Phone: q;->-, =(P';;)...:"\.1.$>
Contact E-Mail: -~S.-·\l......,.\,...,,-=-->;~l!!!:=-'"-L>-'c'"'...,""'' ,.,__.~,,___~~--"""-'.___
I hereby acknowledge that I have read this application, filled out
in full the information required, completed an accurate plot plan,
and state that all the information as required is correct. I agree to
comply with the information and plot plan, to comply with all Town
ordinances and state laws, and to build this structure according to
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other
ordinances of the Town applicable thereto.
Applicant Information
Applicant Name: _,..\!=•..._-.,-4µ~~-""'-"-"-"'""""'-=:....:c:-=...}::;__::"""'----
Applicant Phone: __ 9."-'-.?.-c-=;>..,.._-=-::.....s.O ......... :::>..._~--=~J?.,__ _____ _
Applicant E-Mail: __ s"'--'l~,_,_..\...o...._,,_;~=--'"-"'tc"""._:......,~,,,_._.r--~,ize'-"'k;==...---
Project Information 1
Owner Name: S,~~ .i.-\A.Q.:r::.C!..'S-i\s.E.."\'€!-
DRB#: ____ ,,_-=--------:------
Building Permit#: __ j$-"-_/_'-"=1-:__....___0_a_=_<,_. _<1 ____ _
Lot#: Block# __ Subdivision:--------
Work Class: New Q Addition Gr Alteration (Q
Type of Building:
Single-Family 0 Duplex LJ Multi-Family@;
Commercial Q Other Q __________ _
Work Type: Interior Q-" Exterior Q Both 0
Work Included
Electrical 0Yes QlNo
Mechanical Oves Q)No
Plumbing Qyes 0No
Building QYes QNo
Plans Included
QYes QNo
Qves QNo
Ql'es 0No
Qves QNo
Valuation of
Work
\$00 <JO
Value of all work being performed: $ \St:;c:? , oO
(value based on IBC Section 109.3 & IRC Section 108.3)
Electrical Square Footage
Detailed Scope and Location of Work: --------
\,$}') .. 000 Parcel#: '":::L. \O -~ \":\, ?°) \Y c.., \ (,;: --~~--.....-~~-----------
(For Parcel#, contact Eagle County Assessors Office at (970-328-8640 or visit
www.eaglecounty.us/patie)
For Office Use Only: __p,. ·-U
Fee Paid: ____ :lf ____ 1 {~·_J_. _, __ -._. _____ _
Received From:---------------
Cash Check # ____ _
CC: Visa / MC Last 4 CC # ___ _ exp date: __ _
Auth# ___ _
(use additional sheet if necessary)
Date Received:
TOWN Of~ Received
By Carolyn Godfrey at 2:37 pm, Feb 18, 2015
I 2-Mar-2012