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HomeMy WebLinkAboutB15-0237 Application.pdf12-Mar-2012 Project Street Address: __________ ______________________________ ___________ (Number) (Street) (Suite #) Building/Complex Name: ________________________________ BUILDING PERMIT APPLICATION (Separate applications are required for alarm & sprinkler) Project #: __________________________________________ DRB #: ____________________________________________ Building Permit #: ___________________________________ Lot #: ____ Block #____ Subdivision: ___________________ Contractor Information Business Name: ________________________________________ Business Address: ______________________________________ City ______________________ State: _______ Zip: ____________ Contact Name: _________________________________________ Contact Phone: _________________________________________ Contact E-Mail: _________________________________________ 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. X___________________________________________________ Owner/Owner’s Representative Signature (Required) Applicant Information Applicant Name: ________________________________________ Applicant Phone: ________________________________________ Applicant E-Mail: ________________________________________ Detailed Scope and Location of Work: (use additional sheet if necessary) Work Class: New ( ) Addition ( ) Alteration ( ) Type of Building: Single-Family ( ) Duplex ( ) Multi-Family ( ) Commercial ( ) Other ( )__________________________ Work Type: Interior ( ) Exterior ( ) Both ( ) Project Information Owner Name: ________________________________________ Parcel #: ___________________________________________ (For Parcel #, contact Eagle County Assessors Office at (970-328-8640 or visit www.eaglecounty.us/patie) Value of all work being performed: $______________ (value based on IBC Section 109.3 & IRC Section 108.3) Electrical Square Footage ______________ For Office Use Only: Fee Paid: _________________________________________ Received From: ____________________________________ Cash _________ Check # ___________ CC: Visa / MC Last 4 CC # _________ exp date: ________ Auth # _________ Date Received: Work Included Plans Included Valuation of Work Electrical ( )Yes ( )No ( )Yes ( )No __________ Mechanical ( )Yes ( )No ( )Yes ( )No __________ Plumbing ( )Yes ( )No ( )Yes ( )No __________ Building ( )Yes ( )No ( )Yes ( )No ___ ______ Department of Community Development 75 South Frontage Road Vail, CO 81657 Tel: 970-479-2128 www.vailgov.com Development Review Coordinator 1630 Buffehr Creek Rd Elk Meadows Subdivision Solaris Property Owner, LLC 141 E Meadow Drive, Suite 211 Vail CO 81657 sharon cohn 303-550-4551 sharon@solarisvail.com Sharon Cohn 303-550-4551 sharon@solarisvail.com Bradley & Susan L Tjossem 2103-122-08-004 83000 83000 Exterior Facade Work to include: New Exterior Stone & Pavers, Metal Re-Roof, New Metal Railings, New garage and entry door, Re-Stain Logs and Siding sharon cohn