HomeMy WebLinkAboutB15-0363 Application.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 Address:
1470-78 BUFFEHR CREEK ROAD #7-11
(Number) (Street) (Suite#)
Building/Complex Name: GROUSE GLEN AT VAIL
Contractor Information
Business Name: ENCORE ELECTRIC
Business Address: 77 METCALF ROAD
City AVON State: _C_O __ Zip: 81620
Contact Name: RJ VIK/DEAN VINCENT
Contact Phone: 970-949-9277
Contact E-Mail: rj.vik@EncoreElectric.com
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
ordin~iof th,e To;: app)icabl~ thereto. ~-
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Owner/Owner's Representative Signat
Applicant Information
Applicant Name: GROUSE GLEN AT VAIL CONDO ASSOC
Applicant Phone: 970-471-0764, CAROL KRUEGER
Applicant E-Mail: ckrueger@kruegervail.com
Project Information
Owner Name: GROUSE GLEN AT VAIL
Parcel#: 2103-122-06-007 THRU 011
(For Parcel #, contact Eagle County Assessors Office at (970-328-8640 or visit
www.eaglecounty.us/patie)
For Office Use Only:
Fee Paid:------------------
Received From: --------------~ Cash Check # ____ _
CC: Visa / MC Last 4 CC # __ _ exp date: __ _
Auth # ___ _
.--~~~~~~~~~~~~~~~~~~~~~-,
Project#:------------------
ORB#: __________________ _
Building Permit#: ---------------
Lot#: Block# __ Subdivision: _______ _
Work Class: New O Addition O Alteration ({!)
Type of Building:
Single-Family O Duplex a Multi-Family t0
Commercial O Other Q __________ _
Work Type: Interior Q Exterior@ Both Q
Valuation of
Work Included Plans Included Work
Electrical @Yes Q)No (!)Yes QNo 10698
Mechanical QYes @)No QYes (!}No
Plumbing QYes (!)No QYes (!)No
Building (!)Yes QNo QYes QNo 12920
Value of all work being performed: $ ____ 2_3_6_18_
(value based on IBC Section 109.3 & IRC Section 108.3)
Electrical Square Footage
Detailed Scope and Location of Work: --------
SEE ADDENDUM
(use additional sheet if necessary)
Date Received:
12-Mar-2012