HomeMy WebLinkAboutB15-0463.pdf Department of Community Development
75 South Frontage Road
Vail, CO 81657
TOWN O f VA l_ Tel: 970-479-2139
www.vailgov.com
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm & sprinkler)
Project Street Addre s: Project#:
/),(I �G� Q(�� .r � (, 14 Bldg 7E
DRB#:
(Number) (Street) (Suite#)
Village Center Building Permit#.
Building/Complex Name: g
Lot# _Block# Subdivision:
Contractor Information
Business Name: Rocky Mountain Construction Group
Business Address:
120 Willow Bridge RD Work Class: New(C ) Addition ( ) Alteration ( • )
City Vail State: Co Zip. 81657 Type of Building:
Single-Family(C) Duplex ( ) Multi-Family( • )
Contact Name: Mark Hallenbeck
Commercial((-') Other( )
Contact Phone: 719 499-9248
Contact E-Mail markh@rockymountainconstructiongroup.co Work Type: Interior([i) Exterior(C) Both ( )
I hereby acknowledge that I have read this application, filled out Valuation of
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
comply with the information and plot plan, to comply with all Town Electrical ( ,Yes ( )No Please submit
ordinances and state laws, and to build this structure according to electrical permit
the town's zoning and subdi ision codes, design review ap- application.
proved, International Buildi and Residential Codes and other Mechanical ((•)Yes (�)No ( )Yes ((�)No `/�STA,.00(
ordinances ofthe Town ap able thereto. J _
7
/ Plumbing )Yes (r)No (( 1)Yes )No // 200rw
X Building (C)Yes r)No ( )Yes (^)No I, DC70(0b
Owner/Owner's Representative nature(Required)
Value of all work being performed: $ 3,, 700 r OQ
Applicant Information (value based on IBC Section 109.3&IRC Section 108.3)
Applicant Name: Mark Hallenbeck Detailed Scope and Location of Work.
Applicant Phone:
970 499-9248 Installing Gas log set in existing wood burning fireplace
Applicant E-Mail: markh@rockymountainconstructiongroup.co with a clay tile flue lined with Thermal Crete. Using
existing gas service install in Village Center Association
2004 renovation.
Project Information
Owner Name: William Gilbert Trust Parcel#: ��O(C5;,b dCC��
O 3
(For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit
www.eaglecounty.us/pane) (use additional sheet if necessary)
For Office l'se Only: Date Received:
Fee Paid:
Received From:
Cash Check #
CC: Visa / MC Last 4 CC# exp date:
Auth # Rev. 2015-Oct