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HomeMy WebLinkAboutDore Building Permit Application.pdf Department of Community Development 75 South Frontage Road � � Vail, CO 81657 TOVVTel: 970-479-2128 www.vailgov.com Development Review Coordinator BUILDING PERMIT APPLICATION (Separate applications are required for alarm &sprinkler) Project Street Address: Project#: 100 Vail Road DRB#: {Number) (Street) {Suite#) Building/Complex Name: Private Residence Building Permit#: Contractor Information Lot#: Block# Subdivision: Business Name: Nedbo Construction Business Address: PO Box 3419 Work Class: New(O} Addition (0 Alteration (® City Vail State: CO Zip, 81658 Type of Building: Contact Name: Warren Krok Single-Family 0 Duplex Multi-Family 0 Commercial {0 Other 0 Contact Phone: 970-845-1001 Contact E-Mail: warren@nedbo.com Work Type: Interior 0 Exterior 0 Both(O 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 toElectrical ()Yes O)No oyes No 100f10 comply with the information and plot plan,to comply with all Town ..... U ordinances and state laws, and to build this structure according to Mechanical °Yes O)No (Yes ONo 10000 the town's zoning and subdivision codes, design review ap- proved, International Building and Residential Codes and other Plumbing ()Yes ( )No ()Yes ( jNo 10000 ordinances of the Town applicable thereto. 470000 ,. Building ()Yes (No ®Yes Ogg X 21/4 500000 Value of all work being performed: $ Owner/Owner's Representative Signature (Required) (value based on 1130 Section 109.3&IRC Section 108.3) Electrical Square Footage 13000 Applicant Information Detailed Scope and Location of Work: Applicant Name: Nedbo Construction Interior and Exterior demolition per plans including Applicant Phone: 970-845-1001 removal of interior finishes, exterior finishes, interior Applicant E-Mail: warren©nedbo.com partition walls, electrical and mechanical equipment Project Information and swimming pool-see plans for more detail Owner Name: William J Dore Living Trust Parcel#: 2101-082-18-006 (For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit www.eag lec o u nty.ustpatie) (use additional sheet if necessary) For Office Use Only: Fee Paid: Date Received: Received From: Cash Check# CC: Visa/ MC Last 4 CC# exp date: Auth # 12-Mar-20 12