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HomeMy WebLinkAboutD14-0014.pdfTOWN OF~ Department of Community Development 75 South Frontage Road Vail, CO 81657 Tel: 970-479-2128 www.vailgov.com Development Review Coordinator B ING PERMIT APPLICATION (Sep te applications are required for alarm & sprinkler) Project Street Address: . }:,)-~d~Q, ~\- (Number) (Street) (Suite#) Building/Complex Name: __,,Cm<-· """"'-~-=-'~--· _______ _ Contractor Information Business Name £>i~~ Gs-Gs~~ Business Address: 2::C?C\ l\h c\::.. (.,.-- City As.¥Q,\['\ State \, 0 Zip g;:\ ({) \ \. Contact Name W!A,L~ S'n.QA,\i. Contact Phone: C)lD -3\ \ -°\OL\3 Project#: __;,·?_R_:-y;:___:)_tf,,__· _~_C....:1 ;2:;._. _7_:__::::___ ___ _ ORB #: _D..L;:;.k::__f-13___:::_::~ _/_:_lf_O~d-"---'-1 _4-':__' ---- Building Permit#: -------------- Lot#: Block# __ Subdivision:-------- Work Class: New (0) Addition (0) Alteration ~ Type of Building: Single-Family ( Ol Duplex (a Multi-Family (Q) Commercial ~ Other (Q) __________ _ Contact E-Mail: w.s.\wc~o.@) O&~l/\(>N§,~\.o\.'.':. -lDYV\. Work Type: Interior 'J© Exterior (Q Both (Q I hereby acknowledge that I have read this application, filled out in full the information required, completed an accurate plot plan, and state that all the information as required is correct I agree to comply with the information and plot plan, to comply with all Town ordinances and state laws. and to build this structure according to the town's zoning and subdivision codes, design review ap- proved, International Building and Residential Codes and other ordinances of the Town applicable thereto. Valuation of Work Included Plans Included Work Electrical (@Yes QNo (({!)Yes (Oo ti:i 1~00 Mechanical @Yes QNo (BYes (QNo 'S,g,;Q Plumbing @Yes QNo @Yes 0No l~ ,DDu Building ((!)Yes 0No ~Yes QNo \5,C>\'.Jr;;J Value of all work being performed: $ £1 tj I()~' C>O (value based on IBC Section 109.3 & IRC Section 108.3) Electrical Square Footage Applicant Information \ \ Detailed Scope and Location of Work:-------- Applicant Name~~"'\ ~~-\S, ~ O!L\~ b.;~ ~) Applicant Phone 91 D ·-9 ~ s-7 \.o Ci{ e\R&tt~ ~ c}..-t:\e~ e_ '/(~b\-- Applicant E-Mail w~\q__~~o.S.y.%t.~\::.\Usvj\ \)e,~'b \.00.\\~ \\{\ 1d.14\r\\.v-tt a,~9 I Project Information \ , \ L) ~ , I\ Owner Name: Dt>~uG\i\ L TO -~ §b""-'1' \. ThC\>\'WJl Parcel#: 'l\ V \ C)~ l<).'\ ~CY~ (For Parcel#, contact Eagle County Assessors Office at (970-328-8640 or visit www.eaglecounty.us/patie) For Office llsc Only: Fee Paid:____ _ _ _____________ _ Received From: Cash ____ Check # ------~- CC: Visa I MC Last 4 CC # __ _ exp date: __ _ Auth # ___ _ ~ 'oc\\\~r ~~l\ (use additional sheet if necessary) Date Received: 2013-Feb 01 ~' •, ' ) i j