HomeMy WebLinkAboutD14-0017 Application.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAIL " 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: Project#:
193 GORE CREEK DRIVE B
DRB#:
(Number) (Street) (Suite#)
Building/Complex Name: Building Permit#:
Contractor Information Lot#: Block# Subdivision:
Business Name. LULULEMON
Business Address:
1818 CORNWALL AVE Work Class: New(0) Addition (0) Alteration (Q)
City VANCOUVER State: B.C. Zip: V6J1 C7 Type of Building:
Contact Name:
HETAL SHAW Single-Family(0 Duplex(p, Multi-Family(0)
Commercial ( s® Other(0)
Contact Phone: 310-263-3500
Contact E-Mail: hshah@menemshasolutions.com Work Type: Interior(J Exterior(0 Both(0
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 Electrical (OYes ONo (01'es (ONo 2000
comply with the information and plot plan, to comply with all Town
ordinances and state laws, and to build this structure according to Mechanical CYes e)No °Yes (ONo
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing ( Yes fONo ( Yes €No
ordinances the Town applicable thereto. Building ((Yes I DNo ®i Yes QNo 10000
Xtc1_,,L (7—)C: Value of all work being performed: $ 12000
Owner/Owner's Representative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3)
Electrical Square Footage 1611
Applicant Information Detailed Scope and Location of Work: REMOVAL OF
Applicant Name: BLAINE BAUMAN EXISTING PARTITION WALLS, FURNITURE, ACT
Applicant Phone: 310-263-3547 CEILING, CONCRETE STAIRS, PREP ALL
Applicant E-Mail: bbauman@menemshasolutions.com SURFACES FOR NEW FIXTURES AND/OR
Project Information FINISHES, AND ABATEMENT OF ASBESTOS IN
Owner Name: GORE CREEK PLAZA, LLC
CEILING FINISH (PERFORMED BY PROFESSIONAL
Parcel#: 2101-082-13-016
(For Parcel#,contact Eagle County Assessors Office at(970428-8640 or visit HAZMAT SERVICE PRIOR TO CONSTRUCTION)
www.eag Iecounty.uslpatie)
(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 #
2013-Feb 01