HomeMy WebLinkAboutsundance application.pdfI$ltrff 0r
Department of Community Development
75 South Frontage Road West
Vail, CO 81657
Tel:970479-2139
wunr.vailgov.com
BUILDING PERMIT APPLICATION
(Separate applications are required for Electrical, Alarm, Sprinkler & Public Way)
Proiect Street Address:4oo +. trq,r.< \<< Q-\ .
(Number) (Street)
Building/Complex Name:
Project #:
DRB #:
Building Permit #
Lot #: Block # Subdivision:
Work Class: New (L ) Addition (i vjr Alteration (, )
Type of Building:
Single-Family ( '' ) Duplex ('-' ) Multi-Fa mlly ('vf
Commercial (. ) Other (' )
Ltuto Work Type:
B'!h,8,
Proiect lnformation: r A
owner Name: \6\A-€N\ talr-,r.,tar{
Contact Phon"'
contact._,",,, vlL.s. *acntK-"=lblinly9_"9
Parcel #Z\-\. ,e\- \a-od\
(For Parcel #, contact Eagle County Assessors Office at (970)328-8640 or visit
www.eaglecou nty.us/patie)
Contractor lnformation
Business Name: 4"*r-\furc-U Q l.d
Business Address: Q"Bd( BVO.{
City Arta-t State: k Zip:
Contact Name
Signature (Required)
Applicant ln
Applicant Name:
Applicant Phone
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 infor-
Interior 1,',4'Exterior( ) Both (' )
Valuation of
Plans lncluded Work
Mechanical (r )Yes
Plumbing (. v'}fes
(.1No (L )Yes (- )No
(.')No (i:\i165 ( ')ruo {?aaa.-
Building ( )Yes (, r-)N-o (' )Yes (l )No
Total Value of all work being performed: $
(value based on IBC Seclion 109.3 & IRC Section 108.3)
Tooo --
Detailed Scope and Location of Work:
\rr-\S(4.-- € -,raQ Qvlrt tn ( @6( A€(
Q.<-
Appli cant r-rvrai r : u&€-r(^l & S+J.bluJa;<' ?'-u vG' A(
Additional Authorized ProjectDox Users
Full Name:
E-Mail:
Full Name
E-Mail:
(use additional sheet if necessary)
Date Received:
(use additional sheet if necessary)
(Suite #)
BuAust:
?L-\ a- bq\q-
\
".,,
For Office Use Only:
Fee Paid:
Received From:
Cash Check #
CC: Visa / MC Last 4+CC #
Auth #
exp date:
Rev.201s-Dec