HomeMy WebLinkAboutB16-0195 Application... ---·-----,
Department of Community Development
75 South Frontage Road West
Vail, CO 81657
Tel: 970-479-2139
www.vailgov.com
BUILDING PERMIT APPLICATION
(Separate applications are required for Electrical, Alarm, Sprinkler & Public Way)
Project Street Address:
4595 Bighorn Road #A-W
(Number) (Street) (Suite #)
Building/Complex Name: Woodbridge Townhouse (No HOA)
Project Information:
OwnerName: FRC3LLC ..;....;...;_;_.;..i..;......;....;. __________________________ _
Parcel #2101-124-17-013
(For Parcel#, contact Eagle County Assessors Office at (970)328-8640 or visit
www.eaglecounty.us/patie)
Contractor Information
Business Name: Matthew King --------------------------------------------------------------
Business Address: P.O. Box 5601 -------------------------------------------------------------
City Vail State: CO Zip: 81658
Contact Name: Matt King --------------------------------------------------------------
Contact Phone: 970-471-6411
Contact E-Mail: mking1881@msn.com
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-
mation 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 approved, International Building and Residential
Codes and other ordinances of the Town applicable thereto.
Project #: ____________________________________ _
DRB#: ______________________ -=---------------------
Building Permit#: __ :fS....__c:....;_i-=b'-----'(j=''-1-l-Cf'--:::> ___ _
Lot#: Block #__ Subdivision: -----------------------------
Work Class: New (l) Addition <C> Alteration(\.)
Type of Building:
Single-Family (l) Duplex (le) Multi-Family {')
Commercial (l) Other (l) --------------------------------------
Work Type: Interior(\.) Exterior (l) Both{(')
Valuation of
Work Included Plans Included Work
Mechanical (')Yes (')No (lJYes (l)No N/A
Plumbing Ce'Wes (l)No (l)Yes (C)No 366.50
Building (')Yes (°')No (l)Yes (l)No
Total Value of all work being performed: $1?¢ ?;:~~, t;O -
(value based on IBC Section 109.3 & IRC Section 108.3)
tative Signature (Required) Detailed Scope and Location of Work: Change wood
Applicant Information a_,, '.r-.•• LL ~\ •• }j ;l. t-r \e~l..-d . '~...,... ... ~ ,,-~ :::"'~ ""'V. ~J-... burning fireplace to a gas fireplace by installing
Applicant Name: Mittb~w Km9 fQr FRC3, C ------=-·--'--------::__----'-------~---------=-------
a gas fireplace insert into existing fireplace and chimney
Applicant Phone: _~ __ 0_=3_2_8 __ 6_0 _15 ______________________ _
Applicant E-Mail: rnltiR~1881@111s11.eem b\.\...r'f\~.\-.\-. f~f i\.\~ t~n existing chimney chase
Additional Authorized ProjectDox Users
Full Name: Mike Burnett -Burnett Plumbing Heating Electric
E-Mail: burnettphe@icloud.com
Full Name: Colorado Comfort Products
E-Mail: Sharon@1ccp.com
(use additional sheet if necessary)
For Office Use Only:
Fee Paid:
Received From: _____________________________ _
Cash Check# _____________ _
CC: Visa I MC Last 4 CC # ______ _ exp date: __ _
Auth# ___ _
Rev. 2015-Dec
(use additional sheet if necessary)
Date Received:
MAY 2 "I 2016
TOWN OF VAIL '------~~----__;.~_.;..;.....;...=.,_......J