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HomeMy WebLinkAboutB16-0071.pdfTOWN OF~ 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: .... -S-,75 vf~ ,./ )1-///e-,.,, L/,-. (Number) (Street) ./ (A7) _:ta,9 (Suite#) Building/Complex Name: /?" ce /7 0 ,-)~ I' / L oc-/c.--,e v Project Information: l:>ou0:'.-I ~I LL-C Owner Name: G <? o-ry e 11:~ h //e Ver- Parcel # 2 -10 10 8 / C>.5-0 0 Z (For Parcel#, contact Eagle County Assessors Office at (970)328-8640 or visit www.eaglecounty.us/patie) Project#:------------------ DRB#: __________ ~_...-+------ Building Permit#: _12;_....."""l~bcao<-~-O_O __ /_{--'--.. ___ _ Lot#: Block# __ Subdivision:-------- Work Class: New(\ ) Addition ((~) Alteration (lX) Contractor Information Type of Building: . , . . . Single-Family (l) Duplex (l) Multi-FamilyKJ Business Name~ G-r\(y'G>-f"Y U'-'s (J'H + a'>i'l"'1P. Commercial (l) Other((') __________ _ Business Address: // 0 do y -/ ..9.9./ City /'./Yo '--' State: CO Zip: 8 -/" 6 2 0 Work Type: Interior (iX) Exterior(\) Both (\) Contact Name: G~QTq c..,:> GPqO=r"y" v <7 -;r- Contact Phone: !) 7 0 · ,,;/ 71 ?--:1. 3 6 I hereby acknowledge that I have read this application, filled out in full the infonnation 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, Intern · nal Building and Residential Code~and other ordinan the T w applicable thereto. F ,P Applicant Information Applicant Name: L;fh'.sb~ ~ca::u-rs er U-,Q/7.:--, Applicant Phone: .9 7C' -~ 7 C> --7 860 Applicant E-Mail:C//~:S • .c;'Cz.._, C>'/'?'ece/;-/u.pe/. Additional Authorized ProjectDox Users //~,/ Full Name: ------------------- E-Mail: ____________________ _ Full Name: ------------------- E-Mail: ____________________ _ (use additional sheet if necessary) For Office Use Only:,J,.._ l{ :vi . b ( _ Fee Paid:------~"------,_)()--------- Received From: ______________ _ Cash Check # ____ _ CC: Visa I MC Last 4 CC # ___ _ exp date: __ _ Auth# ___ _ Rev. 2015-Dec Valuation of Work Included Plans Included Work {')Yes .)No {'JYes (l)No Plumbing .Yes (l)No (l)Yes ((~)No k~coo. - Building ~)Yes (C')No (l)Yes (l)No .d3.CW.·- Total Value of all work being performed: $ ~.:;:? C 'C'C'. --- (value based on IBC Section 109.3 & IRC Section 108.3) Detailed Scope and Location of Work: ;Ji.,,a,-ro0.~L'-3 d:zd.~s·, ,.{.,5,b//,,..,,,e',,.v y..z.n-,4,, ca~,,_,,e',,j. luv-<e /cr-n~s-r~kr-§ ~c/ /~ce?{. /?cu// I > 2 CCP<-<sh.?'-'f SdtJ>p.J«Zr, ;e l,k &ue k~-~./ 7 &f<ci ~(/HP~<.) 61k Q <--< o.LZ" -ia/Ac~ /./650-r..:.·~ 4---?7'~/ qx/d".,,:-' Co., ~ ~ , l 15/~ // :/ Hl"~4:J c4'o:r (use additional sheet if necessary) Date Received :rr:::~-;:;;:;-~:-:::::.--=--:""~---~ ©~OW'~ n MAR 2 J 2016 LJ TOWN OF VAIL