HomeMy WebLinkAboutB16-0106.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: I
I OD £. M1ocJow ])r.
(Number) (Street) (Suite#)
Building/Complex Name: ~ \ \\ 0 j e P\ IA z ~
Project lnforma~ipl'\: ....("', I
Owner Name: VL11fvt-hM :LlifVl te.S ,
Parcel # 210 l · (') 8 ~ · 5 f.o · 0 4 l
(For Parcel#, contact Eagle County Assessors Office at (970)328-8640 or visit
www.eaglecounty.us/patie)
Contractor Information
Business Name: UI .£ ~ v\ssoCAO'.t.ts
Business Address: Cf1 t-\tAj 11 5/-.
City GlwCi..-JS State: eo Zip: 8'flg3J.._.
Contact Name~det. \.Uoo ~ .f-f
Contact Phone: 93-0 30(.p 1:3 3--°1.
Contact E-Mail: ~b~@ ulf bult. Corn
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, lnternatio I Building and Resid ·
Codes and other ordinances of the T wn plicable there
ner's R present i
Applicant lnformati: !
Applicant Name: R~ Woodruff .
Applicant Phone: C)1D 30(., f3=J-Ct.
Applicant E-Mail: RhottJ~@u\fbt.U lt .CCfW\
Additional Au th of ized Projectoox Users
Full Name: CM" &'u..33ev'Y\.CLV'"' ·
E-Mail: Co,r l @ uJ.C PW l} . C l/YYL
Full Name: LI If. UVttlco th ·
E-Mail: \A\?@ ulf bw l!-. ( G-W\
(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
Project#:------------------
ORB#: _________________ ~
Building Permit#:---------------
Lot#: Block# __ Subdivision: --------
Work Class: New <O) Addition <0) Alteration~
Type of Building:
Single-Family (0 Duplex a Multi-Family~
Commercial <0 Other (O __________ _
Work Type: Interior p( Exterior <O Both Q
Valuation of
Work Included Plans Included Work
Mechanical 'Jl)ves
Plumbing pves
Building ~Yes
0No Qves 0No
QNo Qves QNo
5,ooD
2 1-Z.oo.
QNo Qves QNo /14, 2//L/ i
Total Value of all work being performed: $ } Z I, LP IL/
(value based on IBC Section 109.3 & IRC Section 108.3) '
Detailed Scope and Location of Work: e., fr)(,~ f fll!. wrrf,
Cu-/ dol{)tl 'f'f(_rf/11: l/{)µ;-J,, -lo f11cluu ~3111.
._; I
New Bar 10 7P'r 111 Rrpfll · tJtvJ dz1v
har)wat/1. flrt'cl f\)'{,t..J c/p'p,·.S '" bc./hr
rfltJclrfl/ clos~I c) .. .R/v1xr Niu.· .""a i1,.::-·1 · /
*!lot J21 fl a hr,fh cic/d2£~ dfl/ as p11r-
2
p I,,,., . it ddt 11 c I h ( le} & .Jj, ?:JS
<. s oo
TOWN OF VAIL