HomeMy WebLinkAboutB16-0439.pdf Department of Community Development
75 South Frontage Road West
TOWN OF VAILVail, 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: Project#:
5020 Main Gore Place D-12
(Number) (Street) (Suite#) DRB#: 11
Building/Complex Name: Gore Creek Meadows Building Permit#: 6` 0 14 T(1
Project Information: Lot#: Block# Subdivision:
Owner Name: Ken and Chris Richey
Parcel# 21 p 1 - 124—.243 0s 12
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Work Class: New(C'') Addition (C) Alteration((i )
www.eaglecounty.us/patie)
Contractor Information Type of Building:
Single-Family(C') Duplex(C) Multi-Family((i')
Business Name: Buckwalter Construction, Inc. Commercial(C) Other( =)
Business Address: PO Box 879
City Castle Rock State: CO Zip: 80104 Work Type: Interior( ') Exterior(C) Both(C)
Contact Name: Evan Buckwalter
Contact Phone: 303-324-4488 Valuation of
evanbuckwalter@gnnail.com
Work Included Plans Included Work
Contact E-Mail: @g
I hereby acknowledge that I have read this application,filled out in full the Mechanical (i!)Yes (C)No (C)Yes (C')No 8000.00
information required,completed an accurate plot plan,and state that all /
the information as required is correct. I agree to comply with the infor- Plumbing (*)Yes (C)No ( ,,)Yes (C)No 10000.00
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 �, 42000.00
codes,design review approved,International Building and Residential Building ( i)Yes (r)No (C)Yes (C)No
Codes and other ordinances of the Town applicable thereto.
= =Total Value of all work being performed: $60000.00
X `)Ly Ad r `(value based on IBC Section 109.3&IRC Section 108.3)
Owner/Owner's Representative Signature(Required) Detailed Scope and Location of Work: New space plan and
Applicant Information remodel of the kitchen, including dropped beam in living
Applicant Name: Don Hanson
Applicant Phone:
303-210-3912 room to create more space as"great room". Update.3
info fullhouse.biz bathrooms, Relocated water heater and electrical panol.
Applicant E-Mail: @
Additional Authorized ProjectDox Users
Full Name: Don Hanson
Ewail:info@fullhouse.biz
Full Name: (use additional sheet if necessary)
E-Mail:
(use additional sheet if necessary)
Date Received:
For Office Use Only: 5 / I . ,/ C 11
Fee Paid:
Received From: D
Cash Check# OCT 14 2016
CC: Visa/ MC Last 4 CC# exp date: j
Auth #
Rev.2015-Dec
TOWN OF \Mi . ',