HomeMy WebLinkAboutB16-0128 Application.pdf~
TOWN OF \w'f_f!
Department of Community Development
75 South Frontage Road
Vail, CO 81657
Tel: 970-479-2139
www.vailgov.com
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm & sprinkler) .----------------------------------
(Number) (Street) (Suite#)
ORB#: __________________________________ _
: Project Street Address:
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Project#: ----------------------------------
Building/Complex Name: ___ --L.CA;~IJ='-+--------------Building Permit#: --1.6PI-""~"'------'O=--a.J >£01~~'--------
Contractor Information Lot#: Block# __ Subdivision: _______ _
Business Name: ------'(d"'T-I_,__t;_,ti._.LL_dt:L_Iu\ri~J'ub!.L..::=.<2_~~:......::...:(J-fi:__· _::__7~/-
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-. -. ---. . .
LJ 1· Work Class: New ( Add1t1on ( Alteration ~-~ Business Address: _ __,I.?'---"-'~..LE___,I'-"'2::..=..._L9_Z-=---------1 ~J ,
~-~~~,~~'·"··-~~~---~--,.~--~-~~---~---·~-~.··~~~--..~~-~-~-·~.---~---~-~---·~~--~-~-~---~~~~
I Type of Building: I
/ Single-Family ( )() Duplex ( ) Multi-Family ( ) !
! Commercial ( ) Other ( ) !
Contact Phone: 5 9 0 / 917 1 -/-~ c~:=~b:-~:~owlet:.,~: :::h~~::~L~II::~f=:~~:~,~~~~~~-:
in full the information required, completed an accurate plot plan, :1 Work Included Plans Included Work
and state that all the information as required is correct. I agree to ~I Electr·1c .... 1 ,v..._r ____ :::!. ( )Y~;~s C'YI~Ie 7 ........ , , ) 1\lo comply with the information and plot plan, to comply with all Town i ~ (I ~
ordinances and state laws, and to build this structure according to ! Mechanical ( )Yes ( ( ANo ( )Yes ( )No ~ !
the town's zoning and subdivision codes, design review ap-J Y' _-; l
prayed, International Buildin~ andRe · ential Codes and other ~:~. P_lumbing ( . )Yes _< ~o UYes (_).llil-_ ,.,..,-___ ~~ ordmances of the Town aP. h ereto. . , . . . _ --:;-/ ·, _ .. ~ Building~(_~.Y.es __ (-)No-(~es-(~)No-~700-Q_. 1
=--------------------,~~~:~~:~~~~~~~~-=~~o=~~----~·;3~~Jo;:·:-~ -··Lj) ! (value based on IBC Section 109.3 & IRC Section 108.3)
~ Electrical Square Footage ______ _ ~~-======================================--~ Applicant Information lo~t~ii~·dS~~P~~~d-.L~~~ti-~~-~fW~~k: ---······ ----------
ApplicantName: _ ____.....5"---~..l-.=!-.:--=:....___;, ________ , in{J4/ki7foq tJs=:-!1-e/,·~ul ~'e/'5
State: (Po Zip: ~/I Y ~
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Applicant Phone: ______________________________ ! ·T /; 1
~~~~~~~~~~~~~~~~~
Applicant E-Mail: ---------------------------------1' ~--~~~~~~~~~~~~==~~:
Project Information "!' K, ! ~ r I r-/' ,..--.} I
'Owner Name: / l/-C"T:Ll. ~!.f!/-rClj)Jft IV I (/) I
! r )-t-.t.F' i ---------------
1 Parcel#: ;l.. I dJ( IJ! OC( 0?-8 .
; (For Parcel#, contact Eagle County Assessors Office at (970-328-8640 or visit I -----------------------------------------i www.eaglecounty.us/patie) · i ! . I (use additional sheet if necessary) --------··----~-·--·-------------------1 ···--.. DaleR<Oei~~ ~ ~ ~ ~;) ~
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Received From: ___________________________ _
Cash Check # ________ _
CC: Visa I MC Last 4 CC # __ _ exp date: __ _
For Office Use Only: ..-J).. 3 ;:2..{0 1 S 3
Fee Paid: ___________ J ___________________ _
Auth# ____ _ TOWN OF VAIL
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