HomeMy WebLinkAboutB16-0352 Application.pdfDepartment of Community Development
75 South Frontage Road West
Vail, CO 81657
Tel: 970-479-2139
www.vailgov.com
WINDOW/DOOR REPLACEMENT PERMIT APPLICATION
(Permit fee= standard building fees and design review fee)
/ Project Street Address:
i ~-to Mk .J t-,di?S
1 (Number) (Street) (Suite#)
Building/Complex Name: c;;,dZ! (&.qrg /1::~~--~
Project Information: ,
Owner Name: -:J:1«#'+ ~iJtVZuf't ~~.1
Parcel# ·zto 1--1 Zi.f·->Z<,J -ex? I
(For Parcel#, contact Eagle County Assessors Office at (970)328-8640 or visit
www.eaglecounty.us/patie)
Contractor Information
Business Name: br,( tnt:t!.€~ ~t.i;t(&ZS Lrf:)
Business Address: __ P,_..__; =0=--· ::_' -=XS.,. ~i:>L.)<l::__::/c..:(;"'--.,-<?~5,__ ___ _
City £ A-bt L6 State: Co Zip: 5$ l ~~ I
Contact Name: Do ~ot-6-, CA-5 _Am8tfU'.C7
Contact Phone: Cl /<;?) !) &/ 0-· 41K!> CJ
Type of Building: I Single Family ( ) Duplex ( Multi-Family (t/)
I I Commercial ( )
I
I Submi~yJrements:.----:-. _ __1
.
1
• {JQmt Pro ect . .:i@W,til.~ri!'\N~p.r.o.vai.Letter~(duplex.o.B
mCilti-famil~-":::.....-..J'-
i • an se s indicating: I I • Floor plans showing window/door location(s) and I elevations (window schedule may be substituted for
i elevations) ..<!!if'· /
I s· f-· ~" • d----------e?""' • . ~~~79 <~!~_,,.9~~<;·~,<:~~71?~~~,[~-§~~U\'
• ~al~:~e-oH'IIih'i:fows""(..../' ./"'
• rM~t·e~_ial~~t.s-:ar:n:n:olor~of.wrna6yvs/oa6f81..........-.._(musFMatth'~iyl&~fif8"i%i~i-'Hfb'i:liii:ilii~)""'1·~u""T:.:t -~,,..~~,'tY..,··~,.., .. )"'·-:~.-r',:;';'-':~-r~:-':"':1 ~ • iFu_II'IJiev~uelevationfp"notos~of-all~sideslofeoi:lildlng\'lf L-.:~~~~:~2..~·~z~;~~:.lt~'-;;.<i!~~-:.:.~~.at-.:r ~-:-.4.:.-.=.J-'-~_. ..... -..-.· ... , •• .~ ............. ~.r_. ~ · .... ~
*Please note that any change in size of opening will require full
ORB & Building Review.
Contact E-Mail: )'::> "'-'·~' C. A -~-t:' fZ~n C) ~P IJ.#C0 Cd:-·':?~,... ..., ,-CA-l .., '""rrA'I RC~ -, '(!( Y. '" I Detailed Scope and Location of Work: ffl'tki:/MCA""? .... ,..
I hereby acknowledge that I have read this application, filled out in full the £rt(!r? Lt> ~.;.J i:>--:>Gj t..J/ C,A;;.t{~;Jil?'? ,;p? t.c.:;J,-.....;,nz~
information required, completed an accurate plot plan, and state that all r c:""'' • 1 r -. -.:P.
the information as required is correct. I agree to comply with the infer-!1""' ..;:::. l-u COt-'Z,J6.Z. e;;z. /i~U&:'?'if'r;Z ~~ Wl;'l)."'f :1
~n~i~: ~~~~~~~~~~~~{~r~~~b~d~~~ t~\~~~~w0~~i~~~fne; :~1 :~~~~~%s~ tZtf '"---~-tAu.. &/f'UZ,orz 7/Zt,.z + t..Jf'.:Si?Lo'e_
codes, design revie~ appro d ternational ~uilding and Residential dS't"-\t:. , fbi..,.("? ?"c.> ,~c:i-1--6-'*S"-*N~
Codes and other ord1nan e Town applicable thereto. ./ 1~-~~-~M~-~~~~~t!u·_rf~6~c~e~r.s~~~~~~·~-----------------X~--'-/ ~~ . I (use additional sheet if necessary)
OwRef15wner's Representat~y,.Signature (~squired) r·c~------------------------,
Applicant Information (' _ ... ./ l Valuation
_.,jt Work Included Plans Included of Work
Applicant Name: J)(f2 t:.-t ~;rL(q.~----<hlw~ &•S'f2'6'2 I
Applicant Phone: Cq I~) !)q.-c; -c::/S.S'!>"l I ~uilding ( )Yes ( )No )Yes ( )No
Applicant E-Mail: -~~-"-'.r-..=-=CL=~=··~ -''"~~~=~~ . .;~-==~=.t,l____s.;n~u?:...:Art:=-=· ::.::m::...::..=Cfl;=----~---------1-/. ~?' ·z ~ ~rv ~ ,~~li~ -~z. · • · -·~Value of all work being performed: $({? -:;;.£-, --
Additional Authorized ProjectDox Users ! (value based on IBC Section 109.3 & IRC Section 108.3)
Full Name: -------------------Date Received:
E-Mail: ___________________ _
Full Name: --------------------
E-Mail:. ____________________ _
i (use additional sheet if necessary)
I l
For Office Use Only:
Fee Paid:------------------
Received From: _______________ _
Cash Check# ____ _
CC: Visa I MC Last 4 CC # Auth #: ___ _
Project#:-------::-------------
Building Permit#: _ _,_&,4-1.11o{_·~06.3....&..!.S..!.<J~-----------
Lot#: Block# __ Subdivision: _______ _
2015-Dec