HomeMy WebLinkAboutB16-0373.pdf ( Department of Community Development
75 South Frontage Road West
TOWN OF VAIL 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:
‘3313 t{kNt oW . e. Project#:
(Number) (Street) (Suite#) DRB#:
Building/Complex Name: pvQ wd Building Permit#: 4.71 S1 3
Project Informati n: Lot#: Block# Subdivision:
Owner Name: Y.—VAS -1-' PL 14 {TEt.aAr-
Parcel# 2-10S -12.\ "" 223 DO `
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Work Class: New( ) Addition ( ) Alteration X)
www.eaglecounty.us/patie)
Type of Building:
Contractor Information
Single-Family( ) Duplex( ) Multi-Family "
Business Name: e-OZ. .E Lt STjete../-(hf.I Commercial( ) Other( )
Business Address:1>b b1G Ii-11
City V.acal..� State: CO Zip: t:.1L 1 Work Type: Interior(X) Exterior( ) Both ( )
Contact Name: kil - V%C !I4Z.Le
Contact Phone: - O — - Valuation of
Work Included Plans Included Work
Contact E-Mai , - ._, -' I. , 4 L_ •(PA
I hereby acknowledge that I have read this application,filled out in full the Mechanical ()(),Yes ( )No ( )Yes ( )No _11DM
information required,completed an accurate plot plan,and state that all r O! ea)
information as required is correct. I agree to comply with the infor- Plumbing ();Yes
�Yes ( )No ( )Yes ( )No l
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,International Building and R-sidential Building ( Yes ( )No ( )Yes ( )No 11_0,1000,
Codes a 4 ot -I•rdinances of the Town -••' e there ..
) .,:,} _
o, _ -- Total Value of all work being performed: $ l 5t.Oj O ..."1-
X A s.� (value based on IBC Section 109.3&IRC Section 108.3)
0 er/Owner's -epresentative Signature(R-mired) Detailed Scope and Location of Work: 1-T1e N sN
Applicant Informationf '-- p, tfir— �v6C��N
Applicant Name: i.t( 5 Tt_t.1.&C_. �u��
Applicant Phone: 219 X30 -205 %•-,e-1-4 ��
Applicant E-Mail: b�.A.00\I' A (. &}(b, .e_ArM
Additional Authorized ProjectDox Users 14V- kcd1461% ebb ?u.A14
Full Name:
E-Mail:
Full Name: (use additional sheet if necessary)
E-Mail:
(use additional sheet if necessa , -------s\\
Date Received: Y /7---T" '
For Office Use Only: 1,( / P-E- ' ,U ;I I
Fee Paid: �( ,8 2016 1il
^
Received From: , SEP 0� ` I
II
Cash Check# lK. ...„,_1
CC: Visa/MC Last 4 CC# exp date: N OF VAIL.
Auth # 4 ,f/,,_i 3
I S—_OGJ Rev.2015-Dec
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