HomeMy WebLinkAboutB16-0353.pdf 08-29-16; 11 : 38 ; 9704792157 ; # 2/ 15
Department of Community Development
Ij 75 South Frontage Road West
TOWN OF UAIL' __ Tel�97o 477 O$2139
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www.vailgov.com
BUILDING PERMIT APPLICATION
(Separate applications are required for Electrical,Alarm,Sprinkler& Public VVay)
Project Shoat Address: Project#:
1.2)65". 3 y x�bu,r. f______1414‘
—
(Number) (Street) (Suite#) ORB#:
Building/Complex Name: Building Permit#: -- l e7 035-3
Project Information: ,.. Lot#: Block# Subdivision:
Owner Name: lr�;qui Z5.
Parcel# 2I01 . 0' - 03 - o33 — ----
(For Parcel#,contact Eagle County Assessors Office at(970)320.864e or visit Work Clash: New(C)) Addition(0) Alteration(i)
www.saglscounty.uslpatis)
Type of Building:
Contractor Information
1 �k1y 1`\ Single-Family(0) Duplex(0) Multi-Family(0)
Business Name: FredtS iON,A5 t t\Cn itk_5&+Vice, Commercial(0) Other(0)
Business Address: t . crt* XU
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City ��L State; CO Zip: �.�� Work Type- Interior�) Exterior(( ) Both(0)
Contact N ®- /' � ito:� . .. T -
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Contact Phone: ?7.51
Sze /O? Valuation of
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Contact E-Mail: (;#!•i L i , r✓t • Cool Work Included Plans Included Work
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I hereby acknowledge that I have read this application,filled out In full the Mechanical 0Yes (0)No (C)Yes (0)No12,�0/2.00
Information required,completed an accurate plot plan,and state that all i + �� FZ
the information as required is correct_ I agree to comply with the infor- ;Plumbing ( ))Yen (0)Nu (C)Yen (C)Nomallan and plot plan,to comply with all Town ordinances and state laws, . a
and to build this structure according to the town's zoning and subdivision fi
codes,design review approved,International Building and Residential l3uikting (0)Yes ( ))111c (C Yes (C)No 1
Codes and other ordinances of the Town applicable thereto. ----------------...—f
- Total Value of all work being performed: $ 5, ..Jl . Z-
X (value based on IBC Section 109,3&IRC Section 108,3)
Owne wner's Represents S nature !red) p — _.._._.....
Detailed Scope and Location of Work:
Applicant Information
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Applicant Name: FieJ ,.,op;,koro.._.
likepAte d t i i .k, fooµ, .
Applicant Phone: lost 0Qy0
Applicant E-Mail: 0 ?c4 / #CtVCc-.G .*1 4 �.),/...„4„....- ,7i. y
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Additional Authorized ProlectDox Users itr
�i? 2 ' '> ,z wu�'' 14 A
Full Name: 14111 ofelf 4 6 V2f AV4/ 1 #ie'4j 4'04,1144_
E-Mail: UIrt- iA fec.t 5/70 Vie, Atiee..
Full Name: (use additional sheet If necessary)
E-Mail:
(use additional sheet if necessary) --1 I--, - \n
Date Received: -� H � , L_, u u �•-, 1- 1
For Office Use Only: - l .1 > —j 5 --, I j
1AUG 3 0 2016
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp date: L TOWN OF VA I L
Auh#
Rev.2015-Dec