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HomeMy WebLinkAboutB16-0313 Application.pdf Department of Community Development 75 South.Frontage Road West TOWN OF MILLVail, CO 81657 Tel: 970-479-2139 www.vatlgov.com BUILDING PERMIT APPLICATION (Separate applications are required for Electrical,Alarm, Sprinkler&Public Way) Project Street Address: Project#: X63 LA/la lAJ Plg ce (Number) (Street) (Suite#) DRB#: Building/Complex Name: R;Lie r" Heti C-.O.not.o 'S Building.Permit#: lj J Project Information: I' I Lot#: Block# Subdivision: Owner Name: �;V Cr-. 140A Se, Coho10 A 55o C Iof Parcel#Zi o 1- oS2 - 16cok Th\-uNz\c -oS2- I hbl0 (For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Work Class: ::New(0) Addition (0) Alteration ( ) www.eaglecounty.uslpatie), Contractor Information Type of Building: Single-Family(0) Duplex( ) Multi-Family(0) Business Name: . CAI Cj vac{ Assoc i'at4 e S L Commercial (3 Other( ) Business Address: PO. S6X 5-0 City E-01 b✓at S State: Co Zip: SS( 6 3 Z Work Type: Interior 0) Exterior(O Both 0: Contact Name: CC,w`-L. SotAcr Contact Phone: (-70 - y Lt 5 - 70 7F, Valuation of f^ Work Included Plans Included Work Contact E-Mail: C�`r(CO ((-7 6 IA,' I hereby acknowledge that I have read this application,filled out in full the Mechanical 0Yes ONo (C)Yes C)No 4ap6:16) 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 ONo ()Yes ONo mation and plot plan,to comply with all Town ordinances and statelaws, and to build this structure according to the town's zoning and subdivision codes,design review approved,International Building and Residential Building 0Yes ONo Yes (C)Not7Z-19.1(:=- 4-0D Codes and other ordinancesof the Town applicable thereto. l Total Value of all work being performed: $ 7-.:2-)0:-Dv-DO X L �ti (value based on IBC Section 109.3&IRC Section 108.3) Owner/Owner's Represetntative Signature(Required) I� Detailed Scope and Location of Work: I2.evYv ve WC\.�� Applicant Information CeiL;1 c, on -1- wo levek d- common Applicant Name: ( CX\1-" 1U'vIce eV -10,lm�✓ e{eeh kc,.t I ' s �oY-- tine 1ns5a\110,4 e nn 11. . Applicant Phone: cl 7�. - y L 5 70 7 6 Applicant E-Mail: [OLINI ( l I ((�' L CvV)1 oST hew i sC' s(1;) v�(C�2� 5 sfi-�.v�- RC- . I v�skC^H (1C1,✓ 1wot(I o�neIkite ;r Alcch ' p Additional Authorized ProjectDox Users l ^e P Full Name: I I,�ibhc' Ie 1 c,ke.�' os neeo,tecii ex�vcre r nd Fc, v��:fig rncAick eX;51;> E-Mail: be o,r,9 (ill-' hY\ OV le , P�Se (p ." V�cteeh l�t4 e II� 1' � I D,1I LA/A,y, Full Name:. ( ithC�`1O+k (use additional sheet if necessary) / E-Mail: (A I (0 to; - Cv by (use additional sheet if necessary) Date Received: E © 5. O \V E For Office Use Only: D Fee Paid: AUG1 1 2016 Received From: Cash :# . CC: Visa/ MC Last 4 CC # exp date: TOWN OF VAIL Auth # Rev.2015-Dec