HomeMy WebLinkAboutB16-0282.pdf Department of Community Development
75 South Frontage Road West
Vail,CO 81657
°)1
TOWN OF VA1L Tel: 970-479-2139
www.vailgov.com
WINDOW/DOOR REPLACEMENT PERMIT APPLICATION
(Permit fee= standard building fees and design review fee)
Project Street Address: Type of Building:
4284 C Columbine C Single Family( ) Duplex( • ) Multi-Family( )
(Number) (Street) (Suite#) Commercial ( )
Building/Complex Name:
Project Information: Submittal Requirements:
Owner Name: Ruthanne&Gary Polidori • Joint Property Owner Written Approval Letter(duplex or
multi-family HOA)
Parcel#2101-122-29-001 • Two(2)plan sets indicating:
(For Parcel#,contact Eagle County Assessors Office at(870)328-8640 or visit • Floor plans showing window/door location(s)and
www.eaglecounty.uslpatie) elevations(window schedule may be substituted for
elevations)
Contractor Information • Size of windows/doors and openings
• U-Value of windows
Business Name: Gravina's Window Center • Material, cut sheets and color of windows/doors
Business Address: 89 West Littleton Blvd. (must match style and color of building)
• Full view elevation photos of all sides of building
City Littleton State: CO Zip: 80120
Mike Graving *Please note that any change in size of opening will require full
Contact Name DRB&Building Review.
Contact Phone: 303 7940490
Contact E-Mail: mikegravina@gravinawindow.com
Detailed Scope and Location of Work:
I hereby acknowledge that I have read this application,filled out in full the Replace 30 windows same for same. Coordinating with
information required,completed an accurate plot plan,and state that all DRB 16-0154
the information as required is correct. I agree to comply with the infor-
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 Residential
Codes and other ordinances of the Town applicable thereto.
X (use additional sheet if necessary)
Owner/Owner's Representative Signature(Required)
Applicant Information Valuation
Work Included Plans Included of Work
Applicant Name: Ruthanne Polidori
Applicant Phone: 303 697-5991 Building ®Yes (ON° (l®Yes (ONo
Applicant E-Mail: randiepolidori@comcast.net
Value of all work being performed: $$50,523.00
Additional Authorized ProjectDox Users (value based on IBC Sedion 109.3&IRC Section 108.3)
Full Name: Date Received:
E-Mail: (��� E �l ��7
Full Name: J �/ h
E-Mail:(use additional sheet if necessary) JULU25 2016
A ► I. •
For Office Use Only: Project#:
Fee Paid:
Received From: Building Permit#:
Cash Check#
CC: Visa/MC Last 4 CC# Auth#: Lot#: Block# Subdivision:
2015-Dec