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HomeMy WebLinkAboutB16-0178.pdfTOWN OF~ .//~ /J5, /_. . ... ...._ Department of Community Development . , ,, 75 South Frontage Road ~~---) Vail, CO 81657 Tel: 970-479-2139 www.vailgov.com BUILDING PERMIT APPLICATION (Separate applications are required for alarm & sprinkler) ·-··---·-·-------------------------···--------·--·-···-·--·---·---·---r----------------------. i Project Street Address: ]70 '1>0±9+0 ?~+eh.. (Number) (Street) (Suite#) Building/Complex Name:------------- Contractor Information Business Name: 5~ \.\~-he. S'l J.\.~~-:. I""'-c...... Business Address: '"Po C3qt.. l~°3Cb3 viole.J-I-II\. ' City ~~5 k State: C 0> Zip: 8:/' 3 1 Contact Name: Vav..C-A-C :;>j'~ l l Contact Phone: 4. 7 o '6 °\ 0 5 2. 'lS' 9. Project#: ________________ _ ORB#: ""Df-Btb ~o 1so· Building Permit#: 61 h -0 l f <(;" Mf Lot#: Block# __ Subdivision:-------- Work Class: New ( Addition ( ) Alteration ( Type of Building: Single-Family ( ) Duplex ( ) Multi-Family ( ) Commercial ( ) Other {)<) __ '1-"-'l'l~~l.e-:t.~------ Contact E-Mail: S';\"'-~ic.. S<.'J.t~~~ &G-M .. ~( .Go~ Work Type: Interior ( ) Exterior C><J Both ( ) I hereby acknowledge that I have read this application, filled out Work Included Plans Included in full the information required, completed an accurate plot plan, and state that all the information as required is correct. I agree to comply with the information and plot plan, to comply with all Town .......-e-c-.tn~ca--.---=;:::::;~==:;:::=~==:;;;::::====:;::::;;::== ordinances and state laws, and to build this structure according to the town's zoning and subdivision codes, design review ap- proved, International Building and Residential Code~ and other ordinances of th Town applicable thereto. Mechanical ( )Yes ( )No ( )No X ( " 11 Plumbing ( )Yes ( )No ( )Yes ( )No Valuation of Work ~resen ve Signa re ( equired) _ . Building (>c()Yes ( )No_ . <. )Yes {ANo f/J"b{Jl1"t /lff'/Vfl U ~11£ .,[/: Value of all work being performed: $ I ~ Applicant lnfonnation ~( ::}::;c +hA, (value based on IBC Section 109.3 & IRC Section 108.3) Applicant Name: ----------------Detailed Scope and Location of Work:-------- Applicant Phone: ________________ 1tew.ew +~fbY--(.,o..J'-e-L-c..,.-~ Applicant E-Mail:--------------.......----r-f-.''j~w-a~-a_J~.S~o_lo=.s=f--~r-t___,,·...,,'ZJ~L..J---~-~-"-~'---S~6.J'-""-'d ......... s.___ Project Information frtJ ~"'6Z-.~ ' owner Name: ______________ ~~ Parcel#: J /61Oh3 i 9oOd- <For Parcel #, contactitagle 'County Assessors Office at (970..328-8640 or visit www.eaglecounty.uslpatle) For Office Use Only:. .. {JV _ q L{ Fee Paid: _______ . ___ o ____ --+-- Received From:-------------- cash Check# ___ _ CC: Visa I MC Last 4 CC # ___ _ exp date: __ _ Auth# ___ _ Rev. 2015-0ct ;J~ {-e Slc(jl~5k.k-a.A--Sourt- 1 -e.~-h:..._ -""'c::. t1 \a<:..(__ ~ s. bu\ l + s~~f<0M-L= (use additional s~µJ~~~=------:~ O ~©~OW~ ~IAY 2 0 2016 TOWN OF VAIL