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HomeMy WebLinkAboutB16-0208.pdfTOWllOF~ Department of Community Development 75 South Frontage Road West 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: 770 POTATO PATCH #10 . (Number) (Street) (Suite #) Building/Complex Name: POTATO PATCH CONDOMINIUMS Project Information: 1 Owner Name: ~tege~ JR.<;.~ M.H· Parcel # 'A.{_ - - -~ - -I °I -0 I a (For Parcel#, contact Eagle County Assessors Office at (970)328-8640 or visit www.eaglecounty.us/patle) Contractor Information Project#:----------------- DRB #: UBI G-( Building Permit#: b J f) -0 dfJ<t Lot#: Block# __ Subdivision:-------- Work Class: New (0) Addition((') Alteration (« Type of Building: ... / Single-Family (0) Duplex (0) Multi-Family((./) Business Name: SYNTHETIC SIDINGS, INC· commercial (0) Other (0) _________ _ Business Address: P. 0. ROX ! 330 33 VIOLET LANE City _E_A_G_L_E _____ State: CO Zip: 81631 Contact Name: __ VA_N_C_E_" _C_A_R_R_O_L_L ________ _ Contact Phone: ----"9_,_7_..0'--'"'3""9.,.0---"'5-=2 ..... 9_,.8 ..... 9 _______ _ Contact E-Mail: SYNTfIETICSIDINGS(iilgmail. com I hereby acknowledge that I have read this application, filled out 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 infor- mation and plot plan, to comply with all Town ordinances and state laws, and to build this structure according to the town' oning and subdivision codes, design re~;mriii':froved, lnte · uilding and Residential ~°"~/ ,/re~~U ~ •p~;"b oto. Owner/Owner's Representative Signature (Required) Applicant Information Applicant Name: ----------------- Applicant Phone:----------------- Applicant E-Mail:----------------- Additional Authorized ProjectDox Users Full Name: ------------------ E-Mail: ___________________ _ Full Name: ------------------ E-Mail: ___________________ _ (use additional sheet~- For Office Use Only: ) \ ct , ;;J-0 Fee Paid: ----+'--fl'------'--1-------r-- Received From: _ __::"'-==--~=====---- Cash Check # ____ _ CC: Visa I MC Last 4 CC # exp date: __ _ Auth# __ _ Rev. 2015-Dec Work Type: Interior (C') Exterior (er;oth (Q) Valuation of Work Included Plans Included Work Mechanical ())Yes (0)No (0)Yes (l)No Plumbing (';)Yes (0)No ((')Yes (C)No Building {:)Yes C·)No (C)Yes (C )No :2_t.000 Total Value of all work being performed: $ 2 , 000 • 00 (value based on JBC Section 109.3 & JRC Section 108.3) Detailed Scope and Location of Work: ~emove and replace water damaged EIFS, plywood substrate, 2 X 6 studs. Replace same for same. Work located on West and South elevations of Unit #10 [SEE ATTACHED FOR MORE DETAIL] (use additional sheet if necessary) Date Received: ~ © ~ ~ ~7 r~ n JUN U6 2016 LJ TOWN OF VAIL --··-