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HomeMy WebLinkAboutB16-0207.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: 586 W Forest Rd (Number) (Street) East Unit (Suite#) Building/Complex Name:-------------- Project Information: Owner Name: Donald & Carmen Godwin Family Trust Parcel #2101-072-11-024 (For Parcel#, contact Eagle County Assessors Office at (970)328·8640 or visit www.eaglecounty.us/patie) Contractor Information Business Name: Plumbing Systems Inc Business Address: PO Box 3879 ----------------- City Avon State: CO Zip: 81620 --- Contact Name: Allan Rigby ------------------ Contact Phone: 970-376-1928 contact E-Mail: alanna@psivail.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's zoning and subdivision codes, design review approved, International Building and Residential Codes and other ordinances of the Town applic e"'i!lereto. Owner/Owner's eprese Applicant lnformatio Applicant Name: '1.tllliE'.Okl§tlll -~ W\ :fO b \'\.. S 6 ).....,_ Applicant Phone: _9_7_0_-3_7_6_-_1_92_8 ___________ _ Applicant E-Mail: allan@psivail.com Additional Authorized ProjectDox Users Full Name: ------------------- E-Mail: ____________________ _ Full Name: E-Mail: ____________________ _ (use additional sheet if necessary) Project#:------------------ DRB#: ________ +-_ __.,......,,_~------,,,-~ \ /J-· C{;LO 7 Building Permit#: ___ ·..../-----------'"-........_- Lot#: Block# __ Subdivision:-------- Work Class: New ( (':) Addition ( (' ) Alteration (le ) Type of Building: Single-Family ( (':) Duplex (le ) Multi-Family (l) Commercial(('') Other((':) ----------- Work Type: Interior (lei) Exterior (l:) Both (C) Valuation of Work Included Plans Included Work Mechanical (e°'i)Yes (C)No ((e'.~Yes (l)No $19,215 Plumbing ('t)Yes ((e'.?No (lWes (l}No Building ('.!)Yes ((e')No (l.?Yes (l~No Total Value of all work being performed: $ $19,215 (value based on IBC Section 109.3 & IRC Section 108.3) Detailed Scope and Location of Work: Remove existing Weil Mclain Boilers and replace with New Lochnivar 155K BTU -WHN 155 Boilers. Minor re-pipe to the existing system. Reusing existing boiler vents (use additional sheet if necessary) Date Receiveff~rc~~~~-;:;--;:-~---~Fo-r O-ffi-ce -Use-0-nly-: -------------. 0 ~ © ~ 0 \YI ~ ~ Fee Paid:__________________ 1n~ ~::~ived From: _Ch-e-ck_# __ -_-_-_-_-_-_------JUN 0 6 2016 /_ u 1 ,. CC: Visa / MC Last 4 CC # ____ exp date: ___ _,,., , Auth # ___ TOWN OF VA(L_·.··-·-Rev. 2015-Dec .. __