HomeMy WebLinkAboutB17-0199.pdfCommunity Development Department
75 South Frontage Road West
Vail, CO 81657
Tel: 970-479-2139
www.vailgov.com
RE-ROOF PERMIT APPLICATION
(This permit is applicable to one and two family dwelling units, multifamily buildings)
(Permit fee = standard building fees and design review fee)
~roject Street j!dr~ss~ ,
:.t..5f Q btiJM {C (c lrvv' i ck
(Number) (Street) (Suite #)
Building/Complex Name: !1eAt)OL,J ()z Re~ /a..vJ.;htJt-'le)
Project Information:
Owner Name=-----------------~
Parcel # ·d I 0 3 . -I c( 3 -I Cf -{!) e ~--0 ( 2-
(For Parcel #, contact Eagle County Assessors Office at (970)328-8640 or visit
www.eaglecounty.us/patie)
Contractor Information
Business Name: j/J::i; ( /tl.hvf1J_ffflP;vj fo
ddress: ?o. &,;< & 3(0
"(:•,J State: CD Zip: r;:/ 6 20
t-A<-_, I H '-" ""' t?v · J
City
Contact Name:
Contact Phone: ( 1'JD) 51& --O)=f2-
Contact E-Mail: (f h Uf-1 fvm1 e utL ( wia-nq 1'C'fkj ea t;CoM
I hereby acknowledge that I have read this application, filled out in full the
Type of Building:
Multifamily ('fiZ_) One Family (r) Two Family (Duplex) (r)
Submittal Requirements
• Joint Property Owner Written Approval Letter (duplex or
multi-family HOA)
• Two (2) plan sets indicating:
• Roof plan showing pitch and slope and locations of
utilities & meters.
• If heat tape is to be used provide electrical load calcu-
lations must be provided (requires electrical permit)
• Material type (i.e. Composite Shingles Class A) and
color
• Full view roof photos of the entire building
*Please note that installation and/or replacement of heat tape
requires a separate electrical permit.
[
information required, completed an accurate plot plan, and state that all C
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-afld other ordinances of the Town applicable thereto. ) (use additional sheet if necessary)
X \ Jee> a1 £-;t;;;_ Valuation of
Owner/Owner's Representative Signature (Required) Work Included Plans Included Work
Applicant lnformatiqn .
Applicant Name: , ~ ( HJ...-ldod
Applicant Phone: ( C/ Jc;,> ) 3ZcJ --0 f {"'2-
Applicant E-Mail: 7 L n h2:2 ne i-,Ja.: lit1a 1110 rp· Wll"'b l °'2k' ~
Additional Authorized ProjectDox Users
Full Name:
E-Mail: ____________________ _
Full Name:
E-Mail: ____________________ _
(use additional sheet if necessary
For Office Use Only:
Fee Paid:-------------------
Received From:-----------------
Cash Check# _____ _
CC: Visa I MC Last 4 CC# ____ Auth #: -------
Building (~Yes ( )No V(_}Yes ( )No
$ 33 I(}() ' CJO Value of all work being performed: ''
(value based on IBC Section 109.3 & IRC Section 108.3)
Date Received:
Project#:------~------~~,...,....---? ! -,~Ol9<? Building Permit#: ____ ---J:;)---.....,,.,__~_1_~---------
Lot#: Block# __ Subdivision:----------
2016-Jun