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B16-0282 (2).pdf
TOWN OF® Department of Community Development 75 South Frontage Road West Vail, CO 81657 Tel: 970-479-2139 www.vailgov.com WINDOW/DOOR REPLACEMENT PERMIT APPLICATION (Permit fee = standard building fees and design review fee) Project Street Address: 4284 C Columbine c -------------(Number) (Street) (Suite#) Building/Complex Name:-------------- Project lnfonnation: Owner Name: Ruthanne & Gary Polidori Parcel# 2101-122-29-001 (For Parcel #, contact Eagle County Assessors Office at (970)328-8640 or visit www.eaglecounty.us/patie) Contractor lnfonnation Business Name: Gravina's Window Center Business Address: 89 West Littleton Blvd. City Littleton State: CO Zip: _8_0_12_0 __ _ Contact Name: Mike Gravina ------------------Cont a ct Phone: 303 7940490 ------------------Cont a ct E-Mail: mikegravina@gravinawindow.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 applicable thereto. X.~~~~~~~~~~~~~~~~ Owner/Owner's Representative Signature (Required) Applicant lnfonnation Applicant Name: Ruthanne Polidori Type of Building: Single Family ( Duplex ( • ) Multi-Family ( Commercial ( Submittal Requirements: • Joint Property Owner Written Approval Letter (duplex or multi-family HOA) • Two (2) plan sets indicating: • Floor plans showing window/door location(s) and elevations (window schedule may be substituted for elevations) • Size of windows/doors and openings • U-Value of windows • Material, cut sheets and color of windows/doors (must match style and color of building) • Full view elevation photos of all sides of building *Please note that any change in size of opening will require full ORB & Building Review. Detailed Scope and Location of Work: -------- Replace 30 windows same for same. Coordinating with ORB 16-0154 (use additional sheet if necessary) Valuation Work lnduded Plans Included of Work Applicant Phone: _3_0_3_6_9_7_·5_9_9_1 ___________ Building @Yes CQNo ({!)Yes <QNo Applicant E-Mail: randiepolidori@comcast.net 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 #: ---- Value of all work being performed: $ $50,523.00 (value based on IBC Section 109.3 & IRC Section 108.3) Date Received: g©gQ'W~ n JUL 25 2016 U Pr~eci#: _________________ _ Building Permit#:--------------- Lot#: Block# __ Subdivision:-------- 2015-Dec