HomeMy WebLinkAboutB14-0200_B14-0200 Application_1401376500.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAIL ` Vail, CO 81657
Tel: 970-479-2128
www.vailgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm & sprinkler)
Project Street Address: Project#:
4444 Streamside Circle B
DRB#:
(Number) (Street) (Suite#)
Building Permit#:
Building/Complex Name:
Contractor Information Lot#: Block# Subdivision:
Business Name: CRC Vail
Business Address:
P.O. Box 273 Work Class: New(®j Addition (0 Alteration (®
City Vail State: CO Zip: 81658 Type of Building:
Contact Name:
Matt Bomer Single-Family 0 Duplex(:) Multi-Family 0
Commercial (Oj Other 0
Contact Phone: 970-688-1872
Contact E-Mail: matt@CRCvail.com Work Type: Interior C) Exterior 0 Both 0
I hereby acknowledge that I have read this application,filled out Valuation of
in full the information required,completed an accurate plot plan, Work Included Plans Included Work
and state that all the information as required is correct. I agree to Electrical ®Yes ®)No I®Yes ONo 14,000
comply with the information and plot plan, to comply with all Town
ordinances and state laws, and to build this structure according to Mechanical ®Yes ®)No IOYes ®No 1,500
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing ®Yes ONo OYes ®No 40,000
ordinances of the Town applicable thereto. � 80,000
Building �JYes ®)No C)Yes ONo
oeaauv:eoea nv s,eegame:amen nin n,maea
n2=01e.e��ame,a�de�A�AA,<n,,e«,o,o,ema <e e�ae,rom,<—s $ 135.5
z"°2649 X600 Value of all work being performed:
Owner/Owner's Representative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3)
Electrical Square Footage 1518
Applicant Information Detailed Scope and Location of Work: Excavation of
Applicant Name: CRCVaiI basement area and finished as living space and
Applicant Phone: 970-688-1872 landscaping.
Applicant E-Mail: matt@crcvail.com
Project Information Mark Medley
Owner Name:
Parcel#: 210112305008
(For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit
www.eaglecounty.us/patie)
(use additional sheet if necessary)
For Office Use Only: Date Received:
Fee Paid:
Received From:
Cash Check#
CC: Visa/ MC Last 4 CC # exp date:
Auth #
12-Mar-2012