HomeMy WebLinkAboutB16-0269.pdf Department of Community Development
75 South Frontage Road West
TOWN Qf VAIL 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: Project#:
1734 GOLF LANE S68
(Number) (Street) (Suite#) DRB#:
Building/Complex Name: VAIL GOLFCOURSE TOWNHOME Building Permit#:
Project Information: Lot#: Block# Subdivision:
Owner Name: PARC VAIL 68 LLC
Parcel#210109104060
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Work Class: New(0) Addition(0) Alteration 0)
www.eaglecounty.us/patie)
Type of Building:
Contractor Information
EAST WEST CONSTRUCTION LLC Single-Family(0 Duplex(0 Multi-Family(0
Business Name: Commercial(0 Other(0
Business Address: 1806 CRAZY HORSE CIR
EDWARDS CO 81632
City State: Zip: Work Type: Interior a Exterior(0 Both 0
Contact Name:
MIKE SIMON
Contact Phone: (970)390-7759 Valuation of
Contact E-Mail:
ewconstructionvail@gmail.com Work Included Plans Included Work
I hereby acknowledge that I have read this application,filled out in full the Mechanical ()Yes ®No ( Yes (ONo
information required,completed an accurate plot plan,and state that all
the information as required is correct. I agree to comply with the infor- Plumbing OYes ONo ()Yes ONo
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 Building ®Yes ( No ( Yes (�No 4500
codes,design review approved,International Building and Residential
Codes anti other •rdinances of the Town applicable thereto.
Total Value of all work being performed: $4500
X (value based on IBC Section 109.3&IRC Section 108.3)
Owner/Owner's Representative Signature(Required) Detailed Scope and Location of Work: Add deck. Replace
Applicant Information bay window with slider.
Applicant Name:
Applicant Phone:
Applicant E-Mail:
Additional Authorized ProjectDox Users
Full Name:
E-Mail:
Full Name: (use additional sheet if necessary)
E-Mail:
(use additional sheet if necessary)
Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/ MC Last 4 CC# exp date:
Auth #
Rev.2015-Dec