HomeMy WebLinkAboutB15-0197_B15-0197 Application_1433952060.pdf Department of Community
VailDevelopmen, CO81657t
75 South Frontage Road
; A ; r
TOWN �
Tel: 970-79-2128
www.vailgov.com
Development Review Coordinator
BUILDING PERMIT-APPLICATION
(Separate applications are required for alarm&sprinkler)
Project Street Address: Project#:
41 eta , Spjw& tvA'
DRB#:
(Number) (Street) (Suite#)
11
Building/Complex Name:
Contractor InformationBuilding
�1 Building Permit#:Lot#: Block# Subdivision:
Business Name: A P„ �USt Cojis+ jd oii
Business Address: i BOX CIO Z Work Class: New Addition #4 Alteration(0 i
City FYi so State: Co Zip: 2.014q; Type of Buildin.•
�" L Single-Family Duplex Multi-Family
Contact Name: Fill II A.Hrlon -M1(14'' i Commercial Other
Contact Phone: 970 • L'o1. 1014 L ..m. __ _..=:- ,.., - -----,-,-,.__.�_- , ..
1l • Work Type: Interior Exterior Both 4
Contact E-Mail: G15�'1'it11hifS�LOMS'�ill.�Oh � Vy14 �1�.[01'h
I hereby acknowledge that I have read this application,filled out Valuation of 1
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 Yes No 1 0
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 ONo ®Yes ONo0O0
the town's zoning and subdivision codes, design review ap- 1
proved, International Building and Residential Codes and other Plumbing Yes QNo Yes ONo 3"00.00
ordinances of the Town applicable thereto.
Building Yes ONo Yes ONo 1251000
q4t
1 x (/�� (omen ( /l Value of all work being performed: $ 1321 Soo •110'Owner/Owner's Representative ignature(Required) (value based on IBC Section 109.3&IRC Section 108.3)
Electrical Square Footage 1100 S 41
Applicant Information// p"y��o Mi1i,i
f,� DLeet1aiilled Scope and Locaation of Work: ,tApplicant Name: Ut'V terif9 ')I Jar f1Gtl•�'ti9Vt iv cMs biI\4 Nem) M
coo • 3�1• I (4' d ��
;Applicant Phone: /►,�,�.�" � �I1G`O�fb ref � ` �IrMApplicant E-Mail: wti 1€11ile (�y alllvnhtisf a i tA°C7//P
. Co✓1l 1
I, jeInformation �� w&L�N PPOP 16s OwnerLID Name:
Parcel#: 21011 1,207 001
(For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit
www.eag lecounty.us/patie)
(use additional sheet if necessary)
For Office Use Only:
Fee Paid: Date Received:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp date:
Auth #
12-Mar-2012