HomeMy WebLinkAboutB16-0447 Application.pdf Department of Community Development
(( *.\') Vail, CO 8157
75 South Frontage Road West
TOWN OF VAIL Tel: 970-479-21639
www.vailgov.com
BUILDING PERMIT APPLICATION
(Separate applications are required for Electrical, Alarm, Sprinkler& Public Way)
Project Street Address: Project#:
193 Gore Creek
(Number) (Street) (Suite#) DRB#: DRB16-0458
Building/Complex Name: Gore Creek Plaza Building Permit#: 1116-0447
Project Information: Lot#: Block# Subdivision:
Owner Name: Gore Creek Plaza LLC
Parcel#2101-082-13015
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Work Class: New( ) Addition ( ) Alteration ( • ).
www.eaglecounty.us/patie)
Contractor Information Type of Building:
Single-Family( ) Duplex( ) Multi-Family( )
Business Name Rocky Mountain Construction Group
Commercial( • ) Other(. )
Business Address: 120 Willow Bridge RD. .
......___......._....._........
City Vail State. Co Zip: 81657 Work Type: Interior`v) Exterior( •) Both ( )
Contact Name. Mark Hallenbeck 4 !
Contact Phone 970 476-4458 Valuation of
markh rock mountainconstruction rou
co Work Included Plans Included Work
Contact E-Mail: @ y g p I hereby acknowledge that I have read this application,filled out in full the Mechanical ( )Yes ( )No (C)Yes (( )No
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 ( )Yes ( )No (C)Yes ( )No
mation and plot plan,to comply with all Town ordinances and state laws,
and to build this structure acco . •+ to the town'szoning and subdivision 30,000.00
codes, design review a•.rove. •.T.
ational Building ani R-•••ential Building (• )Yes ( )No ( •)Yes ( )No
Codes and othe/. :' a e . t -,Towwn—appticabl eto.
X / i Total Value of all work being performed: $
30,000.00
A (value based on IBC Section 109.3&IRC Section 108.3)
Oner/Owne s Representativ- . ure(Required) Defaced Scope and Location of Work:
Applicant Information
Remove a. Replace existing Guard railing & Stairs
Applicant Name: Mark Hallenbeck
Applicant Phone: 719 499-9248
Applicant E-Mail: markh@rockymountainconstructiongroup.co
Additional Authorized ProjectDox Users
Full Name.
E-Mail:
Full Name: (use additional sheet if necessary)
E-Mail:
(use additional sheet if necessary)
Date Received:
Fur Office('Sc Only:
Fee Paid:
Received From:
Cash Check #
CC: Visa / MC Last 4 CC # exp date:
Auth #
Rev.2015-Dec