HomeMy WebLinkAboutB16-0480.pdf Department of Community Development
75 S Frontl Road West
Vail, CO 81657
°:::)
TOWN OF VAIL :970-4794139
www.vailgov.com
BUILDING PERMIT APPLICATION
(Separate applications are required for Electrical;Alarm,Sprinkler&Public Way)
Project Street Address: Project#-
4660 VAiL RACQUET CLUB DR 10
(Number) (Street) (Suite#) DRB#:
Building/Complex Name: VAIL RACQUET CLUB CONDOMII\ Building Permit#:
Project Information: Lot#: Block# Subdivision:
Owner Name: JOAN MADISON
Parcel#2101-124-03-010
(For Parcel it,contact Tale County Ascscors Office at(S70)328 648 or visit Work Class.: New(0) Addition(0) Alteration(J)
wwN.eaglecounty.us/patie)
Contractor Information Type of Building:
EAST WEST CONSTRUCTION, LLC Single-Family c0 Duplex(0Multi-FamilyO
Business Name: Commercial (0 Other c0
Business Address: 1806 CRAZY HORSE CIR
City EDWARDS State: CO 81632
Zip: Work Type: Interior 0 Exterior(CI Both 0
Contact Name:
MICHAEL SIMON/JASON MORRIS
Contact Phone: (970) 390-7759/(970) 977-0269 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 ONo °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 °Yes ONo e°Yes ONo
mation and plot plan,to comply with all Town ordinances and state laws,
and to build this 4iucture according to the town's zoning and subdivision Building ()Yes No (C)Yes ONo 6000
w-
codes,design,re reapproved,International Building and Residential
Codes airy other(,ord nances of the Town applicable thereto.
/1j7!y7 Total Value of all work being performed: )$6000
X value based on IBC Section 109.3&IRC Section 108.3
Owner/Owner's Representative Signature(Required) Detailed Scope and Location of Work: REPLACE DOOR
Applicant Information AND WINDOWS WITH NEW
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:
,-
F it tTiec Vw Only:
Fee Pato:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp date:
Aum =4 g
3 Rev,2013-Dec 1