HomeMy WebLinkAboutB16-0154.pdf Department of Community Development
75 South Frontage Road West
�Att Vail, CO 81657
TOWN OF
Tel: 970-479-2139
www.vai lg ov.corn
BUILDING PERMIT APPLICATION
(Separate applications are required for Electrical,Alarm, Sprinkler&Public Way)
Project Street Address: Project#:
f(o Wit✓&T' e-of113 UP IT 93
(Number) (Street) (Suite#) DRB#:
BuildinglComplex Name: V1biLL tr/1.4.-069(E_. Building Permit#:
Project Information: Lot#: Block# Subdivision:
Owner Name: 7 )(4 V41 LCO LLC
Parcel# O( `O`d z- -- 11 - 01(.9
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Work Class: New( ) Addition (i®) Alteration( )
www.eaglecounty.uslpatie)
Type of Building:
Contractor information
Single-Family( ) Duplex(P) Multi-Family( )
Business Name:-tfl4NsCt1PPf�f- con/s•TiZiAcTiet, Commercial( ) Other r)
Business Address: 17 rk rC 4LF (5 HD
City 4v0A/ State: Co Zip: Mel° Work Type: Interior(i ) Exterior( ) Both(CO
Contact Name: Ear oTT Mo 1Tc'0Pe1ZJ
Contact Phone: ('70)..7C9- 75'15 Valuation of
Work Included Plans Included Work
Contact E-Mail: 61 ofti ,To"t
l hereby acknowledge that I have read this application,filled out in fu€I the Mechanical ( )Yes (t )No *Yes (40)No I C5 j D'Va
information required,completed an accurate plot plan,and state that all ���3a
the information as required is correct. I agree to comply with the infor- Plumbing ( )Yes (C)No Yes (S)No
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 ]
codes,design review approved,International Building and Residential Building (40)Yes (C)No (*Yes ( )Na 117vr'�r
Codes and other ordinances of the Town applicable thereto.
Total Value of all work being performed: $21 o72 3L-
X (value based on IBC Section 109.3&IRC Section 108.3)
Owner/Owner's Represent Signatu Required) rr
Detailed Scope and Location of Work:J349 ,'/.
Applicant Informatione/edit i4 yyAQ / /(-Id? Ram-4-
Applicant Name:„GL/oi`T ib r2A/7-yo,s r// r `
Cet6r'aeTtsarc vfBai,/1atrn �' iFsrrkm.
Applicant Phone: (1170)376 75'45 ; , p, p
Applicant E-Mail: /SrLN+7`6#01ee gi/NMSc7HNPP ,000,7 r•e, cabr/c1g kr{�4rta .ji;e, 'esrfloerinet-� 11rf46Y)2p(Ile1
Additional Authorized ProjectDox Users l rf k4JCQ�Cr�rl:+ !oa d� Ifvc t';1/604.)r 1Jr7trrlfC�lfi�r�C
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Full Name: ANDY N4L-M/N.S/G/ '4,44e-Gist ir'xiLsl [466p;dJ r 3-6r4". 'Is -6L..-.4 . L/,'eke"'i
E-Mail: 4i/.44.m/#t/54( VR*SCHHPP,COM _ a r t, h.44 f/Itter s �W; (4- -{LIQ 1 1G��(�. rrrs/:rodi.^ sal-5
Full Name: !! f w,e_ i�.dSr �.. 1 t'''�u91(r'
byr ALS! IQ hG.� dr.y
(use additional sheet if necessary) ! T
E-Mail: rL ,,,,,5 4"2.,
(use additional sheet if necessary)
Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa I MC Last 4 CC # exp date:
Auth #
Rev.2015-Dec