HomeMy WebLinkAboutB16-0209.pdfTOWN OF~ Department of Community Development
75 South Frontage Road West
Vail, CO 81657
Tel: 970-479-2139
www.vailgov.com
BUILDING PERMIT APPLICATION
(Separate applications are required ior Electrical, Alarm, Sprinkler & Public Way)
Project Street Address:
Zl?3 ~ :bAvos 111!._lt \ L-
(Number) (Street) (Suite#)
Building/Complex Name: FIS c..1+ E. 1C.. fZ,.c S 1 0 £. f.J(., f:
•Project Information:
, Owner Name: E ~NC'( .... =?~vi...°" ;'LS '-He. iS.
Parcel# ZIO~ -\~'2.. -o&.\ -DtC\
(For Parcel#, contact Eagle County Assessors Office at (970)328-8640 or visit
www.eaglecounty.us/patie)
Contractor Information
Project#:------------------
ORB#: _______________ ~
Building Permit#:---------------
Lot#:!::_ Block#~ Subdivision: V ~ \ L r-. \ b t.. E.
Work Class: New ( Addition ( Alteration ( v )
Type of Building:
Single-Family(/) Duplex ( ) Multi-Family (
Business Name: .Ot IJ I .S 101'\ CS.\)( c:.,ot.>.S:r\l.v<.. 1"'1 O ~ Commercial { ) Other (
Business Address: "'-Co C, 5 -DA.'\/~ ~ ' L .... ·-······ _ ·-
•City VA\ l-State: Co=-__ Zip: g l '26 7 Work Type: Interior ( ) Exterior ( ) Both (V')
Contact Name: 'R.A-flJ £)'( F lcf,C. ~ e R,.
Contact Phone: 9 7 0 -3 O "2 -3 0 3 O
Contact E-Mail: nudy£.d \\/\ .S 1 o N'S V' C~ Y\ S -\-, C. 0 V'Y\
Work Included
Valuation of
Plans Included Work
I hereby acknowledge that I have read this application, filled out in full the Mechanical ( V'}Yes
information required, completed an accurate plot plan, and state that all
)No ( )Yes (v"')No 2..D 1 000 100
)No ( vf-res the information as required is correct I agree to comply with the infor-Plumbing (......-)Yes
mation and plot plan, to comply with all Town ordinances and state laws, )No gq, Z>c:it>•'-'D
)No f S"f,oDt>.OO and to build this structure according to the town's zoning and subdivision
codes, design review approved, International Building and Residential Building ( vtYes )No ( v)Yes
Codes and o r ordinances of the Town applicable thereto.
sentative Signature (Required)
Applicant Name: 33,f\\Ji;) Y r \ ~ '-'""'C...~
Applicant Phone: t:t70 -3 C> ,h ~ 3~3 C
Additional Authorized ProjectDox Users
Full Name: ------------------
E-Mail: ____________________ _
Full Name: -------------------
E-Mail: ___________________ _
(use additional sheet if necessary)
For Office Use Only:
Fee Paid:-----------------
Received From:-------------·
cash ____ Check# ____ _
CC: Visa I MC Last 4 CC # ___ _ exp date: __ _
Auth# ___ _
Rev. 2015-Dec
Total Value of all work being performed: $ '510 I 0 D 0. oa
(value based on IBC Section 109.3 & IRC Section 108.3)
f2:xr£f4o~ 'F1f\J1.!;rl-f;S, D~lJK~ A#Ji>
I
().); /\JDow..s ,. /.AN c..s t. t"lr e e / c. vi d
dnve 11 >o..'( •
(use additional sheet if necessary)
Date Received:
Contractor: Division Six Construction, Inc.
Project: Fischer Residence
2695 Davos Trail
Vail, Co.
Project Valuation Category
Building, Site and Landscaping
Plumbing
Mechanical
Fire Protection: Smoke Detectors Per TOV adopted code.
Subtotals
Electrical
Cost
510,000.00
39,000.00
20,000.00
40,000.00
Permit Fee Plan Review Rec Fee Use Tax
3,281.25 2,132.81 399.10 10,000.00
585.00 146.25
400.00 100.00
112.50 288.00
4,378.75 2,667.06 399.10 10,000.00
458.97 1,520.00