HomeMy WebLinkAboutB17-0034 Application.pdf Department of Community Development
75 South Frontage Road West
TOWN OF VAIL iVail, CO 81657
Tel: 970-479-2139
www.vailgov.com
BUILDING PERMIT APPLICATION
(Separate applications are required for Electrical,Alarm,Sprinkler&Public Way)
Project Street Address: Project#:
285 Forest Road East 2
(Number) (Street) (Suite#) DRB#: — (1-k51-) - O33
Building/Complex Name: Building Permit#: .61
Project Information: Lot#: Block# Subdivision:
Owner Name: Highland Properties 2816 Ilc -
Parcel#2102-071-13-040
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Work Class: New(C)) Addition (0) Alteration (C)
www.eaglecounty.us/patie)
Contractor Information Type of Building:
Single-Family(0) Duplex((%)) Multi-Family(0)
Business Name: Mastiff Development
Commercial(0) Other(0)
Business Address: Po Box 2096
Edwards Co 81632
City State: Zip: Work Type: Interior(0) Exterior(0) Both(CQ)
Contact Name: Ron Amass
Contact Phone: 9703905827 Valuation of
ron mastiffdevelo ment.com Work Included Plans Included Work
Contact E-Mail: @ p
I hereby acknowledge that I have read this application,filled out in full the Mechanical C. )Yes (0)No (C)Yes (0)No 2500
information required,completed an accurate plot plan,and state that all 7500
the information as required is correct. I agree to comply with the infor- Plumbing (G)Yes (C)No (C)Yes (C)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 (�J)Yes (C)No (C)Yes (C)No 25000
Codes and other ordinances of the Town applicable thereto.
Total Value of all work being performed: $35000
X (value based on BC Section 109.3&IRC Section 108.3)
Owner/Owner's Representative Signature(Required)
Detailed Scope and Location of Work: Remove and replace
Applicant Information Finishes in caretakers unit ad window, replace
Applicant Name: Front door
Applicant Phone:
Applicant E-Mail:
Additional Authorized ProjectDox Users
Full Name: Mark Walinski
E Mail:mark@mastiffdevelopment.com
Full Name: (use additional sheet if necessary)
E-Mail:
(use additional sheet if necessary)
Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp date:
Auth #
Rev.2015-Dec