HomeMy WebLinkAboutB11-0211NOTE: TH/S PERM/T MUST BE POSTED ON JOBSITE AT ALL T/MES
.•
TOWIVOF VAII, .
Town of Vail, Community Development, 75 South Frontage Road, Vail, Colorado 81657
p. 970.479.2139, f. 970.479.2452, inpsections 970.479.2149
COMBINATION BLDG PERMIT Permit #: B11-0211
Job Address: 4610 MEADOW DR VAIL
Location......: VAIL RACQUET CLUB BUILDING 7 UNIT 16
Parcel No....: 210112408016
OWNER TYLER, CARROLL S. 07/13/2011
PO BOX 1366
VAIL
CO 81658
APPLICANT BLUE DEVIL BUILDERS INC
THOMAS E. BURNEY
PO BOX 3398
VAIL
CO 81658
License: C000003217
CONTRACTOR BLUE DEVIL BUILDERS INC
THOMAS E. BURNEY
PO BOX 3398
VAIL
CO 81658
License: C000003217
07/13/2011 Phone:317-260-0735
07/13/2011 Phone:317-260-0735
Description:
BATHROOM REMODEL, BLDG 7, UNIT 16. REMOVE WALL TILE,
DRYWALL, TUB AND FLOOR TILE. BULD CUSTOM MASONRY SHOWER
PAN. R&R PLUMBING TO RELOCATE DRAIN AND CONTROL VALVE.
REPLACE ALL DRYWALL AND TILE FOR CONVERSION TO SHOWER.
INSTALL SLIDING GLASS SHOWER DOOR AND NEW SHOWER HEAD.
INSTALL NEW FLOOR TILE.
Occupancy:
�
Type Construction:
Project #: PRJ11-0326
Applied.....:
Issued. . . :
Valuation:
07/13/2011
08/01/2011
$5,190.00
....>.,,......,..........,,..,, .............................�....».,.,....,....,....... FEE SUMMARY ..,.......,,..........,....,,,...,..........,...,..,.>......,,.......,...,......
Building Permit -----------> $125.25 Bldg Plan Check ----------> $81.41 Use Tax Fee----------------------->
$0.00
Electrical Permit ---------> $0.00 Elec Plan Check -----------> $0.00 Restuarant Plan Review-------->
Mechanical Permit ------> $0.00 Mech Plan Check ---------> $0.00
$0.00 Additional Fees--------------------> $0.00
Plumbing Permit --------> $15.00 Plmb Plan Check ---------> $3.75 Recreation Fee-------------------->
$0.00
Investigation-----------------------> $0.00
Will Call------------------------------> $10 00
TOTAL PERMIT FEES--------------> $235.41
Payments-------------------------------> 5235.41
BALANCE DUE-----------------------a $0.00
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DECLARATIONS
I hereby acknowledge that I have read this application, filled out in full the information required, completed an accurate plot plan, and state that all the information
as required is correct. I agree to comply with the information 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 Codes and other ordinances of the Town
applicable thereto.
REQUESTS FOR INSPECTION SHALL BE MADE TWENTY-FOUR HOURS IN ADVANCE BY TELEPHONE AT 970.479.2149 OR AT OUR OFFICE FROM
8:00 AM - 4:00 PM.
Signature of Owner or Contractor
Print Name
combination permit_012811
Date
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CONDITIONS OF APPROVAL TO BE MET PRIOR TO FINAL SIGN OFF
Permit #: 611-0211 Address: 4610 MEADOW DR VAIL
Owner: TYLER, CARROLL S. Location:
VAIL RACQUET CLUB BUILDING 7 UNIT 16
...............................»..,...... �,.......,.......,.,.....,..,.................». �,.,.,,,..,.......,..............,...,.....,.».,.,.,,...................,........,,,........
combination permit_012811
#
i
T�WN QF YA� .
**�*******,.*****************�*****,***„**********************************,.**************,�***,***********,**********,.**�******************,.**..****
REQUIRED INSPECTIONS AND STATUSES
Permit#: 611-0211 Address: 4610 MEADOW DR VAIL
Owner: TYLER, CARROLL S. Location:
VAIL RACQUET CLUB BUILDING 7 UNIT 16
****«***«««�*„****„****************«*******,�*****«*�****«*««*«**«***,,,,****«„******«**««***««***,,******«****«**************.,**„*«****«*****,,.*****««**
Item: 00220 PLMB-Rough/D.W.V.
08/02/2011 By: sgremmer Action: AP
Item: 00230 PLMB-Rough/Water
08/02/2011 By: sgremmer Action: AP
Item: 00060 BLDG-Sheetrock Nail
03/28/2012 By: sgremmer Action: AP
Item: 00290 PLMB-Final
03/28/2012 By: sgremmer Action: AP
Item: 00090 BLDG-Final
03/28/2012 By: sgremmer Action: AP
combination permit_012811
*****+*****************+********+***********************************************************
TOWN OF VAIL, COLORADOCopy Reprinted on O1-07-2013 at 15:01:41 O1/07/2013
Statement
********************************************************************************************
Statement Number: R110000900 Amount: $160.46 08/O1/201109:22 AM
Payment Method: Check Init: SAB
Notation: 1208 - CAROLL S
TYLER/DANIE TYLER
-----------------------------------------------------------------------------
Permit No: B11-0211 Type: COMBINATION BLDG PERMIT
Parcel No: 2101-124-0801-6
Site Address: 4610 MEADOW DR VAIL
Location: VAIL RACQUET CLUB BUILDING 7 UNIT 16
Total Fees: $235.91
This Payment: $160.46 Total ALL Pmts: $235.41
Balance: $0.00
*******************************+**********************r*********************++***********+**
ACCOUNT ITEM LIST:
Account Code
--------------------
BP 00100003111100
PF 00100003112300
PP 00100003111100
WC 00100003112800
Description Current Pmts
------------------------------ ------------
BUILDING PERMIT FEES 125.25
PLAN CHECK FEES 10.21
PLUMBING PERMIT FEES 15.00
WILL CALL INSPECTION FEE 10.00
-----------------------------------------------------------------------------
Department of Community Development
_° � 75 South Frontage Road
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BUILDING PERMIT APPLICATION
(Separate applications are required for alarm & sprinkler)
Project Street Address: / � # Project #: T�� 1- ��J o1cQ
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(Number) (Street) (Suite #) DRB #: �
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Lot #: Block # Subdivision:
Contractor Information �/ �
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Business Name: ��u'e- {Jc �� L�« L�lr ,f ..�+1C, Work Class: New ( ) Addition ( ) Alteration �-)
Business Address: �d v��l' 7 3 l� Type of Building:
City �7 L;t�� State: C,� Zip: L�Jr� Single-Family O Duplex O Multi-Family (�
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Contact Phone: � �� " �b � ' �% �
Contact E-Mail: D�U �-O � (/1 / �u ��[ � /'S �
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�r Registration Number:
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Owner/Owner's Representative Signature (Required)
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Project Information/� �, ��e�
Owner Name: C.-u/'I"O
Parcel #: ��d i- l� y- 0 8'"' ��
(For Parcel #, contact Eagle County Assessors Office a( 70-�, 32�640 r visit
wuwv.eagl ecounty. us/patie)
Detailed Scope and Location of Work:
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Commercial ( ) Other ( )_
Work Type
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Mechanical
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Valuation of
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( )Yes (�No ( )Yes ( )No
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Value of all work being performed: $ �� �
(value based on IBC Section 109.3 & IRC Section 108.3�
Electrical Square Footage
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For Office Use Only:
Fee Paid:
Received From: ��� � � 1�/.¢,✓
Cash Check # / nln
CC: Visa / MC Last 4 CC # exp date:
Auth #
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Date Received:
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D
JUL 11 2011
TOWN OF VQIL Ol-Jan-11
i
onsu In
Asbestos Inspection and Sampling Report
Vail Racquet Club - Building 16, Unit 7
4610 Racquet Club Dr, Vail, Colorado 81657
Presented To:
Mr. John R. Tyler
Slifer Smith & Frampton Real Estate
141 E Meadow Dr, Suite 206
Vail, CO 81657
Performed & Prepared By:
Mr. Steve Shurtliff
DS Consulting, Inc.
PO Box 6864
Avon,CO 81620
(303) 378-1544
Project Details:
Project Number: �1�00�3
Conducted: April 28, 2011
EXECUTIVE SUMMARY
On April 28, 2011, Mr. Steve Shurtliff with DS Consulting, Inc. (DSC) performed a limited asbestos
inspection and performed asbestos bulk-sampling at 4610 Racquet Club Dr, Bldg 7, Unit 16, Vail,
Colorado, in order to identify potentially hazardous friable and non-friable asbestos-containing materials
(ACM) within a portion of the above-referenced, single-family residence. The Colorado Department of
Public Health and Environment's (CDPHE) Regulation 8, Part B defines an asbestos-containing material
(ACM) as a material containing more than 1% asbestos.
Mr. Shurtliff collected a total of four (4) asbestos bulk-samples from the following locations within the
residence:
Drywall
• Bedroom Closet Wall - 1location
• Bathroom Walls - 2locations
Tile Mastic
• Bathroom Wall - 1location
All four (4) bulk-samples were analyzed by a National Voluntary Laboratory Accreditation Program
(NVLAP) accredited lab in Denver, Colorado. All four (4) bulk-samples reported as none-detect for
asbestos -(see Appendix B for laboratory report).
2
PROJECT OVERVIEW
I. Introduction
A limited asbestos inspection and bulk-sampling for ACM was conducted at 4610 Racquet Club Dr, Bldg 7,
Unit 16, Vail, Colorado, by Mr. Shurtliff on April 28, 2011 at the request of Mr. John R. Tyler with Slifer
Smith & Frampton Real Estate. Mr. Shurtliff is a Colorado State Certified Building Inspector; having EPA
Accreditation #15413 (see Appendix A for certificate). The purpose of the inspection was to identify,
sample and assess potentially hazardous friable and non-friable ACM within portions of the residence.
II. Structural Design
The structure is a wood-framed, single-level, single-family condo.
III. Sampling and Analytical Procedures
The inspection, assessment and sampling were conducted by an EPA and AHERA accredited Building
Inspector qualified by experience, education and training in the recognition of potential ACM and
approved bulk-sampling techniques. The asbestos bulk-sampling was conducted on suspect ACM with a
limited number of bulk-samples being collected within the residence.
The inspection, assessment and sampling were performed in accordance with Environmental Protection
Agency/AHERA recommended procedures. These procedures call for the visual inspection of the area of
concern and the collection and analysis of representative bulk-samples of suspect material.
Some minor destructive sampling was conducted. Walls, columns and perimeter pipe chases were not
broken into in order to locate and quantify suspect ACM. It should be noted that additional ACM might be
located in these and other inaccessible areas.
Random bulk-samples, representative of the suspect asbestos-containing building materials (ACBM) of
each homogeneous area (HA), were collected according to the guidelines published as Environmental
Protection Agency (EPA) Final Rule: Title II of the Toxic Substances Control Act (TSCA), 15 USC, Sections
2641 through 2654 and in compliance with 40 CFR, Part 763. Representative sampling is based on the
following criteria:
1. The distribution of the suspect material throughout the HA.
2. The suspect material's physical characteristics and application.
3. Random sampling patterns determined for each HA.
Suspect materials sampled and analyzed should be considered to be representative of materials in each
HA if they exhibit similar physical characteristics and the application of the sampled material can be
correlated to the application of un-sampled material. Bulk-samples collected were analyzed utilizing the
EPA's Method for the Determination of Asbestos in Bulk Building Materials (EPA 600/R/116, July, 1993)
and the McCrone Research Institute's The Asbestos Particle Atlas as methods references. Analysis of the
bulk-samples was performed on the "date reported," as listed in the bulk-sample analysis report.
3
IV. Notes on Report Format
Suspect materials alike in appearance and application were sampled as HAs. Suspect materials were
divided into three classifications:
1. Surfacing Material: sprayed or troweled onto structural building member.
2. Thermal System Insulation (TS/): any type of pipe, boiler, tank, or duct insulation.
3. Miscellaneous Material: other suspect materials, floor tile, sheet vinyl/linoleum, ceiling tiles,
insulation, and finishing materials.
Condition assessments were performed by the accredited inspector at the time of inspection. Condition
assessments are listed in the following section. Ratings of "good," "damaged," and "significantly
damaged" are meant to indicate the overall condition of the material.
A material in "good" condition has no visible damage or deterioration, or showing only very limited
damage or deterioration. A material in "damaged" condition has the following characteristics: The
surface is crumbling, blistered, water-stained, gouged, marred or otherwise abraded over less than one-
tenth of the surface if the damage is evenly distributed (one-quarter if the damage is localized).
Accumulation of powder, dust or debris similar in appearance to the suspect material on surfaces
beneath the material can be used as confirmatory evidence. A material in "significantly damaged"
condition has one or more of the following characteristics:
• The surface is crumbling or blistered over at least one-tenth of the surface if the damage is evenly
distributed (one-quarter if the damage is localized).
� One-tenth (one-quarter, if localized) of the material is hanging from the surface, deteriorated, or
showing adhesive failure.
• Water stains, gouges, or mars are over at least one-tenth of the surface if the damage is evenly
distributed (one-quarter if the damage is localized). Accumulation of powder, dust or debris
similar in appearance to the suspect material on surfaces beneath the material can be used as
confirmatory evidence.
Response-action recommendations for asbestos-containing HAs are listed in the section VII.
Recommendations may be for more than one HA, if materials are alike. Recommendations are either
"general" or "immediate." An immediate recommendation indicates the presence of asbestos greater
than 1% within the bulk-sample, or a bulk-sample in the same HA, and should be addressed accordingly.
A general recommendation indicates asbestos does not exist greater than 1% within the bulk-sample, or
all bulk-samples in the same HA, and no further abatement activities are required for removal of the
material. Any sample reporting a"TRACE" amount of asbestos must be considered to be positive for
asbestos greater than 1% unless it is analyzed by the point-count method to be less than 1%.
V. Inspector Comments
No asbestos-containing material was identified during the bulk-sampling conducted at 4610 Racquet
Club Dr, Bldg 7, Unit 16, Vail, Colorado. A total of four (4) bulk-samples of drywall and tile mastic were
collected from the bathroom and bedroom closet of the above-referenced residence. All four (4) bulk-
samples reported as none-detect for asbestos.
4
VI. Homogeneous Area Descriptions
The following section contains sampled HA descriptions and sample locations. Percent-asbestos content
for each sample indicated can vary depending on sample locations, homogeneity of the materials, and
type of application. The following samples were collected from the single family residence at 4610
Racquet Club Dr, Bldg 7, Unit 16, Vail, Colorado, on April 28, 2011. ND=None-detect.
*The quantities of materials listed in this report are general approximations used specifically to determine the
number of bulk-samples of each material to be collected. These quantities should not be used for any other purpose.
On-site verification of the exact quantity of material is required for bidding purposes.
� ��. .� ' 1 � �•• •� ' 1
Sample #: DW1-1 Sample #: DW1-2
Sample Description: Drywall Sample Description: Drywall
Sample Location: Bedroom Closet Wall Sample Location: Bathroom Wall
Material Classification: Surfacing Material Material Classification: Surfacing Material
Material Quantity: <1,OOOft2 Material Quantity: <1,OOOft2
Material Condition: Good Material Condition: Good
Layers - Asbestos Content: Layers - Asbestos Content:
White tape - ND White texture w/white paint - ND
White joint compound- ND
White texture w/white paint - ND
White tan dr all - ND
Recommendations: GENERAL - See Section VII Recommendations: GENERAL - See Section VII
� �,. .� � 1 � �•. .� . �
Sample #: DW1-3 Sample #: MASTICI-1
Sample Description: Drywall Sample Description: Tile Mastic
Sample Location: Bathroom Wall Sample Location: Bathroom Wall
Material Classification: Surfacing Material Material Classification: Miscellaneous Material
Material Quantiry: <1,OOOftz Material Quantity: <1,OOOft2
Material Condition: Good Material Condition: Good
Layers - Asbestos Content: Layers - Asbestos Content:
Clear mastic - ND Brown fibrous - ND
White tan dr all - ND Yellow mastic - ND
Recommendations: GENERAL - See Section VII Recommendations: GENERAL - See Section VII
VII. Recommendations
GENERAL: The laboratory results of the potential ACM sampled at 4610 Racquet Club Dr, Bldg 7, Unit 16,
Vail, Colorado, indicate the bulk-samples of drywall and mastic collected from the residence reported as
none-detect for asbestos. No professional abatement activities are recommended to remove the above-
referenced material.
5
APPENDIX A - INSPECTOR CERTIFICATION
� _ . - - � .-: ,- =- �:-. -- - = -
, ,,� STATE OF COLORADO
�
` � �' ASBESTOS ��
.____� �:` CERTIFICATION* �
Colorado Department of Publie Health
and Fn�ironmcnt
Air Poilution C'ontrol Diaision
� �� Tliis cerlifle: ihat
� �:-
;� � Steve Shurtliff
�,'.
'� - Ccrtification �o: 1 �413
,� :
°' has met the requimments of 25-7-507, C.R.S. and Air Quality ('ontrol
� Commission Itegulation No. 8, Pan B, and is hereby certified by the
� 7 ��; ' statr of Colorado in the following discipline:
Building Inspector* ,::��
::Yi
- is�oea: bnznoio ��
Expires on: 6!1?/2011 ' / , �
��� �f� ���
` : 1 �. !' �. �.lG .�i ,
N:Cjxized APC� Rapusenti6ve "�
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. � rw:..�.m� . r: wu..ir »a6 u. p.:..n:../. ��....� ntm�e.�.�.�,ra o.:��AF roa... �.`,�„`
. e<n j.n.. �. �ti, m.rp�r;.� �,Fd.bew_
seu °�
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, . . �': .. a�-: '�.', < �,' Y;: :;i
APPENDIX B - LABORATORY REPORT
0
AEROI��D�OC�y LAbORATORy
ASSOCIATES, INCORPORATE�
�
Certificate of Analysis
13949 W. Colfax Ave
SuiEC 205
l�kewc�od. CO'80401
303.232.374G
�v1Y1p. iRrOb1010S1Y. Flet
Client Name DS Consulting ^„����ti � Date Collected: 04R8/11
Street address �366 Flatrock Ct w � Date Received: 04R8/1 I
City, State ZIP Morrison, CO 80465 Date Analyzed: OS/03/11
Attn: Sceve Shurtliff NVI.AP Lab Code 200860-0 Date Reported: OS/03/11
Ciient Project Name: Vail Raquet Club Dr. Unit l6, Bidg 7 Project ID: l 1005298
Job ID:
Test Rcquested: 3002, Asbestos in Bnik Samples
Method: Polariud Light Microscopy / Dispersion Staining (PLM), Method for the Detertnination of Asbestos in Bulk Building Materials. EPA-600/R-93/116, July 1993.
Homo- Non-Asbestos Non-Fibrous Matrix
Sample ldentification physical Description of Sample/Layer gmews �°T Asbestos Deteeted Asbestos Pereentege �iber Material Material
ient e um Y/N P��a� Percenta Com . ition
11005298-1A White Tape N 3•/. ND 98 2
11005298-1 B White Joint Compound N 10% ND 100 G
DW1-1
11005298-1 C White Texture w/White Paint N 10'/o ND 100 G
11005298-1D White/Tan Drywall N 77% ND 15 85 G
DW1-2 11005298-2 White Texture w/White Paint N 100% ND 100 G
11005298-3A Cle�r Mastic N 1 S% ND 100 B
DWI-3
11005298-3B White/Tan Drywall N 85% ND 15 85 G
I 1005298-4A Brown Fibrous N 20% ND 98 2
MAST[C 1-1
11005298-4B Yellow Mastic N 80% ND 100 B
Pagc 1 of 2
A = Amosite
AC = Actinolite
/� �/�/J �/ AN = Anthophyllite
;.y� ��/s�n+.-��fja"e'" ,;. f�,���/5rn-��jQ`e` CHRY=Chrysotile
/ / `" CR = Crocidolite
TR = Tremotite
au a Trac��LeasTtmn I°/.
Laborat4ory Analyst Aabestos Labotatory Sttpetvisor ND=None Detected
13949 W. Colfaac Ave. Suite 205, Lakewood CO 80401, 303.2323746
Q = Quartz P = Perlite
C = Carbonates B = Binder
G = Gypsum IkDiatoms
M = Mica
T = Tar
NTR = Non-Asbestiform TR
NAC = NarAsbestifam AC
03-27-2012
d• 1 fl nm
Inspection Request Reporting
G
age
Requested Inspect Date: Wednesday, March 28, 2012
Site Address: 4610 MEADOW DR VAIL
VAIL RACQUET CLUB BUILDING 7 UNIT 16
A/P/D Information
Activity: B11-0211 Type: COMBO Sub Type: AMF Status: ISSUED
Const Type: Occupancy: Use: Insp Area:
Owner: TYLER, CARROLL S.
Contractor: BLUE DEVIL BUILDERS INC Phone: 317-260-0735
Description: BATHROOM REMODEL BLDG 7, UNIT 16. REMOVE WALL TILE, DRYWALL, TUB AND FLOOR TILE.
BULD CUSTOM MASONRY SHOWER PAN. R&R PLUMBING TO RELOCATE DRAIN AND CONTROL
VALVE. REPLACE ALL DRYWALL AND TILE FOR CONVERSION TO SHOWER. INSTALL SLIDING
Requested Insqection(s)
Item: 90 BLDG-Final
Requestor:
Comments: follow up
Assigned To: JMONDRAGON
Action: Time Exp:
2��
3
��
Inspection Historv
Item: 220 PLMB-Rough/D.W.V. "' Approved "*
08/02/1 T Inspector: sgremmer
Comment:
Item: 230 PLMB-Rough/Water "* Approved *`
08/02/1 T Inspector: sgremmer
Comment:
Item: 60 BLDG-Sheetrock Nail
Item: 290 PLMB-Final
Item: 90 BLDG-Final
Requested Time: 09:30 AM
Phone:
Entered By: JMONDRAGON K
Action: AP APPROVED
Action: AP APPROVED
REPT131 Run Id: 14281
NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES
Town of Vail, Community Development, 75 South Frontage Road, Vail, Colorado 81657
p. 970.479.2139, f. 970.479.2452, inpsections 970.479.2149
COMBINATION BLDG PERMIT Permit #: B11 -0211
Project #:
Job Address: 4610 MEADOW DR VAIL
Location......: VAIL RACQUET CLUB BUILDING 7 UNIT 16
Parcel No....: 210112408016
OWNER TYLER, CARROLL S. 07/13/2011
PO BOX 1366
VAIL
CO 81658
APPLICANT BLUE DEVIL BUILDERS INC
THOMAS E. BURNEY
PO BOX 3398
VAIL
CO 81658
License: C000003217
CONTRACTOR BLUE DEVIL BUILDERS INC
THOMAS E. BURNEY
PO BOX 3398
VAIL
CO 81658
License: C000003217
07/13/2011 Phone 317- 260 -0735
07/13/2011 Phone 317- 260 -0735
Description:
BATHROOM REMODEL, BLDG 7, UNIT 16. REMOVE WALL TILE,
DRYWALL, TUB AND FLOOR TILE. BUILD CUSTOM MASONRY SHOWER
PAN. R &R PLUMBING TO RELOCATE DRAIN AND CONTROL VALVE.
REPLACE ALL DRYWALL AND TILE FOR CONVERSION TO SHOWER.
INSTALL SLIDING GLASS SHOWER DOOR AND NEW SHOWER HEAD.
INSTALL NEW FLOOR TILE.
Applied. ...
Issued...:
PRJ11 -0326
07/13/2011
08/01/2011
Occupancy:
Type Construction: Valuation: $5,190.00
..........................w....«,..........._.
_..<_..............._.. >.,,.... FEE SUMMARY ............., .......,......_.....,,.«......... ..,........,..............._._.
Building Permit ------ - -
- - -> $125.25 Bldg Plan Check ----- - - - - -> $81.41 Use Tax Fee------------------ - - - - ->
$0.00
Electrical Permit ---- - - -
- -> $0.00 Elec Plan Check ------ - - - - -> $0.00 Restuarant Plan Review--- - - - - ->
$0.00
Mechanical Permit - - - -
- -> $0.00 Mech Plan Check ---- - - - - -> $0.00 Additional Fees--------------- - - - - ->
$0.00
Plumbing Permit --- - - -
- -> $15.00 Plmb Plan Check ---- - - - - -> $3.75 Recreation Fee--------------- - - - - ->
$0.00
Investigation------------------ - - - - ->
$0.00
Will Call ------------------------------ >
$10.00
TOTAL PERMIT FEES --- ---------- >
$235.41
Payments -- ---------------------------- >
$235.41
BALANCE DUE------------------ - - - - ->
$0.00
DECLARATIONS
I hereby acknowledge
that I have read this application, filled out in full the information required, completed an accurate plot plan, and state that all the information
as required is correct.
I agree to comply with the information 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 Codes and other ordinances of the Town
applicable thereto.
REQU TS FOR IN TION SHALL BE MADE TWENTY -FOUR HOURS IN ADVANCE BY TELEPHONE AT 970.479.2149 OR AT OUR OFFICE FROM
8.o - 4. _
Si ature of Owner or Contractor Date
Print N me
combination permit_012811
CONDITIONS OF APPROVAL TO BE MET PRIOR TO FINAL SIGN OFF
Permit #: B11 -0211 Address: 4610 MEADOW DR VAIL
Owner: TYLER, CARROLL S. Location:
VAIL RACQUET CLUB BUILDING 7 UNIT 16
combination permit_012811
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REQUIRED INSPECTIONS AND STATUSES
Permit #: B11 -0211 Address: 4610 MEADOW DR VAIL
Owner: TYLER, CARROLL S. Location:
VAIL RACQUET CLUB BUILDING 7 UNIT 16
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Item: 00220 PLMB- Rough /D.W.V
Item: 00230 PLMB- Rough /Water
Item: 00060 BLDG - Sheetrock Nail
Item: 00290 PLMB -Final
Item: 00090 BLDG -Final
combination permit_012811
TOWN OF VAIL, COLORADO Statement
Statement Number: R110000900 Amount: $160.46 08/01/201109:22 AM
Payment Method: Check Init: SAB
Notation: 1208 - CAROLL S
TYLER /DANIE TYLER
Permit No: B11 -0211 Type: COMBINATION BLDG PERMIT
Parcel No: 2101- 124 - 0801 - -6
Site Address: 4610 MEADOW DR VAIL
Location: VAIL RACQUET CLUB BUILDING 7 UNIT 16
Total Fees: $235.41
This Payment: $160.46 Total ALL Pmts: $235.41
Balance: $0.00
ACCOUNT ITEM LIST
Account Code
Description
Current Pmts
BP
00100003111100
BUILDING PERMIT FEES
125.25
PF
00100003112.300
PLAN CHECK FEES
10.21
PP
00100003111100
PLUMBING PERMIT FEES
15.00
WC
00100003112800
WILL CALL INSPECTION FEE
10.00