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HomeMy WebLinkAboutB11-0235r m g + s E Department of Community Development ' r 75 South Frontage fto4d I' 7 i Va t l, ll fora o 8 Y. NPl�� fie..✓... e4 .Y .' �! µ �.:Y . 61 * !.L M d. TRANSMITTAL FORM Revision Submittals: 1. "Field Set' of approved plans MUST accompany revisions. 2. No further inspections will be performed until the revisions are approved & the permit is re- issued. 3. Fees for reviewing revisions are $55.00 per hour (2 hour minimum), and are due upon issuance. Permit #(s) information applies to: Attention: I L_ C a S �? L UE, ( ) Revisions Response to Correction Letter _attached copy of correction letter () Deferred Submittal () Other Project Street Address: C OLLI in R1 K)r– (Number) (Street) (Suite #) Building /Complex Name: �Q C —A M \ piJpCb Contact Information: (� Company: Ell S �A -)=FE Company Address: City: State: Zip: Contact Name: AA y Contact Phone: it 7©^ 1 L Q 0 -- I 'I 3 E -Mail Revised ADDITIONAL Valuations (Labor & Materials) (DO NOT include original valuation) Building: $ Plumbing: $ Electrical: $ Mechanical: $ Total: $ Description / List of Changes: (use additional sheet if necessary) Date Received AUG 3 1 2011 TOWN OF VAI 01 -Jan-10 TOWN OF VA Department of Community Development 75 South Frontage Road Vail, CO 81657 Tel: 970 - 479 -2128 www.vailgov.com Development Review Coordinator BUILDING PERMIT APPLICATION (Separate applications are required for alarm & sprinkler) Project Street Address: ` Project #: DRB #: O (Number) (Street) (Suite #) ( Building /Complex Name: Building Permit #: C U \a � 1 �1� Ave p �� Contractor Informat' n I Lot #: Block # Subdivision: Business Name: �� 3 C Work Class: New ( ) Addition ( ) Alteration (x) Business Address: I City State:_ Zip: _V I I S Type of Building: I I \ _ Single- Family ( ) Duplex ( ) Multi - Family ( ) Contact Name: C k1l S K (e) 1" l Commercial ( Other( ) Contact Phone: Co X tat Mil: 0 Signature (Required) Work Type: Electrical Mechanical Plumbing Interior ( ) Exterior ()C) Both ( ) Owner/ "s I Applican f n Applicant Name: Applicant Phone: 9,19 L IL4 6"0 y H IBuilding Applicant E -Mail: Project Inform io 11 Owner Name: i dI Ak Aj7 CAN 0 Ml N I V M Parcel #: al 8 1 ;� I 1 ��'r C1 0 (For Parcel #, contact Eagle County Assessors Office at (970- 328 -8640 or visit www. eag I eco unty. us/pati e ) Valuation of Work Included Plans Included Work (- '\)Yes ( )No ( )Yes (,()No ( )Yes (x )No ( )Yes ()( )No ( )Yes ()()No ( )Yes (X )No (x )Yes ( )No (X)Yes ( )No 10• 50 • Value of all work being performed: $ 1 (value based on IBC Section 109.3 & IRC Section 108.3) Electrical Square Footage Detailed Scope and Location of Work: R RJn J;m 1 t `^ 4 L 'a I A w� Q .� (use additional sheet if necessary) For Office Use Only: Fee Paid: 105 _) • o? Co Received From: 0 ✓i,5 Cash Check # CC: Visa 4 MC ast 4 CC # qg!E exp date: _ Auth # Date D IEC FodrE D JUL 28 2011 TOWN OF VAIL 01- Ian -11 ************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** TOWN OF VAIL, COLORADOCopy Reprinted on 07 -28 -2011 at 12:34:45 07/28/2011 Statement ************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Statement Number: R110000871 Amount: $1,057.26 07/28/201112:33 PM Payment Method:Credit Crd Init: SAB Notation: MC - CHRIS KLEIN ----------------------------------------------------------------------------- Permit No: B11 -0235 Type: COMBINATION BLDG PERMIT Parcel No: 2101 - 122 - 1100 -4 Site Address: 4295 COLUMBINE DR VAIL Location: ENTIRE BUILDING FRONT Total Fees: $7,085.87 This Payment: $1,057.26 Total ALL Pmts: $1,057.26 Balance: $6,028.61 ************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ACCOUNT ITEM LIST: Account Code Description Current Pmts -------------- - - - - -- ------------------------ - - - - -- ------ - - - - -- PF 00100003112300 PLAN CHECK FEES 1,057.26