The URL can be used to link to this page

Home My WebLink AboutB11-0306 B11-0306: Entries for Item:90 - BLDG-Final 15:12 09/17/2013 Action Comments By Date Unique_ Ke AP JRM 10/07/2011 A000145 612 Total Rows: 1 Page 1 c � 10-06-2011 Inspection Request Re orting Page 15 4:38_�__m_--- - ----- -- Vail O - Citv �— Requested Inspect Date: Friday October 07, 2011 Site Address: FROST TOWN OM S UNAT 3 A/P/D information Status: ISSUED T e: COMBO Sub Type: AMF Activity: 611-0306 YP Use: Insp Area: Const Type: Occupancy: Owner: PATAI,J.W., JR& BARBARA J, -JT Contractor: J G PLUMBING AND HEATING INC Phone: 970-390-9438 Description: B�SEBOARD HEAT TOASTAPLEAUP RADIANT�AD O�LOWER FCOOR ONLY FLOOR. CHANGE Re uested Ins ecti Ite . 3 D MECH-Final RequestedPhone� 970 390 9438 Reques r: J G PLUMBING AND HEAT NG INC Comme ts: 390-9438 Entered By: JMONDRAGON K ,,.*.......,. Assigned, o: Time Exp: Actio ' Inspection Historv Item: 200 MECH-Rough �tem: 220 PLMB-Roug-h/D.W.V. Item: 230 PLMB-Rou gh/Water Item: 240 PLMB-GasPiping Item: 290 PLMB-Final Item: 390 MECH-Final Item: 90 BLDG-Final Run Id: 13643 REPT131 NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES .,. a�w�o��; ° 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 #: B11-0306 Project #: PRJ11-0500 Job Address: 5187 BLACK GORE DR VAIL Applied.....: 08/31/2011 Location......: FROST TOWNHOMES UNIT 3 Issued... : 09/27/2011 Parcel No....: 209918214003 OWNER PATAI,J.W., JR&BARBARA J,08/31/2011 7969 S VINCENNES WY ENGLEWOOD CO 80112 APPLICANT J G PLUMBING AND HEATING INC 08/31/2011 Phone: 970-390-9438 JOSH GLEASON PO BOX 245 RED CLIFF CO 81649 License:C000003260 CONTRACTOR J G PLUMBING AND HEATING INC 08/31/2011 Phone:970-390-9438 JOSH GLEASON PO BOX 245 RED CLIFF CO 81649 License:C000003260 Description: MOVE BOILER AND WATER HEATER,ON SECOND FLOOR,DOWN TO LOWER FLOOR.CHANGE BASEBOARD HEAT TO STAPLE UP RADIANT HEAT ON LOWER FLOOR ONLY. Occupancy: Type Construction: Valuation: $13,000.00 •••••••••••,••••••••,••••••••••,••••••••••••••••,••••••••••••••••••••••••••••*•,• FEE SUMMARY #kYrrtfiYe4++#iRtr1rA*Af#rt*##*fi`1(fff**irie*k**+tkkMYIfVFY'iwrtrtfrYrhYrM+i*iR1d4d#*ti1(R4Rff41`1�+wk Building Permit-----------> $223.25 Bldg Plan Check----------> $145.11 Use Tax Fee-----------------------> $60.00 Electrical Permit---------> $0.00 Elec Plan Check-----------> $0.00 Restuarant Plan Review--------> $0.00 Mechanical Permit------> $200.00 Mech Plan Check---------> $50.00 Additional Fees--------------------> ($368.36) Plumbing Permit--------> $45.00 Plmb Plan Check---------> $11.25 Recreation Fee--------------------> $0.00 Investigation-----------------------> $0.00 Will Call------------------------------> $10.00 TOTAL PERMIT FEES-------------> $376.25 Payments------------------------------> $376.25 BALANCE DUE-----------------------> $0.00 .............,,...........x.=........x.x,,.......x..,..,......x..x......,.,,......,....,......,..,..............x=..=..x=...........,.....,....,..........,.�,......�,,.._................. 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 F SPE TI SHALL BE MADE TWENTY-FOUR HOURS IN ADVANCE BY TELEPHONE AT 970.479.2149 OR AT OUR OFFICE FROM 8:00 AM-4: . - .. � a7 �/ Signature Owner or Contractor Date Print Name combination permit_012811 : � �� ..........................,,,..,.................,,....,......,,,..,.........._.,..,,.,,....................,,.�.,,.._,......................,......,.....,....,............._................... CONDITIONS OF APPROVAL TO BE MET PRIOR TO FINAL SIGN OFF Permit#: 611-0306 Address: 5187 BLACK GORE DR VAIL Owner: PATAI, J.W., JR & BARBARA J, -JT Location: FROST TOWNHOMES UNIT 3 ..........................................................................................................�..........................................,...........,............,....,. combination permit_012811 1 � ��i l x+**,t*****++*,tw*,r,t**r**,tr**r*t,r,r**,t**+r***,rwr,rw*w,rww*rr x,t,t,t*ttntr*trtr tre�*,t***r*rr,tt�***trr******+t**,t,t,t,t*******tr*t**,rte r,t**x*+tvt***re**t**ter*rrt*,trww,r****** REQUIRED INSPECTIONS AND STATUSES Permit#: 611-0306 Address: 5187 BLACK GORE DR VAIL Owner: PATAI, J.W., JR & BARBARA J, -JT Location: FROST TOWNHOMES UNIT 3 .*****************.**************************„*****.�******************«„«********„««*«*************,.«***„*�*,,.***************«*«««„*****«**„*�****�,. Item: 00200 MECH-Rough Item: 00220 PLMB-Rough/D.W.V. Item: 00230 PLMB-Rough/Water Item: 00240 PLMB-Gas Piping Item: 00290 PLMB-Final Item: 00390 MECH-Final Item: 00090 BLDG-Final combination permit_012811 **********************************************+*****************+************�******�**+**** TOWN OF VAIL, COLORADO Statement ***+***********�********************+++�********************************************+******* Statement Number: R110001324 Amount: $376.25 09/27/201110: 12 AM Payment Method:Credit Crd Init: LC Notation: CREDIT CARD FROM JOSH GLEASON ----------------------------------------------------------------------------- Permit No: B11-0306 Type: COMBINATION BLDG PERMIT Parcel No: 2099-182-1400-3 Site Address: 5187 BLACK GORE DR VAIL Location: FROST TOWNHOMES UNIT 3 Total Fees: $376.25 This Payment: $376.25 Total ALL Pmts: $376.25 Balance: $0.00 ***************++�*+***********************************************+*******************+**** ACCOUNT ITEM LIST: Account Code Description Current Pmts -------------------- ------------------------------ ------------ MP 00100003111100 MECHANICAL PERMIT FEES 200.00 PF 00100003112300 PI,AN CHECK FEES 61.25 PP 00100003111100 PLUMBING PERMIT FEES 45.00 UT 11000003106000 USE TAX 4g 60.00 WC 00100003112800 WILL CALL INSPECTION FEE 10.00 ----------------------------------------------------------------------------- Performance Specifications Solo 60 Natural or Propane 16 to 60 95% 54 Solo 110 Natural Gas 30 to 110 95% 99 Solo 110 LP Propane Gas 25 to 97 95% $7 Solo 175 Natural or Propane 50 to 170 95% 154 Solo 250 Natural or Propane 65 to 245 95% 223 Solo 399 Natural or Propane 112 to 399 95.1 %* 379 Connections / Dimensions / Data Solo 60 1" 1/2" 3" Solo 110 1" 1/2" 3" Solo 175 1 1/4" 3/4" 3" Solo 250 1 1/4" 3/4" 3" Solo 399 1 1/2" 1" 4" Standard Features Factory tested Limited 10 year warranty , Stainless steel heat exchanger Outdoor temperature sensor Stainless steel burner 16"x 20"x 35 1/2" 95 16"x 20"x 35 1/2" 106 16°x 20"x 35 1/2" 131 16"x 20"x 35 1/2" 142 20 3/4"x 24 3/4"x 37 1/2" 200 Negative pressure regulated gas valve 30 psi pressure relief valve Flanged Grundfos 3-speed UP15-58 system circulator (110 only) Automatic air vent Pressure gauge Condensate drain assembly 24 V terminal strip with removable jumpers for manual reset or automatic reset of external controls 47 2.5 86 2.5 76 2.5 134 4.6 194 4.1 330 7 "Thermal Efficiency The Prestige,combined with a Smart Series Indirect Fired Water Heater, will provide efficient, reliable heat and an abundant supply of domestic hot water. The boiler is "indirect ready"with domestic hot water priority control. n u t�^ � �� I�M � NTC temperature sensors on the Optional Equipment boiler supply/return and flue • Floor Stand •Wall Kit (399) • Condensate Neutralizer Kit • Concentric Vent Kit • Direct Vent Sidewall Kit � 120V Power switch • 5 and 10 Year Parts and Labor Plans Triangle Tube reserves the right to make product changes or improvements at any time without notice. �A��F, Member of � Fo - 1 Triangle Lane Blackwood, NJ 08012 � ISO 9001 `, T%I a I7 CJ I e� TeL• {856) 228 8881- Fax: (856)228 3584 STANOPp.O •� E-mail: info@triangletube.com - http:lfwww.triangletube.com 20t0-47 Prestige Solo Lit.-Revised 10/27l10 Group ''' Tr� an le b �I � � � . .. � � 1 ! i 95% AFUE - Energy Star Listed • � �t, � � �<�„, �� Fully Modulating • ��"�x>�� k`�"�� `�� ' Digital Display, � �' � �� Direct Vent / Sealed Combustion• Minimal Space Requirements • � , �,,,.. 2 � � , �` v '""""'..°=,•-s� ✓� a �I Tna�9�e�"ul�e. ♦ � . �w s:♦ :� . � ��I � r��.. • L , •� l' �, ' � `, 1, • Higher Water Volurne �h�n �o petita�e nits • Low Pressure Drop • Quiet Operation ��1 I=� N ,;R, � El� �s � STL MCBA Control . _ �, �� _ � i1: "+4�; _ IIIIitI�n��, ,'� _ � IIIIIH111lllllliillllll n�� , A, �. ��, , �,. � .`v�r_ z.�j�y � �� ' '� '�� The Prestige uses a microprocessor electronic control module that automati- cally adjusts blower speed and gas flow rate to modulate boiler firing rate to closely match boiler output to space heating or DHW heating demand. The module responds to signals from the room thermostat, supply and return water temperature sensors, flue temper- ature sensor, domestic hot water aqua- stat and outdoor temperature sensor. � � � � � � r� �- Digital display module ignition control Operating control High temperature limit protection Modulating temperature control Low water protection Outdoor reset Domestic hot water priority Two pump controls (Heating and DHW) Boiler freeze protection Stainless Steel Premix Burner Assembly High grade stainless steel burner uses pre-mixed air and gas providing a 25% to 100% modulating firing rate. The Prestige burner features a long life, quiet operation, reliable spark ignition, and clean combustion for low NOx applications. The blower, gas valve and venturi provide the proper gas and air mixture for precise combustion. The blower pulls in air and gas through the venturi. The air and gas mix inside the blower and are pushed into the burner for combustion. The gas valve senses suction from the blower and allows gas to flow only if combustion air is flowing. Control Panel with �igital Display �.,-.. . .,., - , A 4-digit user's Interface Module is provided to display ■ ' system operating status and fully adjustable parameter � -�''. values as well as diagnostic codes for easy trouble- � ■ • � � shooting and optimum system performance. Prestige Solo '1 '1 O Exploded View Biower Heat Exchanger Insulation Lining Burner Flue ways Condensate drain assembly MCBA Control Module on hinged service panel The components of the Prestige are easily accessible for serviceability. The Solo 60,175, 250 & 399 are shipped less the circulator. Stainless Steel Heat Exchanger fl uoique, highlq ef�cieor heat 2zcha�ger is ar the h2art of rhe Presrige. � Unique geometry: 3 consecutive baffles direct water flow through the exchanger and around the combustion chamber for uniform heat transfer. � Highest water content in the industry - Stable temperature control - Less sensitive to water flow � 439 Grade Stainless Steel. Unparalleled resistance to corrosior � Less sensitive to sludge � Self cleaning: condensate washes combustion residue awf.; resulting in a constant efficiency and reduced maintenance � Low pressure drop Energy EfficiencY The Stainless Steel Indirect Fired Water Heater is heated by the hot water from your boiler. As your home is being heated, your domestic hot water is being heat- ed at the same time, thereby, consuming less fuel and conserving energy. Combine this with a recovery rate that is up to three times faster than conven- tional gas or electric water heaters, and The SMART Series Indirect Fired Water fl: Heater heats more hot water with less fuel for the energy conscious consumer. � � long Term Dependability The average life span of a SMART Series Indirect Fired Water Heater exceeds 20 � ; �, � years! That is two or three times the average life of a conventional gas, oil or electric �� fi= ��#`,, water heater. ��{ �,; , Installation Heating System Supply Heating System Return Cold Water Fill — �� o Prestige + � r. � �;��:. � SMART Installation with i Recirculation Loop j 4 Prestige Condensing Boiler � �1- 5 ; Mixed Water 8 To dishwasher* 10 1 10 4 3 5 g Boiler Return 3 ll 7 Boiler supply 2 3 4 2 SMART Indirect Water Heater (*) Optional devices may be required by local codes. Optional 12" Heat Trap Loop 6 3 7 Cold Domestic � Water 1. Temperature & Pressure 5. Flow Check Valve 9. Pressure Relief Valve Relief Valve 6. Backflow preventer or 10. Air Vent 2. Drain pressure reducing valve(*) 11. Automatic Fill Valve 3. Shut -off Valves 7. Expansion Tank 4. Circulator 8. Mixing Valve Member of 4�PTiF,FO � IS09001 '� C)r�e�riar�gie !_�ne • Bi�ckvvo�d Ev.t t)�0"I4 ( o �� Trrar�Sle : � � N � srq�opa° p 856.228.8881 f 856.228.3584 www.triangletube.com Group 2009-8 Smart Lit.6/8/09 � � • Trian �x � � .� : �� , � �J �`,, ��,; � <<,� �,,. Construction Specifications SMART Series A B C J E K 7 ET� A. Inner stainless steel tank B. Outer steel tank C. 2" Polyurethane insulation D. Boiler water connection E. Boiler water connection F. Hot water outlet G. Cold water inlet H. Auxiliary connection I. Thermostat control J. Plastic jacket K. Thermostat remote sensing bulb L. Air vent connection M. Electrical wiring plug Smart Series is tested in accordance with the standard(ANSI/UL-174)(CAN/CSA-C22.2 NO. 110-M90)and is certified by ETL. Superior Design"Tank-in-Tank"Technology Superior Neat Exchange Surface Area The domestic storage tank is constructed of stainless steel and is surrounded by boiler water in the outer tank, resulting in a full "wrap around" heat exchanger. It's superior heat exchange surface (typically 1.5 to 2.5 times larger than a traditional coil) produces a larger volume of hot water in a short period of time. Thanks to this fast recovery, the storage capacity can be reduced, resulting in a reduced thermal loss. Stainless Steel Tank Construction The inner domestic storage tank is constructed of durable, corrosion resistant stainless steel. Optimal Insulation SMART Series, is insulated with 2" of injected polyurethane foam, resulting in a stand by heat loss of less than 1°/Hr. x�. � � ��.. �.. �- _�� ..,�. �,.,_„ � :. - ....� :,-�.�....__._:.r- Self Cleaning/Self-descaling The inner, domestic tank is suspended within the outer tank so it is free to expand and contract as the pressure varies during hot water draws. Moreover, its corrugations amplify the movement and prevents the lime build up on the heat exchanger; thus maintaining its performance during the SMART Series life span. Anti-Bacteria Growth/Maintenance Free The "Tank-in-Tank" design allows us to store domestic water at higher tempe- ratures preventing bacteria growth. Additionally, contructed of high quality stainless steel, SMART Series does not require a protective anode. Product Specifications Smart 30 22"dia. Smart 40 22"dia. Smart 50 22"dia. Smart 60 22"dia. Smart 80 26"dia. Smart 100 26"dia. Smart 120 32"dia. 38" 46" 57" 66" 61" 78" 72" 1" 3/4" 3/4" 28 5 13 115 1" 3/4" 3/4" 36 6 16 135 1�/a" 3/4" 3/4" 46 8 20 165 1�ia" 3/4" 3/4" 56 8 24 190 1�/2" 1�/2" 1�/2" 70 14 28 271 1�i2" 1�/2" 1 12' 95 25 36 362 2" 1�/2" 1�/2" 119 43 42 479 (*)This fitting can be used as a return connection if circulated domestic water is required or can be used as a connection for the T&P Relief Valve. Performance Smart 30 87,000 140 115 40 Smart 40 112,000 180 150 50 Smart 50 140,000 220 185 65 Smart 60 270,000 410 360 100 Smart 80 300,000 460 400 125 Smart 100 337,000 525 450 150 Smart 120 420,000 650 560 190 How it Works Smart Series operating cycle _�J Q Q Cold Start (pump off) Recovery Start Recovery Completed (pump on) (pump off) Conditions: - 200° boiler water supply - 90°temperature rise u In Service (pump on) When the thermostat in the inner tank calls for heat, the boiler and circu- lator start. Boiler water is circulated around the outer tank and heats the domestic water in the inner tank. After transfer- ring its heat, boiler water is returned to the boiler to be re-heated. When the ther- mostat in the inner tank reaches its pre-set mark, the boiler and circulator shut off. �� .�� `°� ��, �,�� _,, ,,4� � `� <z �, Department,of Community Development ' � , � '`��.�� --=� �`_, �� °��, � �,� � 75 South Frontage Ro�d ; -��.. _ „ � , « ,�� , ..... , =�, �; �, .F;� �_ �� 4 ; ��-�- . ` Vail, �alorado 8'l�5�� ...�/� +�" •_.�a ��,P �,�.�...1 'Y 3 .g: 1 S* � � � '��3 '�k''��y �/F/ ��/ �i�al�'�+� r .t�4. ' , . .. �x ... 'R .�, ��Z � �,t .{„r" ��,y�. t�`�At��7 ?^K'}'�t�},4.�� .�� {4 � ��''�,r ,; k ��•'� `�'�� e�� r �i�. F��3(� ��7�L'fJ� i ��.,:,��, , � �� r y`':`F. ._wx= ��'" ` _ ` Wet�; vvvuw�a�l�o`ir�c�� ;� .. r �� ,y�. - �'� 't'S.�i, ��' f ,f<` � Y ��` : Deve�opment,R�view �oorc��n t`o�i � :�t,yY��l�)"3 7zj'�'j � � ' -z� x�� .. � v :'� .�' Lr s �si �#-i�-�/41i��1 � .,q. . � .. � . ,Y slIitt—�I� iLm�,.�"' , a.,� �:a#sr .ai�.' .i + ,'�' �`� ,,.., $` :y'� � �� ..ar..:>��.�.s..._ .,._ �.-�� ^a$ . .. „_._3_.,,.br�•,�2n'�i�fP,��.a�.�,.� 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: � � v� Attention:�� O Revisions �� ! ! �'/` f�� „(\ � �(j �� ( ) Response to Correction Letter � C� 1 �J l � attached copy of correction letter � ( ) Deferred Submittal i , �'��_ ( ) Other t i �..,. ,,_�,�......._....�,m__ ._.�..,. ,,.�.�....,.�,........�...�.....,�..,.�..._,� .�.�.��.,. ,.w. ` �Project Street Address: � � ,�Ig� i3� K �� Description/List of Changes: � r (Number) (Street) (Suite#) 6�� BuildinglComplexName: f }r�C, I IL'%t�c.�t��' � - � ' 3 � �Contact Information: �b� ��.��n�� Company: �G �(c.twt�I�.iti� -t �l vlr-, LU� i � � J�J ` t� ` CompanyAddress: �� /�' � .5 i City: � State:�Zip: � � /.� �� Contact Name:__ �o� � T (Contact Phone: � ?O � �J�C%� --q�,�� } l E-Mail � � ;��..�.....�,�.�.,�..��,..�.�,...�.�.....�.�,�.�,�..�.�..H,_�.�.�..,�,A,.�.,.d,.�,.,,.�w � j �Valuations(Labor 8�Material)) � ' � �Building: $ � ; �Plumbing: $ � �(use additional sheet if necessary) � __._ _.._. . _ ...._._.... ____._.__._ .__._. - -__..__.._ _.._...._ _...� Electrical: $ � �Date Received: �Mechanical: $ t i� � � � � � � E Total: $ € D s � '__..-------___._._-.----___._ _ _.____ __ _____. _.___-------__._.__----.-------___.________� SEP 12 L�'�1 TOWN OF VAIL 1-Sep-09 � � Z � �1 < Ir � �J --�-- � � m ,� -v ►� �]ju- '' 2� � ° � � � -� �/ TRIANGLE TUBE PRESTT�E SOLO 110 � � � ,�� r� �... �_� MO�HCI'WA1E8ffiKlffi � JG P&H PATAI RESIDENCE ��. �)_(k EXP TANK BASEBOARD ZONES (ONLY 3 ZONES SHOVVN) PUMP SCHEDULE BP-GRi1NDFOS BOILER PUMP Pl-GRUNDFOS UPS15-SBFC P2-GRiJNDFOS UPS15-S8FC NEBS Inc.,To Reorder.l-600-225-6380 or www.nebs.com �r� � .L �s � � �� lL tr ;+yr' 1�� .�`� � ---�� -.� l � �. � ;i � �, �!, -i�`' � ��-- °�i� � �, � , � ; � w ' � �� M � l �� . �- � �';I !I �^�e � L � _ � i I -r __-- ____._ __.____ _--- - _ _._.�=- � \,, �_ � � � � i � � } ; s t� �. � V�- _ � �o � t,r✓ � � �� - �. � � t �_, �, �_� �f� �f, �� ( v `3 - �G,;*-� � ±:��k E... � '/ _._e_� � 6 � �., . "�L .'� D � AUG 26 2011 TOWN OF VAIL o � a� � � � O � � � . 0 ,�,��.� ��,� �/aid ��'��I�VIiED F�� ::��PL,� �,� ��'�' ,.,, . - s � l� - <� ` _ _-—�----�- � . ____'� _..- 7°ov�►� �� '�� _ ;� � �' � � :� �� . � ' ;: -�'�..., , Department of Community Development �� 75 South Frontage Road 'Y: � ;� �� z' �; ;� ; 'fr�, Vail;.Colorada 81657. �i '� 3 .� �xb . . -°-°�- �� k � `� � TeL 970-479-2128; � x°' ' � � �,�� .;� _ ° �� _ �. ,�� .� . Web: www.vaiigvv:corp � E , � . °�,�=-. � �` _� � �' � _:�#-�.< ° �� Development Review Coordinator� �..,.� � �.,. ' � a '�� F� - * � � � � < <. � �'a :'1�Ti'd r'� �� + ' , ,� '�� _ ��tl��;,��.,'� ��`" ��-�.�#'i�'w��.�� _.��. � ` .�.o-.�.,:�: _b._,_�� _,..�......vw.�a BUILDING PERMIT APPLICATION (Separate applications are required for alarm & sprinkler) Project Street Address: Project#: �Q�� '�� .� �� RB#: -- 1�A — (Number) (Street) �'��5� (Suite#) Building/Complex Name:�/�/��-.S ( �D"�,cl�,�`{�X}'�vt�, $uilding Permit#: ��r"'��lp i�I�RTHEQ�vGOD �,�jz Lot#: Block# Subdivision:��,t ut�u,�ES _ Contractor Information _ _ ___ __-- --. __.__ __._..._ _ __ �,/ Business Name: ✓ � �I(�i/N��✓k'� 'Q /�C��1� Work Class: New( ) Addition( ) Alteration( ) � Business Address:�6 y�i"c�C _ S 1 Type of Building: City�� 'i �� State:�Zip: g l6�-I� Single-Family�) Duplex( ) Multi-Family( ) Commercial( ) Other(� 1�,,�{��SS Contact Name: �T��I�f�sd t� Contact Phone: C/7Q _ ��D �G� 3� Work Type: Interior(x) Exterior O Both O Contact E-Mail: � a� �I V1 � T !( •�� Valuation of Work Included Pfans Included Woric � Contractor e strati n N mber: Electrical ( )Yes ( )No ( )Yes ( )No X Mechanical (X)Yes ( )No ( )Yes ( )No (l.J, VV � �� Owner/ ner's Representative Signature(Required) Plumbing (�()Yes ( )No ( )Yes ( )No /�� Project Information . �Building ( )Yes ( )No ( )Yes ( )No Owner Name: �a � -� (3G r b pc��'a► � Value of all work being performed: $ Q��! Parcel#: (value based on IBC Section 109.3 8 IRC Section 108.3� (For Parcel#,con ct a e Co nty Asse�s O�ce at(970-328-8640 or visit www.eaglecounty.us/patie) Electrical Square Footage I Detailed Scope and Location of Work: �P S' -� (�', � � � ��_�it�� l.t ��Cdl.�-�.0-�) 6�C� � • �l.c.J�2 ��bO(� LUlil I�/ (use additional sheet if necessary) i I For Office Use Only: Date Received: � � � a �n � Fee Paid: D U Received From: a��7 2 6 2�� Cash Check # CC: Visa / MC Last 4 CC # exp date: a�tn # TOWN OF VAIL 01-Jan-11 � � �_ F-�----��4----'��`---1 9, o,, .. ` � �� b� I la i f� � 6 ' ce�l� �oi � � (Z t�� ___ I �---�—� �� o�R, S'H �� 25 --3 I �� I R ��,, �l�CTl��c� ��nC� :�� ----- ` - --- ��j�tl� � � G�l�� i � c�� /��,5 ; -� ,- � I �' � ; ;