HomeMy WebLinkAboutDRB120009�1�1.��1'-'i C�wEL��i_�-
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Project Name: ICELIUX ADDITION DRB Number: DR6120009
Project Description:
remodel expansion to existing single family residence
Participants:
OWNER ICELIUX LLC 01/23/2012
147 GUTENBERG
MEXICO
DF 11590
APPLICANT SEGERBERG, MAYHEW & ASSOCIAT 01/23/2012 Phone: 970-476-4433
101 EAGLE ROAD, BUILDING 6
AVO N
CO 81620
License: C000001762
Project Address: 2430 CHAMONIX LN VAIL Location:
Legal Description: Lot: 12 Block: 6 Subdivision: VAIL DAS SCHONE FIL 1
Parcel Number: 2103-114-1500-1
Comments: SEE CONDITIONS
Motion By: Gillette
Second By: Maio
Vote: 3-0-1 (Kjesbo recused)
Conditions:
BOARD/STAFF ACTION
Action: APPROVED
Date of Approval: 02/16/2012
Cond: 8
(PLAN): No changes to these plans may be made without the written consent of Town of
Vail staff and/or the appropriate review committee(s).
Cond: 0
(PLAN): DRB approval does not constitute a permit for building. Please consult with
Town of Va i I Bu i Id i ng person nel prior to construction activities.
Cond: 201
(PLAN): DRB approval shall not become valid for 20 days following the date of
a pprova I, pu rsua nt to the Va i I Town Code, Cha pter 12-3-3 : APPEALS.
Cond : 202
(PLAN): Approval of this project shall lapse and become void one (1) year following
the date of final approval, unless a building permit is issued and construction is
commenced and is diligently pursued toward completion.
Cond: CON0012428
1. The applicant shall replace the proposed triple windows on the east elevation
with narrower windows to match all other window widths on the east elevation.
Planner: DRB Fee Paid: $300.00
************+*****************+******************+*************************************+****
TOWN OF VAIL, COLORADOCopy Reprinted on 02-13-2013 at 10:31:27 02/13/2013
Statement
****************+*************************+**********+***********�*********************+****
Statement Number: R120000036 Amount: $300.00 O1/23/201203:07 PM
Payment Method: Check Init: LC
Notation: #29871 /
SEGERBERG MAYHEW & ASSOC
---------------------------------------------------
Permit No: DRB120009 Type: DRB - Addition of GRFA
Parcel No: 2103-114-1500-1
Site Address: 2430 CHAMONIX LN VAIL
Location:
Total Fees: $300.00
This Payment: $300.00 Total ALL Pmts: $300.00
Balance: $0.00
*******************************************************�**************************+*********
ACCOUNT ITEM LIST:
Account Code Description Current Pmts
--------------------
--------------
DR 00100003112200 DESIGN REVIEW FEES 300.00
----------------------------------------------------
TOWN 0� VA�L ��:
Department of Community Development
75 South Frontage Road
Vail, CO 81657
Tel : 970-479-2128
www.vailgov.com
Development Review Coordinator
Application for Design Review
Additions - Residential or Commercial
General Information: This application is required for all proposals involving the addition of any floor area, in-
cluding net floor area and/or gross residential floor area (GRFA). This also includes proposals for `residential
250 additions' and `interior conversions'. Applicable Vail Town Code sections can be found at
www.vailqov.com under Vail Information — Town Code Online. All projects requiring design review must re-
ceive approval prior to submitting a building permit application. An appli�ation for Design Review cannot be
accepted until all required information is received by the Community Development Department, as outlined in
the submittal requirements. The project may also need to be reviewed by the
ning and Environmental Commission. Design review approval expires one ye
unless a building permit is issued and construction commences.
Fee: $300
�4 Single Family
Duplex
Multi-Family
JAN 2 3 2012
��
Description of the Request: ��'°b�-- E�i�-�J/� ?� ��Tk✓�l5'�
���' ��/��� �����
Addition of � sq ft of GRFA (Residential) or—�� sq.ft of net floor area (Commercial/ Office)
Physical Address:
Parcel Number:
Property Owner:
�'3 ° �'`��1 c"� ��
c»C_ Lc��
G, �a
Contact Eagle Co. Assessor at 970-328-8640 for parcel no.)
Zlc���l��-i l � �b�
Mailing Address: �� � � �`/_�'�, �%�'—�, �����a
�'�� �r' ��
�Owner's Signature:
Phone:
Primary Contact/ Owner Representative: �U�-� .S� �x—��r
Mailing Address: 7' °� � � ��a D
�%,�/G � GG Phone: �7° ' ��G" l�3�
E-MaiL•1��j'f�ls��=�s}�'�'I�7.4�'7Fax: �'b���''`�p�
For Office Use Only:
Cash_ CC: Visa / MC Last 4 CC # Exp. Date: Auth # Check #� �� rc �"
Fee Paid: � �''� � Received From: `�� -�'1"�'? Q/�� - �-�.-�
/� ✓
Meeting Date: '�,-I lZ DRB No.: �.) ��>
Planner: _ Project No: �► W ��'U���
Zoning
Land Use:
Location of the Proposal: Lot: Block: Subdivision:
� �,
raw�u aF var� }�:`
JOINT PROPERTY OWNER
WRITTEN APPROVAL LETTER
The applicant must submit written joint property owner approvai for applications affecting shared ownership properties
such as duplex, condominium, and multi-tenant buildings. This form, or similar written correspondence, must be com-
pleted by the adjoining duplex unit owner or the authorized agent of the home owner's association in the case of a con-
dominium or multi-tenant building. All compieted forms must be submitted with the applicants completed application.
/7/�
I, (print name) , a joint owner, or authority of the association,
of property located at , provide this letter as written
approval of the plans dated which have been submitted to the
Town of Vail Community Development Department for the proposed improvements to be completed at the address not-
ed above. I understand that the proposed improvements include:
0
0
(Signature) . , ' (Date)
Additionally, please check the statemenf below which is most applicable to you:
1 understand that minor modifications may be made to the plans over the course of the review process to ensure compli-
ance with the Town's applicable codes and regulations.
�, .
(Initial here)
I understand that a!1 modifications, minor or otherwise, which are made to the plans over the course of the review pro-
cess, be brought to my attention by the applicant for additional approval before undergoing further review by the Town.
(Initia! here)
0
PROPOSED MATERIALS
Buildinq Materials Type of Material
! �"' �
� ��,�r-�-� �
�, �,�T�� �y�f''`�'7`
Roof
Siding
Other Wall Materials
Fascia
Soffits
Windows
Window Trim
Doors
Door Trim
Hand or Deck Rails
Flues
Flashing
Chimneys
Trash Enclosures
Greenhouses
Retaining Walls
Exterior Lighting
Other
Notes:
Please specify the manufacturer's name, the color name and number and attach a color chip.
Color
Botanical Name
PROPOSED
TREES
AND SHRUBS
EXISTING TREES
TO BE REMOVED
Minimum Requirements for Landscaping
GROUND COVER
SOD
SEED
IRRIGATION
TYPE OF EROSION CONTROL
PROPOSEDLANDSCAPING
���
Comman Name
Deciduous Trees - 2" Caliper
Coniferous Trees - 6' in height
Shrubs - 5 Gal.
Quantity Size
Type Square Footage
Please specify other landscape features (i.e. retaining walls, fences, swimmin pools, etc.)
Z� �.� /�- ��1�I1 "'� �� ��"� � �J � �� <r����'��
r � �
February 9, 2012
Ms. Rachel Dimond
Town of Vail
Department of Community Development
75 Vail Road
Vail, CO 81657
RE: Castro Residence Remodel
Dear Rachel:
In response to your February 6, 2012 letter and comments, the following
information is provided:
Utility Verifications:
■ Utility companies have been notified. Currently receiving
remaining sign offs from utility companies.
Title Report:
■ Attached.
Stamped Survey:
■(3) paper copies were included on January 23, 2012 in the Design
Review Board package. Included were ILC and the topo.
Photos:
■ Attached.
Roof Plan with Ridge & Eave Elevations:
■ Elevations of proposed roof and eave elevations shown on Sheet
A1.0 (roof plan).
■ Existing grades are shown below elevation points for interpolation.
■ Note all ridges and eaves below 33'-0".
Landscape:
■ See Sheet Al .0.
■ Currently at 72% landscape area.
Segerberg, Mayhew & Associates_ Architects, P.C., A.I.A.
Mail: P.O. Box 4700 • Vail, CO 81658 • e-mail: info@smarchs.com • http://wwwsmarchs.com
Main Office: Eagle-Vail • 101 Eagle Road, Bldg. 6• Avon, CO 81620 • phone: 970 476 4433 • fax: 970 476 4608
Denver Office: 12600 West Colfax Avenue, Suite A-140 • Lakewood, CO 80215 • phone: 303 623 3355 • fax: 303 623 2262
Ms. Rachel Dimond
February 9, 2012
Page Two
Site Coverage:
■ Using your 2,061 square foot of site coverage, site coverage would
be as follows:
2,061 / 11,386 (lot size) = 18%.
20% allowable.
Lighting Plan:
■ See enclosed cut sheet for light fixture.
GRFA Calculation:
■ Using lowest level multiplier of .61 (see calculations).
■ Note calculation on Sheet SF-1.
■ Total GRFA = 3,885.5 square feet.
■ (4) cars not required.
Revised Proposed Grading:
■ Minor grading will occur on south side of lot.
■ Revised grades show 5:1.
Snow Storage:
■ Shown on Sheet A1.0.
■ Greater than 30�0.
Please let me know if you have any questions or need any further
information.
Sincerety,
SEGERBERG, MAYHEW & ASSOCIATES, ARCHITECTS
Kurt A. Segerberg, A.I.A.
President
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REAL PROPERTY TRANSFER DECLARATION - (TD-1000)
GENERAL INFORMATION
Purpose: 7he Reat PrnQerry Transfrr Declaratiun provides essential infaRnation to the couuty assrssor to help ensura Yair and
unifotm �ssessments for ali property for property tax purpases. Refer to 39-14-102(4), Colorado Revised Statutes (C.R.S.).
Requirements: Atl conveyance documents (deeds) subjeet to the documentary fee submitted to d�e cow�ty clerk and reeorder fur
recordation must t�e accompaiued by a Re�l Property Transfer Declaration. 1�Lis declar�tioii must be campleted and si�ned by tlie
prantor (seller) or grantee (buyer). Refer to 39-14-142(1)(a), C.R.S.
Pens�lty for Noocompliance: Whenever a Rea! Property Transfer Declar�tiou does aot accompftr►y the deed, the clerk and
recorder irotities the county assessor wlio wiq send a ��otice to [he buyer ieyuesting that die declart►tion be returned wittiin lhirty
tiays after the notice is;knaiied.
�j . �
it thz completecl Ke�! t'cVperty Tr:uisfer Decfara[ion is not returneJ to lhr couuty asse�sur w-it�iid the 30 days uf notice, the assessar
may impose a penalty of $25.00 or .025% (.00025) of 4ie sale price, whichever is �xealec 'I'his penalty may be imposed for any
subsequent year that d�e buyer fails to submit the declaration until the property is sold. Refer to 39-14-i02(1)(b), C.R.S.
Confidentiality: The assessor is required to make the Real Properry Tra�ufer Declaration available ti�r inspection to the buyer.
However, it is only avaiiable to the seller if tlie seller tiled the declaratiun. Informalion derived hom the Real Property Transfer
Dectaration is avaifable to any taxpayer or any agent of such t��xpayer suhject to conftdentiality reyuirements as pmvidrd by law.
Refer to 39-S-I21.5, C.R.S aud 39-13-iO3(5)(c), C.R.S.
-------------------------------------------------------------------------------------------------------- ----------------------------------------------
l. Address and/or legal description of die rea! property sold: Please do ncit use P.O. box uumbers.
,?4'�0 amonix n�ad,�i�,, Coloracio Countv of Eagle •
Sub:Vail-Das Schone Fil 1 gLK-B Lot 12 BK-0220 PG-0798, WD 06-09-71,
BK-02b8, PG-0053 PRD 01-31-78
2. Type of property purchased: � Single Fami[y Residentiat ❑ To� nhome 07 Condominiwn O Mutti-Unit Res
O Coinmercie�l O[nJustrial 0 Agriculwcal O MiXed L)se O vacant Land ❑ Uther
3. Uate of rlcjsisr�: transfer
February 15, 2008
Month Uay Year
Date of�contract if ciifferent lhan date of�cl��sing:
Montti Day Ye�r
�l Total sale price: [ucluding all real and person�l proper[y.
5 n/a
S. Was auy pc-��sonal property included in the [ransaetioii' Personal property would iuclude, but is uot timited to, ctupeting,
winda�v coverings, free standing appliauces, equipmeut, inventory, fumiNre. If Ihe persona! property is not listecl, the entire
purchase price will Ue assumed iu be for the real pmperty as per 39-13-102, C.R.S.
❑ Yes � No If yes, approximate value $ Descrihe
6. Did Ute tutal sale price include a tradt or exchange of t�dditional reat or pecsonal property? If yes, €ive ttie approximate value
of the goods or services as of the date of closi�g.
� Yes C� No It�yes, valur $
[f yes, does this transactiun irtvolve a trade under IRS Code Section 10317 Yes No
Cransferred
7. Was !00% intarest in tlir real propertyparchased'? Mark "no" if only a partial interest is being purchased.
B Yes ❑ No Ifno, inYerest purchased see remarks section, pg. 2�/a
R. Is this a cransactiun among related parties? [ndicate whetl�er lhe buyec or setler are relatecl. Relflted parties include persons
within tlte same family, businrss aftiliates, or atTtliated corporations. � Yes ❑ No
9. Check any of the f2�llowing that apply to die conditiou of the iuiprovements at t[ie time of purchase.
O New ❑ Excellent L�Goad ❑ Average ❑ Fnir ❑ Poor C] Salv�ge.
If the property is financed, please complete the Followin�.
l0. Tota[ amount tinanced. $ n/a
i J. Type of fiaancing: (Check all ihat npply)
C] New
❑ Assumed
❑ Seller
❑ Tl�ird Party
❑ Combination; Explain
12. Terms: "
❑ 4�ariable; Starting interest rate % ':
❑ Rjx,ed: [ntecest rate --_----__ .. . _ _._..._.--- �% � `
� (,TCtt�1�l V��1117]C yeiifS T
O Ba!ioon paytnent Yes No. If yes, amount Due
l3. Mark any tliat apply: � Seller assisted down payments, O Seller concessions, ❑ Special tenns or tinancing.
[f marked, please specify:
For properties ottier than residential (Residential is detined 1s: sinete family detacl�ed, tuu•nhon�es, apartments aud condrnniniums)
piease compkte questious 14-IC if applicabte. Oihenvise, skip to TM17 to complete.
14. Did Ihe purcliase pri�e include a fcanchise or liceu5e f'ec'? ❑ Yrs �[Yo
If yes, li�ai�chise or lice�ue fee value $
l5. Did tl�e purd�ase price invotve an instailment land contract? ❑ Yes O No
[f yes, dale ot� contract
16. If this was n vacant land sale, �vas �n c�n-site inspection ol'the property conductea by tl�e buyer prior to die closine`?
❑ Yes O No
Remarks: Piease include any ac�ditional information eonceming tlie sale y�u may feel is impo�tant.
Deed transfers Grantor's interest to a single-member �,��ited Liabilit Company
o t olled by GranCor. There is no consideration for this transfer.
E 7. Stgtied Utis L�.� day af .�p 08
E�iter U�e day, ttzott[li, aud yef�r, have at lrast oue of �ii artics to the transactiun sigu tl�e ducu�iient, and iurlude
uu address and a daytime phone number. Please designaie buycr ar seller.
�� �/
.� 'C,I.P-f� ��trtL�ii 1 -
�
Signature of Grautee (Buyer) ❑ or Graator (Seller) �
18. All future correspondence (tax bilts, propeRy valuations, etc.) regarding this property sliuuld be mailed to:
147 Gutenberg, DF 11590, Mexico
Addcess (mailing)
City, State and Zip Code
Dayti�ne Pltone
V
� . ERGLE �OUNTY, CO �Qr����r��S � f
TEAK � SIMONTDN 02;49�41P� 0 4 r G�� G���
Pgs' 1 �
REG� $6.00 DDC� $ �
� � �
1 �
Law Offices of D. Anthony Gaston
550 West "C" St., Suite 740
San Diego, California 92101
MAIL TAX STATEMENTS TO:
t�fame: Ms. Maria iceta Gomez Garcia
Address: f 47 Guteoberg
DF 11590, Mexico
SPACE ABOVE THIS LI1VE RESERV�D FOR RECORDERS (1SE
Parcel Number 2103II41S001
/t-�
V
GRANT DEED
�
�o�u� .;n�ar} ::uc�afzr ►ax is none. No consideratio�z. "Che Conveyance transfers the �rantur's property into a
Limited' Liability Company. .
Maria lcela Gomez Garcia, a married woman as her sole and separate property,
hereby GRANTS to
Iceliux, LL.C, � NevadA Li�nited Liability Company,
the following described reai property (2430 Chamonix Road) in the City of Vail, County of Eagle, State af'
Colorado: �
Sub:Vail-Das Schon� Fil 1, BLK-B, Lot 12, BK-0220 PG-0798, WD 06-09-71, BK-Q268, PG-OOS3 PRD O1-
31-78
Dated: February ��, 2008
STATE OF' CAL[FORNIA
COUNTY OF SAN DIECO
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���'y� � c-�.�d ���n ��� .
Maria icefa Gomez Garcia
On this L5._,�,, day of Febnzary 2008, befc;e me, TERRY J. U(ETNIRiCH a Notary I'ublic, personally
appeared Maria lcela Gomez Garcia, who proved to me on the basis of satisfactory evidence to be the persoi�
whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her
authorized capacity, and that by her signature on the instcument the persan, or the entity upon behalf of which
the person acted, executed the instrument.
Wztness my hand and officia[ seal.
SEAL:
Terry J, iet ich, Notary Public
My Commission Expires: 11-4-2009
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io��:.�����HIIP C��T��'IGATE
��J15 QL"CtlflCg t�J�C_ Maria lcela Gomez Garcia, Trustee of the Iceliux Trust dtd Feb. 15, 2008
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11TILTTY APPR�VAf. & V �RIFICAI�UiV
7hls form serves to verify that the proposed improvements will not tmpact any existing or proposed ufility servlces, attd �Eso ics verify
. service avalfab3lity and IocaGon for new construction and should ba used in conjunction v�ith preparing your utility plan and sche@ul-
ing inslailations. A site plan, fnciuding grading plan, floor plan, and elavations, shal! be submitted to the following utilitfes for approva)
and verification: PLEASE qL1.OW UF� TO 2 WEEKS FOR APPROVAL OR COMMENTS FRONI 7HE UTIUiY COMPANIES. If you
are unable to obtain cornments within that timeframe pEease corttact ihe Town of Vail. u�G p��, s���a
Subject properEy Acidress: ���Q ��'�"r'/4�%%� Gf+�- Lof l2 Biock � Subdivislon: �/�� �%,
Primary' ontacf f.(}�+vne epresenfaiive; G.G�'.�- p�4ne: �70, ��6�¢�1 s��
� � PEans pated: 1 � � �--
Prl aTy ContactTQwner- resent ive Signature .
Aufhorized Sfpnature, , Comments pate
QW EST` �
970.468.6860(tei)
970.468.0672(fax)
Contads: Sarnuel7ooley
muel.toofe e c �
X�E�. HzGH pi�ESSURE GAS
976.262.q076 (tel)
970.468.1401(fax)
ConLact: Rlch Sfsneros
'c rd sne er .ca
HOLY CROSS �N�RGY
970.947.5471(tel)
470.945.4081(fax)
Contact: Jeff Vroam
'vraom@hol cross.com
XCEL Energy �
97�.2G2.4038 (fax) /�
97Q.262.�024 (tel) l /
Coniacts: Kih Bogert • , /(
ath e ' � �
E'AGL� E2YV�R WAT�R & SANITA-
'�ON pISTRICT � �
970.477.5435 (tel}
470.477.5434 {faX}
Contact: Roby �orsyt�
ors rwsd r �
�OMGA51' CASlE
970.619.0752 (tel}
970.468-2672 (fax)
Contad: Tony Nlidreth
ton hifdreth@cabie.comcast.com
CDD� (Only in CDOi Rlght-of-way)
974.683.6284 {tel)
Contact: Dan Roussln '
Daniel, roussin@dot.state.co, us
O E5:
1. Utility iocations musC bs obtained before d�gging.
2. A Revacable Right-of-Way Perm3t may be required for any Improvements within a street rtght�of way. Contact the
�ublic Works Deparfinent for veriftcatlon 970,479.2198,
3, It !s the resgonsibllity oF the utllfty company and the appllcant ta tesolve probtems identified above.
4. 'The Primary Contact/Owner Representative is required to submit any revlsed cSrawings to the above agendes for
re-approval 8c re-verificatfon if the submttted plans are altered in any way after the authorized stgnature date.
{�
UTILITY APpROVA,L & VERI�ICqTI01Y
This form serves to verify thai the proposed improvements wiil not im�act any existing or proposed utility services, a�d a(so to verify
seroice availability and location for new consiruction and should be used in conjunction with preparing your ufility plan and schedul-
ing installa6ons. A site plan, in�luding grading plan, floor plan, and elevations, shall be submitted to the following utilities for approva(
and verifica6on. PLEASE ALLOW UP Tb 2 WEEKS F'OR APPROVAL OR COMMENTS FROM 7HE UTILITY COMPANIES. !f you
are unabie to obtain comments within fhaE timeframe please contact The Town of Vail. u�G p�yS S�,itLs
Subjecf Property Address: ��3Q L-+��/�� �- �a� f2 g�QCk s� Subdivision: �� �%,
Primary oniact 1 �wr►e epresentative: U.Gt� Phone: �7�' �7�'��'g�
� � Plans DatecE: � 2'�` 'L�
Pri ary Contact/Owner present tive Signature ,
Authorized Siqnature , Commenis DaEe
�� ►.�t'v �t-� L � �,tk ��h/� �I �.y� A ��f� eED f e� O }�!� ►2 e°�1 �,
970.468, 6860(tel) 1 "(�}4-�1-r C�,n,c E, S i�7p °T�t( jS L(i> � . f��
970.468A67Z(fax) % -� '�j�c �(� ���,�n,� C�,��2,
�`
Contacts: Samuel Tooley -� Zo ��o,r� �'(1���� A��� �� � �
samuel.toole west.corn � � i
XCEL NTGN PRESSURE GAS
970.262.4076 {teE)
970.468.1401 (fax)
Contact: Rich Sisneros
richard.sisneros xceEener .com
HOLY CROSS ENER6Y
970.947.5471 (tel)
970.945.4081(fax)
Contact: Jeff Vroam
'vroorn@hol cross.tom
XCEL Energy
970.262.4038 (fax)
970.Z62.4424 (tel)
Contacts: K�t Bogert
Kath n.Bo e xcelener .com
EAGLE RIVER WATEEt & SANITA-
TION DISTRICT
970.477.5435 (tel)
470.477.5434 (fax)
Contact: Roby �orsyth
rFors h erwsd.or
COMCA51' CABLE
970.619,0752 (tei)
470.468-2672 (fax)
Contact: iony Nildreth
ton _hildreth@cable.comcast.com
CbDT (Qnly in CDOT Right-of-way)
970.b83.6284 (tel)
Contact: Dan Roussin
Daniel.roussin@dot.state.co. us
iYOTES:
1, Utility locations musfi be obtained before digging.
2. A Revocable Right-of-Way Permit may be required for any irnprovemenis within a street right-of-way, Contact the
Pubiic Works Department For verification 970,479.2198.
3. It is the responsibility of the utiiity company and the applicant to resolve probfems identified above.
4. The Primary Coniact/Owner Representative is required to submit any revised drawings to the above agencies for
re-approval & re-veri�cation if the submitted plans are altered in any way after the authorized signature date.
r�
UTILT-FY APPROVAL & VERIFICATION
7his form serves to verify that the proposed improvements will not impact any existing or proposed utility services, and also #o verify
service availability and 3ocaGon for new construction and should be used in conjunction with preparing your utility plan and schedul-
ing installations. A site plan, including grading plan, floor plan, and elevations, shall be submitted to the following utilities for approvai
and verification. PLEASE ALLOW UP TO 2 WEEKS FOR APPROVAL OR COMMENTS FFtOM 7HE U71LI7Y COMPANIES. If you
are unable to obtain comments within that timeframe please contact 7he Town of Vail. u,�G OASS�6•t1Ls
Subjecf Properiy Address: ���� `--�'�"�l�� L�- Lot %2 Block � Subdivision: �� �?/.
Primary' ontact /-Owner epresentative: UCt.2i. Php�e: �,O- ��g-�(��
��S Plans Datecf: ! 2 j 2—
Pri ary Contaci/Owner present ive 5ignature
Authorized Signature Comments Date
QWEST
970.468.6860(tel)
970.468.0672(fax)
Contacts: Samuei Tooley
samuel.toole @ west.com
XCEL HIGH PRESSURE GAS
970.262.4076 (tel)
970.468.1401 (fax)
Contact: Rich Sisneros
richard.sisneros@xcelener .com
HOLY CROSS ENERGY
970.947.5425 (tel) �
970.945.4081 (fax) ���-°"f ��u'rt-•" 2/7/12
Contact: leff Vroom ��
�vroom@hol cross.com
XCEL Energy
970.262.4024 (tel)
970.26�.4038 (fax)
Contacts: Kit Bogert
Kath n.Bo ert@xcelener .com
EAGLE RIVER WATER & SANITA-
TION DISTRICT
970.476.7480 (tel)
970.476.4089 (fax)
Contact: Fred Haslee
fhaslee@erwsd.or
COMCAST CABLE
970.619.0752 (tel)
970.468-2672 (fax)
Contact: Tony Hildreth
ton hildreth@cable.comcast.com
CDOT (Only in CDOT Right-of-way)
970.683.6284 (tel)
Contact: Dan Roussin
Daniel.roussin@dot.state.co.us
NOTES:
1. Utility locations must be obtained before digging.
2. A Revocable Right-of-Way Permit may be required for any improvements within a street right-of-way. Contact the
Public Works Department for verification 970.479.2198.
3. It is the responsibility of the utility company and the applicant to resolve problems identified above.
4. The Primary Contact/Owner Representative is required to submit any revised drawings to the above agencies for
re-approval & re-verification if the submitted plans are altered in any way after the authorized signature date.
03-Mar-10