HomeMy WebLinkAboutB09-0309 E09-0259 P09-0168 NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES
.�
10WN OF VAIL '
Town of Vail, Community Development, 75 South Frontage Road,Vail, Colorado 81657
p. 970.4792139, f. 970.4792452, inpsections 970.479.2149
ADD/ALT SFR BUILD PERMIT Permit #: B09-0309
Project #: PRJ09-0504 ,
Job Address: 780 POTATO PATCH DR VAIL Status. . : ISSUED I
Location......: 780 POTATO PATCH DRIVE Applied . . : 10/21/2009 '
Parcel No....: 210106301027 Issued. .. : 10/29/2009 '�
Expires. ..: 04/27/2010
OWNER BAKALAR,JOHN STEPHEN REVOCA 10l21/2009
1760 DALE AVE
HIGHLAND PARK
IL 60035
APPLICANT NEDBO CONSTRUCTION 10/21/2009 Phone: 970-845-1001
P.O. BOX 3419
VAIL
CO 81658
License:251-A
CONTRACTOR NEDBO CONSTRUCTION 10/21/2009 Phone:970-845-1001
P.O. BOX 3419
VAIL
CO 81658
License:251-A
Description:
ADDITION:CONVERT GARAGE INTO EXERCISE ROOM
Occupancy: R3 Single Family Residence Valuation: $14,000.00
Type Construction:V6 Total Sq Ft Added: 0
.....................<...<,....,....,..,........,...,,.....,.,,».,..,....,.....,, FEE SUMMARY ..,.,,..,.........,..,,,.........,,,,.,,,..._...�.......,.�x....._..........,..,,
Building Permit Fee------> $237.25 Wiil Cal Fee---------------------> $4.00 Total Calculated Fees-------------> $475.46
Plan Check--------------------> $154.21 Use Tax Fee---------------------> $80.00 Additional Fees-----------------------> $0.00
Add'I Plan Check Hours-> $0.00 Restuarant Plan Review-----> $0.00 TOTAL PERMIT FEES-------------->
Investi ation-----------------> $475.46
g $0.00 Recreation Fee-----------------> $0.00
Payments-------------------------------> $475.46
Total Calculated Fees--------> $475.46 BALANCE DUE------------------------> $0.00
................................................................>,......................,�.......,.....,,.,.,x...,.......,..,,xx..,...........,,...,..........>.,..>,,..,,,.......,..>
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 towns 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-4:0 M.
% , ��- 2 �i-�I�l
n ure of O r ontractor Date
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Print Nam ^'
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APPROVALS
Permit#: 609-0309 as of 10-29-2009 Status: ISSUED
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Item: 05100 BUILDING DEPARTMENT
10/28/2009 JRM Action: AP
Item: 05400 PLANNING DEPARTMENT II
10/27/2009 RLF Action: AP '�
Item: 05600 FIRE DEPARTMENT
10/29/2009 drhoades Action: AP approved with
conditions.
............................................................................<.....,.,,,.........,,.,.................,.,.,..,,..,.......,,...,....,,..,...........,..,,,,...,..,..,..
See the Conditions section of this Document for any that may apply.
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CONDITIONS OF APPROVAL
Permit#: 609-0309 as of 10-29-2009 Status: ISSUED
............................�....,..,..,......,,....,.....,.......,..,.....,,.....,......,,,,,...,....,...,............,..,,......,.,....,..,.....,..,,,...,,,,,........,.,,....,.,,.
Cond: 12
(BLDG.): FIELD INSPECTIONS ARE REQUIRED TO CHECK FOR CODE
COMPLIANCE.
Cond: 16 I
(BLDG.): (SFR) SMOKE DETECTORS ARE REQUIRED PER SECTION
R313 OF THE 2003 IRC.
Cond: CON0011156
GLAZING U VALUE OF .35 REUIRED
Cond: CON0011159
G.C. to contact the fire alarm service provider to discuss
any changes or alterations needed to the existing system to
avoid false alarms. Separate permit/drawings required for
any changes or alterations to the existing system.
b I d_a It_co n st r u ct i o n_pe rm it_041908
I
-
P09-0168: Entries for Item:290 - PLMB-Final 08:44 11/22/2013
Action Comments By Date Unique_
Ke
AP CG 01/08/2010 A000131
006
Total Rows: 1
Page 1
***#****##*********###********#*************#�********************#*****#**************#**** I
TOWN OF VAIL, COLORADO Statement
******************************************************************+**********+*********+****
Statement Number: R090001570 Amount: $475.46 10/29/200911:30 AM
Payment Method: Check Init: LC �
Notation: #36287/NEDBO �
CONSTRUCTION �
Permit No: B09-0309 Type: ADD/ALT SFR BUILD PERMIT
Parcel No: 2101-063-0102-7
Site Address: 780 POTATO PATCH DR VAIL
Location: 780 POTATO PATCH DRIVE
Total Fees: $475.46
This Payment: $475.46 Total ALL Pmts: $475.46
Balance: $0.00
********************************************************************************************
ACCOUNT ITEM LIST:
Account Code Description Current Pmts
-------------------- ------------------------------ ------------
BP 00100003111100 BUILDING PERMIT FEES 237.25
PF 00100003112300 PLAN CHECK FEES 154 .21
UT 11000003106000 USE TAX 40 80.00
WC 00100003112800 WILL CALL INSPECTION FEE 4 .00
-----------------------------------------------------------------------------
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BUILDING PERMIT APPLICATION
Separate permits are required for electrical, plumbing, mechanical,fireplace, etc.
ProJect Street Address: Office Use: � ` �
7� I70�� ��►1�L�1 vf. Project#: Q�
(Number) (3treet) (3uite#) DRB#; 1/i tg�/� Q 4�3
BuildinglComplex Name: Building Permit#:�V� '�"��
._ .._ . . . . .. .. . . . ^ 't Pa-4o�o
Contractor Informatlon: Lot#: 1 Block# I Subdivision: Va�
Company: 1�tdb0 �ons�r•�<,+io1l -�(�IL.
Company Address: �� QoX 3'i19 Detailed Description of Work:�e�vcr� �x►c�inq
City:_vial Stete:,�0 zip: SS'�66� (�a�wr,�, �a�l �� �x eri �,��
Contact Name:_ 1�o��ie Ki es{�
.
ContactPhone: �1��– lSYS� /CDI
E-Mail_ r01I�t �ntdbe ts�'+ ;cuse additfona�sheet if necessary)
.. . . . __.. . ....... ..........._.. _. . . ... ..
Town of Va(I Contractor Re iatradon No.: Z$��} Work Class:
G�1��� � New( ) Addition( ) Remodel(x) Repair( ) Other( )
X � . _ ...... . .. ._ _
Work Type
Contractor Signat re(re ulred) Interior
( ) Exterior( ) Both(�()
. . . _
..
Property Informat(on Type of Bullding:
Parcel#: Z��I ' 643– d�– QZ'� Singie-Family(,�() Duplex( ) Multi-Family( )
(For parcel#,contact Eaple County Assessors Office at 970-328-8640 or '
visit www.eaglecouty.us/patie) COmmerCial( ) f.,yhef( )
Tenant Name: '
Q �Does a Fire Alarm Exist7 Y�s(x) No( )
Owner Name:_ S o�1 Y1 Oq,��p( ;Monitored Alarm? Yes(X) No O
_ ---.. . .....- .......... �Does a Sprinkler System Exist? Yes( ) No(X)
_ . .,... . ._....,.,........._...._... _...._.... _...
Valuations(Labor 8 Material)) #&Type of Existing Fireplaces: Gas Appliances_
�� Gas Log_ Wood/Pellet Wood Buming_
Building: $ iZ,�000. —
Plumbing: $ #&Type of Proposed Fireplaces:Gas Appliances_
Gas Log_ Wood/Peilet_ Wood Buming_,
ElecUical: $_ ZOOD.Od
Mechanical: $ Date Recelved:
Tota I: $� ��Q� $g•p��
L�. C� f� � Mf�
. D
ocT 2 o zoo�
Apr-09
Tnwnt c.�F vA i�_
$a°I-03o°I
�j�IL_FIRf� � � � F1 ti/ �
�� � D
� '� OCT 2 p 20�9 � �v� ��� �f Va�l
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6yERG�gE\�ES
,� -rOW� OF i� Vail Fire Department
sting &Abatement Requirements
Asbestos testing and abatement protects workers, homeowners, neighbors and emergency services responders from ex-
posure to harmful asbestos. The Town of Vail asbestos abatement program is in addition to the State of Colorado's regu-
lations. It is your responsibility to be in compliance with the State. Please contact the State directly for their requirements
at the contact info listed below.
When is asbestos testin4 reauired?
ANY building projects disturbing more than these threshold levels of building materials require asbestos testing:
One- and Two-Family Dwellings: 30 square feet
All Others: 160 square feet
Asbestos testing results must be provided with your application for a building permit.
Tests which identify POSITIVE results at more than 1% require abatement by a State-certified and Vail-registered abate-
ment contractor. An asbestos abatement permit must be approved, and the clearance letter must be submitted to the
Town of Vail before the building permit will be issued
Project Checklist
My project falls into the category checked below:
� Will not disturb more than the threshold limits identified above.
� Tested negative, or at 1% or below (2 copies of test results included)
� Tested positive at more than 1%, requires abatement (2 copies of test results included)
Tips& Facts:
• Even recent construction projects may include asbestos-containing materials, so buildings of�age require testing.
• The "1989 Ban" on asbestos-containing materials is commonly misunderstood. "In fact, in 1991 the U.S. Fifth Circuit
Court of Appeals vacated much of the so-called "Asbestos Ban and Phaseout" rule and remanded it to the EPA. Thus,
much of the original 1989 EPA ban on the U.S. manufacturing, importation, processing, or distribution in commerce
of many asbestos-containing product categories was set aside and did not take effect." - CDPHE
Asbestos test results and abatement permit applications should be submitted to: Town of Vail, Community Development,
75 S Frontage Rd,Vail, CO3 81657.
Town of Vail Contact: State of Colorado Contact: �
David Rhoades, Fire Inspector Colorado Department of Public Health
Vail Fire Department and Environment
75 S Frontage Rd Asbestos Compliance Assistance Group
drhoades@vailgov.com 303-692-3158
970-477-3454 asbestos@state.co.us
www.vailaov,com www.cdphe.state.co.us
Apr-09
.
� I
12-21-2009 Inspection Request Reporting Page 13
4:20 pm V�ii, CO - Citv �f
Requested Inspect Date: Tuesday, December 22, 2009
Site Address: 780 POTATO PATCH DR VAIL
A/P/D Information
Activity: E09-0259 Type: B-ELEC Sub Type: ASFR Status: ISSUED '
Const Type: Occu�pancy: Use: Insp Area: '
Owner: BAKALAR, JOHN STEPHEN REVOCABLE
TRUST '
Contractor: OTTO'S ELECTRICAL SERVICE, INC. Phone: (970) 328-9382
Description: WIRING AND LIGHTING FOR ADDITION TO CONVERT GARAGE INTO EXERCISE ROOM
Re_quested Inspection(s)
Item: 190 ELEC-Final Requested Time: 11:00 AM
Requestor: OTTO'S ELECTRICAL SERVICE, INC. Phone: (970) 328-9382
Comments: 904-0126
Assigned To: JMONDRAGON Entered By: JMONDRAGON K
Acti Time Exp:
���
Inspection History
Item: 120 ELEC-Rough "Ap *'
11/12/09 Inspector: MDEN EY Action: AP APPROVED
Comment:
Item: 190 ELEC-Final
REPT131 Run Id: 10774
.
� 02-01-2012 Inspection Request Reporting Page 2
4:10 pm Vail, CO - Cit�Of
Requested Inspect Date: Thursday, February 02, 2012
Assigned To: JMONDRAGON
Inspection Type: BLDG
Inspection Area: JRM
Site Address: 780 POTATO PATCH DR VAIL
780 POTATO PATCH DRIVE
A/PID Information
Activity: B09-0309 Type: A-BUILD Sub Type: ASFR Status: ISSUED
Const Type: Occupancy: Use: VB Insp Area: JRM
Owner: BAKALAR,JOHN STEPHEN REVOCABLE
TRUST
Contractor: NEDBO CONSTRUCTION Phone: 970-845-1001
Description: ADDITION: CONVERT GARAGE INTO EXERCISE ROOM
Item: 90 BLDG-Final Requested Time: 02:00 PM
Requestor: NEDBO CONSTRUCTION Phone: 970-845-1001 -or- 970-977-
0268 Rollie cell
Comments: 977-0330
Assigned To: JM� N I?AGON Entered By: JMONDRAGON K
Action: Time Exp�
Comment: PERMIT IN FII�fAL STATD�DUE TO FIRE CONDITION NOT SIGNED-OFF
� 2112 � o�-
�� S �
�
���
Inspection Historv
Item: 30 BLDG-Framing
11/18/09 Insp ector: cg Action: NO NOTIFIED
Comment: INSPECTIONVVAIVED PER MARTIN
Item: 50 BLDG-Insulation
11/18/09 Insp ector: cg Action: NO NOTIFIED
Comment: INSPECTIONVI/AIVED PER MARTIN
Item: 60 BLDG-Sheetrock Nail "'Approved`"
11/18/09 Inspector: �c�g Action: COND APPROVED/CONDITIONS
Comment: ADD SCREWS AS DISCUSSED, OKAY TO TAPE
Item: 70 BLDG-Misc.
Item: 542 PLAN-FINAL ""Approved"*
01/07/10 Inspector: rlf Action: AP APPROVED
Comment:
Item: 90 BLDG-Final "'Ap proved'"
01/08/10 Inspector: CG Action: AP APPROVED
Comment: UNABLE TO PUT PERMIT IN FINAL STATUS DUE TO FIRE CONDITION NOT SIGNED-OFF
_ _
REPT131 Run Id: 14063
,.
TOWNOFVA(I,�' Town of Vail Community Development
75 South Frontage Road, Vail, Colorado 81657
p. 970.479.2139 f. 970.479.2452 inspections 970.479.2149
ELECTRICAL PERMIT
Job Address: 780 POTATO PATCH DR VAIL Permit#...: E09-0259
Location.......: Project#..: PRJ09-0504
Parcel No.....: 210106301027 Issued......: 11/10/2009
OWNER BAKALAR, JOHN STEPHEN REVOCA 11/02/2009
1760 DALE AVE
HIGHLAND PARK
I L 60035
APPLICANT OTTO'S ELECTRICAL SERVICE, I 11/02/2009 Phone: (970) 328-9382
PO BOX 4029
EAGLE
COLORADO 81631
License: 372-E
CONTRACTOR OTTO'S ELECTRICAL SERVICE, I 11/02/2009 Phone: (970) 328-9382
PO BOX 4029
EAGLE
COLORADO 81631
License: 372-E
Desciption of Work: WIRING AND LIGHTING FOR ADDITION TO CONVERT GARAGE INTO
EXERCISE ROOM
Valuation: $1,100.00 Square feet: 600
.,,**.**�..,..�*..****�...*****„�*..*.**.��„**********�.�*********.*.�.<********,.,.*****«.,****,.*.*„********..******«*****«*****.,*„***,...*�*.,,,,****
CONDITIONS OF APPROVAL
Cond: 12
(BLDG.): FIELD INSPECTIONS ARE REQUIRED TO CHECK FOR CODE COMPLIANCE.
�.,,*********�.�*********,..********.,******�*.,,***„********.*.....**********,.************..*************.�.*******.,****************,..******„**.,*.
INSPECTIONS
If more than two inspections are performed an additional inspection fee will be applied for each inspection requested/needed.
All electrical inspections are performed on Tuesdays and Thursdays. Requests must be received the day before and not later
than 4 p.m.
*�****************«***********************�******************************��**�**********�******«*******************�******«*«*******************
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 towns zoning and subdivision codes,
design review ap ve , International B � ing and Residential Codes and other ordinances of the Town applicable thereto.
SIGNATURE: '' Date /��(� l � �—� S
(Master/homeowner/or on-license ractor performing work)
PRINTED NAME: � � � ��°�
elec_permi100109
I��
*******�************************************************************************************
TOWN OF VAIL, COLORADO Statement
********************************************************************************************
Statement Number: R090001632 Amount: $119.00 11/10/200902:41 PM
Payment Method: Check Init: LC
Notation: #191 / OTTO'S
ELECTRICAL SERVICE
-----------------------------------------------------------------------------
Permit No: E09-0259 Type: ELECTRICAL PERMIT
Parcel No: 2101-063-0102-7
Site Address: 780 POTATO PATCH DR VAIL
Location:
Total Fees: $119.00
This Payment: $119.00 Total ALL Pmts: $119.00
Balance: $0.00
********************************************************************************************
ACCOUNT ITEM LIST:
Account Code Description Current Pmts
-------------------- ------------------------------ ------------
EP 00100003111100 ELECTRICAL PERMIT FEES 115.00
WC 00100003112800 WILL CALL INSPECTION FEE 4 .00
-----------------------------------------------------------------------------
i
��-,��� ��� �� . �� F>� ' � � � � � Department of Community Developmen�'��� I
���-� � ��� n � _ � ���� �,���,,��' 75 S�outh Frontage Road �!
. �� � � �� ' °�° �� � � .', "�;;' ��� � � . � Vai1,�,Colorado 81657: ���
T.�� , ��° � � `�: � � � . ��u, � �� �:� Tel' 970-479-212$
�`f " �
�,, .��, ..�,�.� �:�.: sw. Fax: 970-479-2452 _
`'� , '����°�, �`�. ����;= � ; Web www,vailgov:com'..
5g
7' ` � Development�Rerriew Coord�nat�� �
,.li t�6� �� m�� .. � ,R •f:.. " ' „ ���k'?r . i. �� t :,�
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. ....,,�...m,�«s...e.s.a,�........... _._ .�_ .
ELECTRICAL PERMIT
Project Street Address ij Office Use:
� �'e�i�� !���i� �-�/1• I�-�J� � �� �
Project#:
(Number) (Street) (Suite#) 2
Building Permit#: � ...7d
Building/Complex Name:
Electrical Permit#: � ��
Contractor Information: ` � /�f
,e^� � Lot#: 1 1 Block#�Subdivision:�L f �'�
Company: (J � � � �'/��. �-c:�„
Company Address: f�'�_ �8,}. Lf �-t�-1
Detailed Description of Work:
City: � t State: �� Zip: � ��+ �/ �
�" , � �; �-�-
Contact Name: �� � `/�c�
Contact Phone: '/Z�C( — ��I���,,/f
E-Mail ��- �� �� �.:y���(. �,��_ (use additional sheet if necessary)
Town of Vail Contractor Registration No.: �� 7�—�. y�ork Class:
X - � __._ New( ) Addition ( ) Remodel (� Repair( ) Other( )
Contractor Signature r �red)
`Type of Building:
-- _ ' Single-Family�) Duplex ( ) Multi-Family( ) Commercial :
Property Information
! ( ) Restaurant( ) Other( )
Parcel#: 2 j � �C'�c �L � � 2 �
(For parcel#,contact Eagle County Assessors O�ce at 970-328-8640 or '
visit www.eaglecounty.us/patie) Date Received: .
Tenant Name: �jcyG� !�'/d'�-//.J.'��
Owner Name: � {�r�., /7,4 ,` l� f �GL
COMPLETE SQ. FOOTAGE FOR AREA OF WORK AND VALUA- D � � � � � �
TION OF WORK(Labor&Material)
Amount of SQ Ft.: (�C�� �OV O 2 2009
Electrical$: �/�� ��
� TOWN CJF VAiL
�II� , _
29-May-09
NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES
.�
�wxoFUnQ. �
Town of Vail, Community Development, 75 South Frontage Road,Vail, Colorado 81657
p. 970.479.2139 f. 970.479.2452 inspections 970.479.2149 '
PLUMBING PERMIT Permit #: P09-0168
ASFR Project #: PRJ09-0504
Job Address: 780 POTATO PATCH DR VAIL Status. . . : ISSUED
Location.....: Applied . . : 11/05/2009
Parcel No...: 210106301027 Issued. . . 11/06/2009
Expires . .: 05/05/2010
OWNER BAKALAR, JOHN STEPHEN REVOCA 11/05/2009
1760 DALE AVE
HIGHLAND PARK
IL 60035
APPLICANT ADVANCED MECHANICAL&PLUMBI 11/05/2009 Phone: (970)306-4369
PO BOX 102
VAIL
COLORADO 81658
License: 379-P
CONTRACTOR ADVANCED MECHANICAL&PLUMBI 11/05/2009 Phone: (970)306-4369
PO BOX 102
VAIL
COLORADO 81658
License:379-P
Desciption: INSTALL LAVATORY IN NEW EXERCISE ROOM
Valuation: $800.00
....�...........:.�........,�.....................�....._.................,�...... FEE SUMMARY .........�.....«.....t....:....�...........�.........�.......�...�.�.......t...�...
Plumbing Permit Fee---> $15.00 Will Call------------------> $4.00 Total Calculated Fees--->
Plan Check----------------> $3.75 Use Tax Fee------------> $ZZ�5
$0.00 Additional Fees------------> $0.00
Investigation--------------> $0.00 TOTAL PERMIT FEES--> $22.75
Total Calculated Fees--> $22.75 Payments-------------------> $22.75
BALANCE DUE-----------> $0.00
x.:.:.�,.�..........��..�..........................�.....,��:�.................�.:..............,,�.,.,.....�..�.......,.��.........��..,...><.<....�.���......�....�..�...�..�,�...*,.........
APPROVALS
Item:05100 BUILDING DEPARTMENT
11/05/2009 JLE Action:AP
...........................<..........,,x.............,,,x........>,..,...�...........,.>...,.....,x....,.......,.,...........x�,,,,......,....x...........»,,....x......,.<,.,......_..,.
CONDITION OF APPROVAL
Cond: 12
(BIDG.): FIELD INSPECTIONS ARE REQUIRED TO CHECK FOR CODE COMPLIANCE.
...........................,�.....�....,.,�............,.....................t.�............,�.�..t..........,,�............�...................,�<............�.......�................t�.....
DECLARATIONS
I hereby acknowledge that I have read this application,filled out in futl 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 compiy with all Town ordinances and state laws, and to build this structure
according to the towns zoning and subdivision codes, design review approved, International Building and Residential Codes and other ordinances of the Town
applicable thereto.
REQUESTS FOR IN N SHALL BE ENTY-FOUR HOURS IN ADVANCE BY TELEPHONE AT 970.47 .2149 R AT OUR OFFICE FROM 8:0(
AM-4 PM. �
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ignatu wn ontractor Dat
� Print Name
plmbpermtl_041908
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*************************+**********+*******************************************************
TOWN OF VAIL, COLORADO Statement
**********�********************�**********************r*************************************
Statement Number: R090001613 Amount: $22.75 11/06/200902 :59 PM I
Payment Method:Credit Crd Init: SAB I
Notation: VISA-ADVANCED
MECHANICAL
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Permit No: P09-0168 Type: PLUMBING PERMIT
Parcel No: 2101-063-0102-7
Site Address: 780 POTATO PATCH DR VAIL
Location:
Total Fees: $22.75
This Payment: $22 .75 Total ALL Pmts: $22 .75
Balance: $0.00
*********************************************************************************�**********
ACCOUNT ITEM LIST:
Account Code Description Current Pmts
-------------------- ------------------------------ ------------
PF 00100003112300 PLAN CHECK FEES 3 .75
PP 00100003111100 PLUMBING PERMIT FEES 15.00
WC 00100003112800 WILL CALL INSPECTION FEE 4 .00
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PLUMBING PERMIT
Project Street Address: OKce Use:
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(Number) {Street) (Suite#)
E3uilding Per+nit#:,�_Z�q�a„���
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Contractor Information: Lot#:�Biock#�Subdiv+sion: �( (f _
Company: �.st���l..fs 14�+,/�•�r�.fs�.i i��,��c�
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Company Address: /r,���[_/D Z,__ __ � Detailed Description af Work: /v.l��� ��v i n
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�— !Work Class:-.._.�_�� _..�_
i Town of Vail Contractor Registration No.: � 7q �
"'� New( ) Addition( ) Remodel(�Repair( ) Qther( )
___.�___..____ e... , ,.._ _..�_..�.__�_..._- --._�.__._�_._...__.v._._.._�
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�C ractor Sr nature re uired
9 � q 1 Single-Farnily(�Duplex( ) Multi-Famity{ ) Cnmmercial �
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Property Information �( ) Restaurant( ) Other( ) ;
, _------_________------. . _ _ _ __ __
Parcel#: ��b�d�3 0/D 2 7
(Far paicel#,contact Eag1e County Assessors Office at 97d-328-8fr10 or �Date ReCeived:
ivisil www.eagfecouty.uslpatie)
�Tenant Name: � Gti��f_4I''____.___..
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?Owner Name _ ___---- (Z (� � � � �
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Comptete Valuation tor Plumbing Pe�mit:
;Plumbing S: �GU '� ____ ; NOV 0 4 2009
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