HomeMy WebLinkAboutB12-0186 NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES
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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 #: B12-0186
Project #: PRJ12-0216
Job Address: 1395 WESTHAVEN DR VAIL Applied.....: 05/11/2012
� Location......: A SIDE OF DUPLEX Issued. . . : 07/18/2012
Parcel No....: 210312106022
OWNER KERR, ANN J. & EDWIN PIERCE,
4700 E OXFORD AVE
CHERRY HILLS VILLAGE
CO 80013-5118
APPLICANT J. KRUEGER AND COMPANY 05/11/2012 Phone: 970-471-1203
PO BOX 630
EDWARDS
CO 81632
License: C000003132
CONTRACTOR J. KRUEGER AND COMPANY 05/11/2012 Phone: 970-471-1203
PO BOX 630
� EDWARDS
CO 81632
License: C000003132
Description:
REPAIRS TO ENTRY WAY AND SOUTH DECK AND WALL BELOW DUE TO
WATER INFILTRATION AND MOLD REMEDIATION. REPLACE AS
EXISTING.
Occupancy: R-3 Type Construction: Valuation: $30,000.00
........................�...........,........................,.,,...............= FEE SUMMARY ..........._.........,...,..�...,�...........,.......,,.,..,,,,...,.........,......
Building Permit-----------> $542.75 Bldg Plan Check----------> $352.79 Use Tax Fee-----------------------> $400.00
Electrical Permit---------> $0.00 Elec Plan Check-----------> $0.00 Restuarant Plan Review--------> $0.00
Mechanical Permit------> $40.00 Mech Plan Check---------> $10.00 Additional Fees--------------------> $440.00
Plumbing Permit--------> $75.00 Plmb Plan Check---------> $18.75 Recreation Fee--------------------> $0.00
Investigation-----------------------> $0.00
Will Call------------------------------> $20.00
� TOTAL PERMIT FEES--------------> $2,229.29
Payments-------------------------------> 52,229.29
BALANCE DUE------------------------> $0.00
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DECLARATIONS
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.
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CONDITIONS OF APPROVAL TO BE MET PRIOR TO FINAL SIGN OFF
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Permit#: B12-0186 Address: 1395 WESTHAVEN DR VAIL
Owner: KERR, ANN J. & EDWIN PIERCE, III Location: A
SIDE OF DUPLEX
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Cond: 42
(BLDG 2009) CARBON MONOXIDE DETECTORS REQUIRED TO BE
INSTALLED PER 2009 IRC R315
combination permit_012811
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«*****«««***«****«***«*****««**««**.,*******�*******�,..**,..,.***,�**�.,,*,.********»****,,,.*,..,,*,,.***«****,.*****,.***«««****�*******«******«***.************
REQUIRED INSPECTIONS AND STATUSES
i
Permit#: 612-0186 Address: 1395 WESTHAVEN DR VAIL
Owner: KERR, ANN J. & EDWIN PIERCE, III Location: A
SIDE OF DUPLEX
********,.�,.,.*,�****x*„******.*******,.*****«*****«*«**«******�*«***«****«„**********,*,**,****,**,.*,.,************.�****..***********««*****«*****«*****
Item: 00120 ELEC-Rough
Item: 00200 MECH-Rough
Item: 00230 PLMB-Rough/Water
Item: 00240 PLMB-Gas Piping
Item: 00260 PLMB-Misc.
Item: 00290 PLMB-Final
Item: 00310 MECH-Heating
Item: 00390 MECH-Final
Item: 00190 ELEC-Final
Item: 00030 BLDG-Framing
Item: 00542 PLAN-FINAL
Item: 00090 BLDG-Final
combination permit_012811
i
**********************************+******+*+*****+******************************************
TOWN OF VAIL, COLORADOCopy Reprinted on I1-02-2012 at 14:36:34 11/02/2012
Statement
***************************************************************************************�****
Statement Number: R120001811 Amount: $985.40 11/02/201202:36 PM
Payment Method:Credit Crd Init: CG
Notation: visa bernard
krueger
-----------------------------------------------------------------------------
Permit No: B12-0186 Type: COMBINATION BLDG PERMIT
Parcel No: 2103-121-0602-2
Site Address: 1395 WESTHAVEN DR VAIL
Location: A SIDE OF DUPLEX
Total Fees: $2, 229.29
This Payment: $985.40 Total ALL Pmts: $2, 229.29
Balance: $0.00
*****+***************************************�******a************************�**************
ACCOUNT ITEM LIST:
Account Code Description Current Pmts
-------------------- ------------------------------ ------------
BP 00100003111100 BOILDING PERMIT FEES 101.00
MP 00100003111100 MECHANICAL PERMIT FEES 40.00
PF 00100003112300 PLAN CHECK FEES 314 .40
PP 00100003111100 PLUMBING PERMIT FEES 75.00
UT 11000003106000 USE TAX 40 440.00
WC 00100003112800 WILL CALL INSPECTION FEE 15.00
-----------------------------------------------------------------------------
TOWN OF UAIL COM DEU
15 5 FRONTAGE RD.
VAIL, CO 81651
979-419-2324
TERMINAL I.D.: 2862
MERCHANT #;
UI3A
���tt���tt2975
SALE
BATCN: BBB596 INU:000002
AUTH:002326
NOU 82a 12 13:28
TOTAL �985.40
BERNARD J KRUEGER
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K-----------------------S.1=�_ _ __
I AGREE TO PAV ABOVE TOTAL AM 1NW�r
ACCORDIN6 i0 CARU ISSUER RGREEMENT
(MERCHANT AGREEMENi IF CREDIi VOUCHER)
I�RCHAHT COP4
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12-14-2012 Inspection Request Reporting Page 5
4:00 pm Vail, CO - Citv Of
;:
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Requested Inspect Date: Monday December 17, 2012 #
Site Address: 1395 W�STHAVEN DR VAIL '
A SIDE OF DUPLEX ��
A/P/D Information =
T
Y
Activity: B12-0186 Type: COMBO Sub Type: ADUP Status: ISSUED �
Const Type: Occupancy: Use: R-3 Insp Area: �
Owner: KERR,ANN J.& EDWIN PIERCE, III E
�
�
Contractor: J. KRUEGER AND COMPANY Phone: 970-471-1203 �
Description: REPAIRS TO ENTRY WAY AND SOUTH DECK AND WALL BELOW DUE TO WATER INFILTRATION AND �
MOLD$�N{EBF� REPLACE AS EXISTING. �
Re uested ection s
Item: 542 PLAN-FINAL Requested Time: 08:15 AM
Re estor: J. KRUEGER AND COMPAN Phone: 970-471-1203
Com�ts: 471-9580
Assigned To: BGIBSON Entered By: JMONDRAGON K '
Action: ime Exp:
Item: 90 BLDG-Final Requested Time: 02:30 PM �
Requestor: J. KRUEG AND COMPANY Phone: 970-471-1203
Comments: 4 80
Assigned To: Entered By: JMONDRAGON K 4
Action: Time Exp:
�
4:
Item: 19 LE -Final Requested Time: 02:00 PM K
Requestor: J. KRUEG AND COMPANY Phone: 970-471-1203 �
Comments: 47 - 58 �
Assigned To: S Entered By: JMONDRAGON K �
Action: Time Exp: ,
$
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Item: 290 PLMB ` al Requested Time: 01:30 PM ;
Requestor: J. KRUE R ND COMPANY Phone: 970-471-1203 k
Comments: 471-9 8 ;:
Assigned To: SG Entered By: JMONDRAGON K
Action: Time Exp:
A
k
Item: 390 ECH-F' a� Requested Time: 01:00 PM �
Requestor: J. KRUE A COMPANY Phone: 970-471-1203 =
Comments: 471-95 �
Assigned To: M Entered By: JMONDRAGON K �
Action: Time Exp:
�
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k
3
9
6
Inspection Historv
Item: 120 ELEC-Rough *'Approved'* r'
11/06/12 Inspector. sgremmer Action: NR NOT READY FOR INSPECTION �
Comment �
11/07/12 Inspector: sgremmer Action: AP APPROVED �
Comment: x
REPT131 Run Id: 15039
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02-15-2013 Inspection Request Reporting Page 10
4:05 pm Vail; CO - CiTOf
Requested Inspect Date: Monday,February 18 2013
Site Address: 1395 WESTHAVEN D�t VAIL
A SIDE OF DUPLEX
A/P/D Information
Activity: 612-0186 Type: COMBO Sub Type: ADUP Status: ISSUED
Const Type: Occu anc : Use: R-3 Insp Area:
Owner: KERR,ANN J.&EDW IN PPERC�, III
Contractor: J.KRUEGER AND COMPANY Phone: 970-471-1203
Description: REPAIRS TO ENTRY WAY AND SOUTH DECK AND WALL BELOW DUE TO WATER INFILTRATION AND
MOLD REMEDIATION. REPLACE AS EXISTING.
/
Reauested Ins�ectionls) (,��� �;N� �
Rem: 90 � Requested Time: 01:00 PM
Requestor: Phone:
Comments: FOLLOW UP
Assigned To: JMONDRAGON Entered By: JMONDRAGON K
Action: Time Exp:
Comment:
,
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Insaection Historv 1
Item: 120 ELEC-Rough "Approved" t
11/06/12 Inspector: sgremmer Action: NR NOT READY FOR INSPECTION
Comment:
11/07/12 Inspector: sgremmer Action: AP APPROVED
Comment:
Item: 200 MECH-Rou h "Approved*" .
11/06/1� Inspector: sgremmer Action: AP APPROVED
Comment:
Item: 230 PLMB-Rou h/Water "Approved"
11/06/1� Inspector: sgremmer Action: APAPPROVED
Comment:
Rem: 240 PLMB-Gas Piping "Approved"
11/06/12 Inspector: sgremmer Action: AP APPROVED
Comment:
Item: 260 PLMB-Misc. "`Approved"
11/06/12 Inspector: sgremmer Action: AP APPROVED
Comment:
ftem: 290 PLMB-Final "Approved"
12/18/12 Inspector: sgremmer Action: AP APPROVED
Comment:
Item: 310 MECH-Heating "Approved'"
, 11/06/12 fnspector: sgremmer Action: AP APPROVED
Comment:
Item: 390 MECH-Final "Approved"
12/18/12 Inspector: sgremmer Action: AP APPROVED
Comment:
ftem: 190 ELEC-Final "Approved"
12/18/12 Inspector: sgremmer Action: AP APPROVED
Comment:
Rem: 60 BLDG-Sheetrock Nail "Approved"
11/13/12 Inspector: JRM Action: AP APPROVED
Comment:
ftem: 30 BLDG-Framing *'Approved"
11/06/12 Inspector: sgremmer Action: PI PARTIAL INSPECTION
Comment: need to comprete e�trical
11/09/12 Inspector: sgremmer Action: AP APPROVED
Comment: insulation
. 4 LA -
ftem• 5 2 P N FINAL
ftem: 90 BLDG-Final "Approved"
REPT131 Run Id: 14640
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02-26-2013 Inspection Request Reporting Page 9
4:06 �m V�jl, C� - C�.Clf
Requested Inspect Date: Wednesda�y February 27 2013
Site Address: 1395 WEST�IAVEN DR VbIL
A SIDE OF DUPLEX
A/P/D Information
Activity: 612-0186 Type: COMBO Sub Ty pe: ADUP Status: ISSUED
ConsOwnee: KERR,ANN J.&EDWNPIERGE, III Use: R-3 Insp Area:
Contractor: J.KRUEGER AND COMPANY Phone: 970-471-1203
Description: REPAIRS TO ENTRY WAY AND SOUTH DECK AND WALL BELOW DUE TO WATER INFILTRATION AND
MOLD REMEDIATION. REPLACE AS EXISTING.
Reauested Ins�ection(sl �n�' �`
Item: 90 -Final � Requested Time: 10:00 AM
Requestor: - Phone:
Comments: FOLLOW UP
Assigned To: SGREMMER Ente ed By: MONDRAGON K
Action: Time Exp:
Comm t:
Inscection Historv
Item: 120 ELEC-Rough "Approved"
11/06/12 Inspector: sgremmer Action: NR NOT READY FOR INSPECTION
Comment:
11/07/12 Inspector: sgremmer Action: AP APPROVED
Comment:
Item: 200 MECH-Rou h "Approved'*
11/06/1� Inspector: sgremmer Action: AP APPROVED
Comment:
Item: 230 PLMB-Rough/Water "Approved"
11/06/1Z Inspector: sgremmer Action: AP APPROVED
Comment:
Item: 240 PLMB-Gas Piping "Approved"
11/06/12 lnspector: sgremmer Action: AP APPROVED
Comment:
Item: 260 PLMB-Misc. "Approved"
11/06/12 Inspector: sgremmer Action: AP APPROVED
Comment:
Item: 290 PLMB-Final "Approved"
12/18/12 Inspector: sgremmer Action: AP APPROVED
Comment:
Item: 310 MECH-Heating "Approved"
11/06/12 I"nspector: sgremmer Action: AP APPROVED
Comment:
Item: 390 MECH-Final "Approved"
12/18/12 Inspector: sgremmer Action: AP APPROVED
Comment:
Item: 190 ELEGFinal "Approved"
12/18/12 Inspector: sgremmer Action: AP APPROVED
Comment:
Item: 60 BLDG-Sheetrock Nail "Approved'"
11/13/12 Inspector: JRM Action: AP APPROVED
Comment:
Item: 30 BLDG-Framing "Approved'"
11/06/12 Inspector: sgremmer Action: PI PARTIAL INSPECTION
Comment: need to comprete elctrical
11/09/12 Inspector: sgremmer Action: AP APPROVED
Comment: insulation
Item: 542 PLAN-FINAL
02/18/13 Inspector: Warren Action: DN DENIED
REPT131 Run Id: 15070
Departmeni of Community Development
75 South Fronfage Road
TO�NN 0�= VAIL ` � va��, C0 81657
Tei: 970-479-2128
-_.-_,_: , _._ www.vailgov.com
=�'�''� vDevelopment Review Coordinator
TR�NSI!/llTT�L ��R�VI
Revision Submittals:
1. "Field Set"of approved plans MUST accompany revisions.
2. No further inspections will be performed until the revisions are approved&t permit is re-issued.
3. Fees for reviewing revisions are$55.00 per hour(2 hour minimum), and ar due upon issuance.
Pe tmir#s)information applies to: Attention: ( Revisions
(� ( ) Response to Correction Letter �
��Z � IL� ��-�rqT�.�,. attached copy of correction letter ;
( ) Deferred Submittal
j -- ( )Other
!— ----- - —..._ _ �
I Project Street Ad�d.r�e�:� � �
i �� I S 1i1i � ��
i(Number) (Street) (Suite#) �__ _ I
i
i Building/Complex Name: j Description/List of Changes: �
f _ p
'� -- — —� � ��l.V�F.r LS 1�� M�Gcti �
'Contractor Information
3�f vt�cJ�° �Dv� �C��1n-c, DC�w✓��
Business Name: �l• �✓�j,��C; e-v � � T„/,�.,,•.,,� €
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Business Address: �j���c'7 � �
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��ity �-eUn..Gv�d� State: W Zip: 'L ;
Contact Name: V-�Wv� �✓k L�.�,� �
Contact Phone: � � � — ( �J 3 (use additional sheet if necessary)
�Contact E-Mail: �-�✓'�/-C�w� L✓u-G�c✓�c�j-��-- Revised ADDITIONAL Valuations (Labor& Materials) --�
I(DO NOT include original valuation) �
I hereby acknowledge that I have read this application,filled out /
in full the information required,completed an accurate plot plan, �guilding: $ ��
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 Plumbing: $ (�
ordinances and state laws, and to build this structure according — b
to the town's zoning and subdivision codes, design review ap- Electrical: $
� proved, Intemational Building and Res' � I-Eer}es and other b
; ordinances of t To a e thereto. j Mechanical: $
i� f
�Owner/Owner presentative Signature(Required) i Total: $ � �
�Applicant Information '____.___ _________ _
�Applicant Name: �-tJ� �✓LC��✓ i Date Received:
':,Applicant Phone: ��( '-�� � � ��dn �O NMOl
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IApplicant E-MaiL �;o��,�,c� ,,✓��j�-uc��lra-r � •c,ln.�,`
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For Office Use Only: � Jn� �
Fee Paid: ��
Received From: � �\ I, � � � �
Cash Check# ��� ��
CC: Visa/MC Last 4 CC# exp.date:
Auth#
NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES
:
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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 #: B12-0186
Project #: PRJ12-0216
Job Address: 1395 WESTHAVEN DR VAIL Applied.....: 05/11/2012
Location......: A SIDE OF DUPLEX Issued. . . : 07/18/2012
Parcel Na...: 210312106G�2 . .
OWNER SIROTKIN, NEIL&GABRIELA J. 05/11/2012
2121 N FRONTAGE RD W 197
VAIL
CO 81657
APPLICANT J. KRUEGER AND COMPANY 05/11/2012 Phone: 970-471-1203
PO BOX 630
EDWARDS
CO 81632
License: C000003132
CONTRACTOR J. KRUEGER AND COMPANY 05/11/2012 Phone: 970-471-1203
PO BOX 630
EDWARDS
CO 81632
License: C000003132
Description:
REPAIRS TO ENTRY WAY AND SOUTH DECK AND WALL BELOW DUE TO
WATER INFILTRATION AND MOLD REMEDIATION. REPLACE AS
EXISTING.
Occupancy: R-3 Type Construction: Valuation: $30,000.00
r�rt�w�.w�tr����::rrtrihttiie�e�ex»rrr��neewxv►wwwww:wwxxeerwrrwwyewwwwxe�xxwe�wwwe FEE SUMMARY •••••••••••••••••••••••••:•••••'�•••:•••••,,;••,•••••,,••••,,•••,••••••»•,,•:,` .
Building Permit--> $441.75 Bldg Plan Check-----> $287.14 Use Tax Fee > $400.00
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 > $0.00 Plmb Plan Check--> $0.00 Recreation Fee— -> $0.00
Investigation > $0.00
Will Call— > $5.00
TOTAL PERMIT FEES > 51,133.89
Payments— —> E1,133.89
BALANCE DUE -> 50.00
•sere�ww+e+ee��rwrws:warv:�:wywww�,r�:r►t���t��»�►�►h::►��::���:�::h�xtt�::r►►�e::�rRi:���ie::►�i:�rre�:��H:r�w�:w���evrwwwxwwxa+wxxrwwwxww�ssw�w�wwe+eex+r�,v+�,re++iir.e��x+e:e�
DECLARATIONS
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.
combination permit_012811
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CONDITIONS OF APPROVAL TO BE MET PRIOR TO FINAL SIGN OFF
Permit#: 612-0186 Address: 1395 WESTHAVEN DR VAIL
Owner: SIROTKIN, NEIL&GABRIELA J. Location: A
SIDE OF DUPLEX
eeertrr►i»�►►►ir,t►esx+uw�ewww�:r�ttii�►�xx�xtrwwkw,'wi:ii�txx*�rx��wwwwx:xza��tttrw����h�►���w�w��wwr�w�t:i����►�r��*f.x��:ey�rw�v���N�t►��fewfvwwexixrree�t�ri►i�►�i:r��►t��»��
Cond:42
(BLDG 2009)CARBON MONOXIDE DETECTORS REQUIRED TO BE
INSTALLED PER 2009 IRC R315
combination permit_012811
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REQUIRED INSPECTIONS AND STATUSES
Permit#: 612-0186 Address: 1395 WESTHAVEN DR VAIL
Owner: SIROTKIN, NEIL&GABRIELA J. Location: A
SIDE OF DUPLEX
.*.....*�*.....««*....*«««.*�**.«,.......««.,.....*.**.**.....**.*.**.......****.*.***.***».**..***...****....*.**«...«*.*.*..**..*..«*«*«**«****«**..«.*
Item: 00030 BLDG-Framing
Item: 00542 PLAN-FINAL
Item: 00090 BLDG-Final
combination permft_012811
******srs*************sr*******srr*******************s******************************s****s**
TOWN OF VAIL, COLORADO Statement
********s**s******s************ss*s*s*****�****ss:*****s***�*ss****s*:****s**s*s*s*s*****sss
Statement Number: R120000933 Amount: $846.75 07/18/201210:32 AM
Payment Method: Check Init: NT
Notation:
-----------------------------------------------------------------------------
Permit No: B12-0186 Type: COMBINATION BLDG PERMIT
Parcel No: 2103-121-0602-2
Site Address: 1395 WESTHAVEN DR VAIL
- Locatioz�: A.SIDE OF DUPLEX
Total Fees: $1,133.89
This Payment: $846.75 Total ALL Pmts: $1,133.89
Balance: $0.00
*****s********************sss***s********�****************�*********s***********************
ACCOLJNT ITEM LIST:
Account Code Description Current Pmts
-------------------- ------------------------------ ------------
BP 00100003111100 BUILDING PERMIT FEES 441.75
LTT 11000003106000 USE TAX 4� 400.00
WC 00100003112800 WILL CALL INSPECTION FEE 5.00
-----------------------------------------------------------------------------
' p.1
Department of Cammunity Development
75 Soui�Frot�tage Road
Yai1>CO Si 657
TQWN �F YAI��� TeJ:97a-479-2�28
www.vailgov.Cflrr�
Oevelopment Review Coordinator
` BUtLDI�dG F��Rl�lt(T /tP'�LiCATIOi�
{Separate a�piications are required for alarm&sprinkler)
_ _— ---- ---.._ _.._- -- -----`_._...____---,. pT1
�ProJect Streel Address• Project#: 1tJ l�—�a � �
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; o��: �. �a aiy�
�cNUm�? �su�t, ��S rs���� -
Buiiding Permit#:_._�,�„_� --, Q� g_�P
BuildinglComplex t�ame:
,Contracfor InformaGon L4t�:._Block# Subdivi&ion:
i (�
�Busine�Name: .�+ K-�LN.f�..'�.�'r��'n,�"1 .�. _-----� .. _ .-1
;B��sines6 Address: ��X��O �Work Ciass New( ) Addit'ron( ) Alteration(+� ) i
� r_ ��Z. _•-Type ofBuiYding:_.. ._�____._._.- ---
i
i City �.r�nl� Slele: W ZiP: I� Z
� `,�,,. Sirigle-FamitY( ) �uPlex 1 K � AAut6-Farni4Y( )
:Contact Name: -��r 1�-�N�1� � �
Commercial{ ) Olher� )�__._..__
'ContadPhone: ��I'12c73 --- _
' � �fu� ��i�� ��, "1 Work Type: 1nEerior{ } Exlerior( ) 8oth(1�}�
`COnIaCI�-AFaiL'^ , f�� �✓�'�L✓ 1__
,� r _:. � _`._..___�..__--..— ._—_.
�I !hereby acknowtedge ihai I have read ihis application,filled out Va�uatio�n of
:n full tfie informaGon required,conspleted an atCUrafe pbt ptart, = Worfc Inc�uded P1ar�s Inciuded Work
� and state thaf al�the information as requ'aed is corce�� I agree to �' Yes { �`fes { �o
� compl�with fhe c�fortr.afion a�d plot plan,!o comply with al Town =
� ordinances and shaLe laws,and to build this strnct�a�e accor�ing to i Mechanical ( }Yes ( jNa { }Yes � �lo
i the twr�►s zoring and subdivision�odes,design review ap- .
i proved,lniemai'�onal8uilding ar.,d ResidenGal Codes and other 'i PfumDir�g ( )Yes ( )NO ( )Yes ( �Vo �
� ord'mances of lhe Town appl'icable to. = 3��
� �, ` +.eutldin9 (7c.I�'es � H�o ( }Yes ( ?►'�o O:rz..ao
. � , . p�0.T7•L'�? �
i�( � atue of aq work b�ng performed: S� �
�pvv� Repr�sen�at� ' nahxe(R+e gujre.�t) f (rsk�e based on 1BC Secl+vr.309.3 S!RC SCd'pn 108.3� �
�!� S[�.'i'�t� F�ecvical Sctuare Footage �I
;` ,�,
;';A �cant fnformation j Detailed Scope and�oca5ion of Work
�Appticant Name: TtLIP� rjl,Y,) �Il � IL�(L(� Rf��Rv2� '70 � �hlfo $dflft I�GfG
(APQlicant Phone: �[�y f�l� 8�6$�k�f✓� � wRvt. P��I D�E 7fl GM'��
` I�-----
�Appficant�-Mait: Qrn i keV�('Vf �Y�'1r1-��, GD''`�+ rN�t1.?�!�lr�N 14�p NA1)+A P-B�-��t�/Yl1V-
rr��� �� k t�� [� t��a7 f,_
''Project I�formation -� V . �L:-JSi f�.
'Owner Name'
a��i�- 2t ['�~ 12� -CG+ ' �7�-� �
(For Pxca!f.eontact EagM�Com�ty Aswar.oes OPl�ce al(ff/W2B-1546arsH I ---.-- --
wrrw.ssglec v�arty.usl paote)
——...-— ---___.... _._---_.____..._. _..--.-------'�{use 2ddiSiorgl she6l il qECessary)
Fee oa►d- � �� �� Date Receivcd: D � � � IJ V L�
Received From:��Q�e'�.� R v t��'.oMPR N y
tash c��eck� �510 MAY 10 ZU�1
CC: Ytsd 1 MC W5t 4 LC� enP dat�e: I �0
Auth# F�
TOWN OF VAIL
Department of Community Development
� : 75 South F
�-��5� �� ��r��� :;:: ' rontage Road
Vaii, CO 81657
Tel: 970.479.2128
www.vailgov.com
Development Review Coordinator
TRANSMITTAL FQRM
Use this form when submitting additional information for planning applications or building permits.
This form is also used for requesting a revision to building permits. A two hour minimum building review
fee of $110 will be charged upon reissuance of the permit.
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_ --
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Application/Permit #(s) information applies
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r.,•
��ev�✓ �„�a-��
� rz- � ( 8�
Attention:
��' — i
r:�_;� f � (J�j �/�
rroject 5treet Address:
`��.� _�,'�'s��iCW�r� �„z �r
(Number) (Street) (Suite #)
Building/Complex Name:
C�'.�,. � ;;'v. �:�� � t\/� S r�
:�.�..�r_��--
Applicant Information
(architect, contractor, ownerlowner's rep)
Contact Name: �-E� �-t-r`; �� l��i,l�Ct fi�.lt_
' Address: ��n � 5'�-
il
C City �-cJ�,t.- ul''� 0'S State: ��-� Zip: �� �? � Z
; Contact Name: �:(�.,,, l� � �.,�e�,�
I Contact Phone: `}'1 � � ZC �
+Contact E-Mail: ) �.�_ �-e� F� �1���c�e��r ,-u�� 1 � �-��
i - -
3
�Revisions
� Response to Correction Letter
�_attached copy of correction letter
� Deferred Submittal
(� Other
- ---- ---
� Description of TransmittaU List of Changes, Items Attached:
��u� ��q.� r�.�-e�,�,r �.-i� �l � 1 �/i z �, z
� i�s4� C3}� / I� IzG�.� 1�i I-�F� 3 r� j �����
. (use additional sheet if necessary)
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,_ ____,
Building Permits
Revised ADDITIONAL Valuations (Labor & Materials)
(DO NOT include original valuation)
,' I hereby acknowledge that I have read this application, filled out ; Building:
; in full the information required, completed an accurate plot plan,
; and state that all the information as required is correct. I agree to � Plumbing:
, comply with the information and plot plan, to comply with all Town ;
; ordinances and state laws, and to build this structure according ; Electrical:
to the town's zoning and subdivision codes, design review ap- ;
;' proved, International Building and Residential Codes and other ; Mechanical:
ordinance of e wn appl'
' ^ Total:
Owner/O e 's Representative Signature (Required) '
� -
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I �
�
'�'.�."E.-__��__-------�--•�_--.--�:. ; Date Received:
For Office Use Only:
Fee Paid:
Received From:
casr, a,e� #
CC: �/sa / MC Last 4 G� # exp. date:
Authorization #
$ /C�, %L-z�
$ G�i , Uv7�
$_ � (i�%v
$ 2 ��i
g 0 Z_ Z , �Z�`�[J
pCC�C���f�
� OCT 2 2 Z�11�
TOWN OF VAI