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HomeMy WebLinkAboutB12-0240�� -� .�_ zo�� o� v�r���.- 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) ,' Pro'ect Street Address: } ��. �.`1�..���,�, � � l � ��;�, ; {Number) (Street) (Suite #) � �G�"Q �; Building/Complex Name: �(��� (j/ �r � � ;' Contractor Information Business Name: l„�('/ /J�'lT� %�e�'�•9i1's;�� #: r���� �,�1- �4r!_�� Building Permit #: �� � � �' ���"'� � Lot #: Block # Subdivision: 1�� Qtp � j�� Business Address: s Work Class: New ( ) C�ty _�9�E. �GQ State: � Zip: � �Type of Building: �� ��.����� � � Single-Family ( ) Duplex ( Contact Name: �%�)/�� / ,� �Q�A�.�ji'�/ f ! Commercial ( ) Other ( Contact Phone: �� � ^ � �� " �Q�� �-__--.--.......____...___... ---._..._....----- _,. --- --, _. ___--..._._._..__....___ _. — - , � . Contact E-Mail: 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 ap- proved, International Building and R''a�iat-C"odes and other ordinances of the Town + hereto. X Owrt�rTbwner's R esentative Signature (Required) Applicant Information Applicant Name: Applicant Phone: Applicant E-Mail: Project Information Owner Name: ����(��� Parcel #: ��2 �� t��� L( 2�� I y (For Parcel #, contact Eagle County Assessors Office at (970-328-8640 or visit www.eaglecounty. uslpatie) I� For Office Use Only: Fee Paid: Received From: Cash Check # CC: Visa / MC Last 4 CC # Auth # exp date: Addition ( ) Alteration ( ) Multi-Family�) Interior ( � Exterior ( } Both ( ) Valuation of Work Included Plans Included Work es ( )NO ( )Yes Mechanical .�Yes ( )No ( )Yes ( )No ���� Plumbing ( )Yes ( )No ( )Yes ( )No Building ( )Yes ( )No ( )Yes ( )No Value of all work being performed: $ l��(, �value based on IBC Section 109.3 8 IRC Section 108.3� Electrical Square Footage Detailed Scope and Location of Work: �'L �� Ac%� �� c11 � -� jr��_ i,� � T ��r� s���r� ��.� _ ��//��_,�'1//'�`� ��)1��.� � ,�iyl� �'X ��'�Y..�� �,�1/" 7'�/1�'v�' , (use additional sheet if necessary) __ ___ _ _ _ __... __ _.. ... _ p �C� [��MC JUN 14 zt��1 TOWN � OF VAiL Date Received: NOTE: TH/S PERMIT MUST BE POSTED ON JOBS/TE AT ALL TIMES , �• ������ � 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 #: B12-0240 Project #: PRJ 12-0306 Job Address: 4690 MEADOW DR VAIL Applied.....: 06/15/2012 Location......: RACQUET CLUB BUILDING 13 UNIT 14 Issued. ..: 06/25/2012 Parcel No....: 21 01 1 242601 4 OWNER ALBRIGHT, PHILLIP H., MD, & 06/15/2012 ONE POLO CLUB DR DENVER CO 80209 APPLICANT COLORADO DELTA MECHANICAL IN 06/15/2012 Phone: 8666925273 191 UNIVERSITY BLVD #750 DENVER CO 80206 License: C000003449 CONTRACTOR COLORADO DELTA MECHANICAL IN 06/15/2012 191 UNIVERSITY BLVD #750 DENVER CO 80206 License: C000003449 Phone:8666925273 Description: REMOVE AND REPLACE THE ELECTRIC WATER HEATER. ADD DRIP PAN AND EXPANSION TANK. Occupancy: R-2 Type Construction: VB ................................................................................. FEE SUMMARY ..... Building Permit -----------> $41.80 Bldg Plan Check ----------> $27.17 Electrical Permit ---------> $0.00 Elec Plan Check -----------> $0.00 Mechanical Permit ------> $40.00 Mech Plan Check ---------> $10.00 --------> $0.00 Plmb Plan Check ---------> $0.00 DECLARATIONS Valuation: $1,100.00 Use Tax Fee-----------------------> $0.00 Restuarant Plan Review--------> $0.00 Additional Fees--------------------> ($68.97)Plumbing Permit Recreation Fee--------------------> $0.00 Investigation-----------------------> $0.00 Will Call------------------------------> $5.00 TOTAL PERMIT FEES--------------> $55.00 Payments-------------------------------> $55.00 BALANCE DUE------------------------> $0.00 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 � �' � � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CONDITIONS OF APPROVAL TO BE MET PRIOR TO FINAL SIGN OFF Permit #: B12-0240 Address: 4690 MEADOW DR VAIL Owner: ALBRIGHT, PHILLIP H., MD, & DEANNA L. Location: RACQUET CLUB BUILDING 13 UNIT 14 combination permit_012811 � � * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * REQUIRED INSPECTIONS AND STATUSES Permit #: B12-0240 Owner: ALBRIGHT, PHILLIP H., MD, & DEANNA L. RACQUET CLUB BUILDING 13 UNIT 14 Address: 4690 MEADOW DR VAIL Location: * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Item: 00290 PLMB-Final 07/09/2012 By: sgremmer Action: DN Comments: no access 07/13/2012 By: sgremmer Action: AP combination permit_012811 C� ����-.� _ _ �����_ Z V� l�C �l � � i ��� � �� , � � �� � � T��r�� . � ��d�r��n�►�r�a3 M�' '� ���3 �� �� i� � �� �� �� � � �a � � I ���� ," 'a.�-z` 'i��: >>a .*� .' � ��° ■ � °� � �^�� ... . . . ... , . .. . ���� �-� � I, �; �� _ ' �� `� � Q� � `� 11 � � � � ■ � � ��' � � �:.... . � �� � '� �r k�i E ��� 4..._ .. _. � � � � � � �-,�,...eree�*nae+n�a.a�n� sa�� I _ � � ��,,� �� � I .. .. _ � . � � �s. �. i: � r - ., r' � - r e :-- �__, . , * �a r •i - � �:'�-� �� r � � - • � , -*-, ,� . ° � * � ��;, ���*- - � � -_*� �� v. �--� -.� "TOW� �fi �aw � . .. E �ODE REVIEW�C' �� �ONIF�� "' �� ::� �ate: _� �D ��`.' `� By : �_ . 1M�/�'�j �,.. .. �_:� 1:-�-�-.�--_-- �_� r �,' �.a \ o o .�.-=�..m.....�-,...--.-. _.s _ _ .0 p C � i� � d [� � JUN � 4 �ui1 TOWN OF VAIL � � � � � � �,. ;.� � � � � � � � � � O � � Q � � � � NOTE: TH/S PERMIT MUST BE POSTED ON JOBSITE AT ALL T/MES ,. �wrra�v�c , 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 #: B12-0240 Project #: PRJ12-0306 Job Address: 4690 MEADOW DR VAIL Applied.....: 06/15/2012 Location......: RACQUET CLUB BUILDING 13 UNIT 14 Issued. ..: 06/25/2012 Parcel No....: 210112426014 OWNER ALBRIGHT, PHILLIP H., MD, & 06/15/2012 ONE POLO CLUB DR DENVER CO 80209 APPLICANT COLORADO DELTA MECHANICAL IN 06/15/2012 Phone: 8666925273 191 UNIVERSITY BLVD #750 DENVER CO 80206 License: C000003449 CONTRACTOR COLORADO DELTA MECHANICAL IN 06/15/2012 191 UNIVERSITY BLVD #750 DENVER CO 80206 License: C000003449 Phone:8666925273 Description: REMOVE AND REPLACE THE ELECTRIC WATER HEATER. ADD DRIP PAN AND EXPANSION TANK. Occupancy: R-2 Building Permit -----------> Electrical Permit ---------> Mechanical Permit ------> Plumbing Permit --------> Type Construction: VB Valuation: $1,100.00 ._,._,.._.,,,,,,,, ......................... FEE SUMMARY ....,.............,.,,,.........«....>.,.......,._..._..,_.....,.............,.. $41.80 Bldg Plan Check ----------> $27.17 Use Tax Fee-----------------------> $0.00 $0.00 Elec Plan Check -----------> $0.00 Restuarant Plan Review--------> $0.00 $40.00 Mech Plan Check ---------> $10.00 Additional Fees--------------------> ($68.97) $0.00 Plmb Plan Check ---------> $0.00 Recreation Fee--------------------> $0.00 Investigation-----------------------> $0.00 Will Call------------------------------> $5.00 TOTAL PERMIT FEES--------------> $55.00 Payments-------------------------------> 555.00 BALANCE DUE------------------------> $0.00 ....................................................,,.,,................�.,._......,.....,.x..,...,,.,..,...,,_.....,,.....,.,,......,.,......,........,,,.....,,.......__...._...._,._....._ 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 ��� � � , ......................................»..,. �...,.,,........,,,........,,.,.,...,..................,.............,.........,,.......,....................,,.......,.................... CONDITIONS OF APPROVAL TO BE MET PRIOR TO FINAL SIGN OFF Permit #: B12-0240 Address: 4690 MEADOW DR VAIL Owner: ALBRIGHT, PHILLIP H., MD, & DEANNA L. Location: RACQUET CLUB BUILDING 13 UNIT 14 ...................................................................................................................................,.............,...............................,.... combination permit_012811 ,� � T�O�UN 0�' Y�IL ' w*****..************,**,*****.,****,,.*****************.,*...**************.****************.**************,***,**„****�**„****.**.**.,*..,.**�**„***** REQUIRED INSPECTIONS AND STATUSES Permit #: 612-0240 Address: 4690 MEADOW DR VAIL Owner: ALBRIGHT, PHILLIP H., MD, & DEANNA L. Location: RACQUET CLUB BUILDING 13 UNIT 14 .,.**«*****************.,**.,***********««***********,.**************************«******«********,****„********.,***.,*********«***«***********.,,**.******* Item: 00290 PLMB-Finai 07/09/2012 By: sgremmer Action: DN Comments: no access 07/13/2012 By: sgremmer Action: AP combination permit_012811 ***********************+****************************************++************************** TOWN OF VAIL, COLORADOCopy Reprinted on 12-27-2012 at 15:32:44 12/27/2012 Statement ***********�**********************************************+****************************+**** Statement Number: R120000778 Amount: $55.00 06/25/201202:20 PM Payment Method:Credit Crd Init: DR Notation: VISA MARIANA KITCHUKOV ----------------------------------------------------------------------------- Permit No: B12-0240 Type: COMBINATION BLDG PERMIT Parcel No: 2101-124-2601-4 Site Address: 4690 MEADOW DR VAIL Location: RACQUET CLUB BUILDING 13 UNIT 14 Total Fees: $55.00 This Payment: $55.00 Total ALL Pmts: $55.00 Balance: $0.00 ****�*************************************************************************************** ACCOUNT ITEM LIST: Account Code -------------------- MP 00100003111100 PF 00100003112300 WC 00100003112800 Description Current Pmts ------------------------------ ------------ MECHANICAL PERMIT FEES 40.00 PLAN CHECK FEES 10.00 WILL CALL INSPECTION FEE 5.00 Inspection Items for B12-0240 15:33 12/27/2012 Sec Item Id Descri tion A r Re Items Action Inheritable * 290 PLMB-Final Yes R 2 AP No Total Rows: 1 Page 1