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Department of Community Development
75 South Frontage Road
Vail, Colorado 81657
�.��.��:� `�� i� '�� �` � .Z -:TeL• 970-4 21�28,'.
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BUILDING PERMIT APPLICATION
(Separate applications are required for alarm & sprinkler)
P ojec Street dr ss: � � I� Project #: "� �
(Number) (Street DRB #:
) (Suite#) , �t�� r�-`
Building/Complex Name• _ ���� Building Permit #: —V�.( V
Lot #: Block # Subdivision:
Contractor Inform tion �
Business Name: � � � Work Class: New ( ) Addition ( ) Alteration ( )
.
Busine Address. �� d Type of Building: �
C�tY State Zip:�l�?,� Single-FamilY i) Duplex () Multi-FamilY ()
� `li n,. Commercial ( ) Other ( )
.r.�
ontact Name. �,�,
Contact Phone: _��?�' �%�Q�� Work Type:
Contact E-Mail:�{�, j'� �'�/(J� �� n��,Ql(h„
Contractor R 'stration Number:
X �
Owner ner's Representative Signature ( ' d)
Project Information ` � �
Owner Name• � S � �,1/�j
Parcel #:��� � (� � `�1 � � � �V (��Q
(For Parcel #, contact Eagle County Assessprs pHlce at (970-32&8640 or visit
www.eaglecounty.us/petle)
Electrical
Mechanical
Plumbing
Building
l
Value of all work being performed: $ �� Z�
(value based on IBC Section 109.3 & IRC Section 108.3�
Interior ( ) Exterior ( ) Both ( )
Valuation of
Work Included Plans Included Work
( )Yes ( )No ( )Yes ( )No
( )Yes ( )No ( )Yes ( )No �Z�Z�
( )Yes ( )No ( )Yes ( )No �Q��
)Yes ( )No ( )Yes ( )No
Electrical Square Footage
For Office Use Only:
Fee Paid:
Received From:
Cash Check #
CC: Visa / MC Last 4 CC # exp date:
Auth #
Date Received:
p ���od�
SEP o 6 2012
�rowN o� v�a��.
O1-Jan-11
1 Listing and Code Approvals
A. Appliance Certification
MODELS: COSMO-130-C, COSMO-135-C
LABORATORY.• Underwriters Laboratories, Inc. (UL)
TYPE: Vented Gas Firepiace Heater
STANDARD: ANSI Z21.88-2009 CSA 2.33-2009
Vented Gas Fireplace Heaters
This product is listed to ANSI standards for "Vented Gas
Appliance Heaters" and applicable sections of "Gas Burn-
ing Heating Appliances for Manufactured Homes and
Recreational Vehicles°, and "Gas Fired Appliances for
Use at High Altitudes°.
Heat & Glo gas inserts are designed for installations into
solid fuel masonry or factory built fireplaces that have been
installed in accordance with the National, Provincial, State
and local building codes. Fireplaces are to be constructed
of non-combustible materials and, in the absence of local
or regional codes, meet criteria of NFPA 211. No additional
outside air source is required.
NOT/CE: This installation must conform with local codes.
In the absence of local codes you must comply with the
National Fuel Gas Code, ANSI Z223.1-latest edition in
the U. S.A. and the CAN/CGA 8149 Installation Codes in
Canada.
NOT INTENDED FOR USE AS A PRIMARY HEAT SOURCE.
This appliance is tested and approved as either supplemen-
tal room heat or as a decorative appliance. It should not be
factored as primary heat in residential heating calculations.
B. Glass Specifications
This appliance is equipped with 5 mm ceramic glass. Re-
place glass only with 5 mm ceramic glass. Please contact
your dealer for replacement glass.
C. BTU Specifications
Models Max�mum Mlnlmum om�ce
Input Input Slze
(U.S. orCanada) g7U/h BTWh (DMS)
US p3,000 13,500 42
COSMO-130-C �NGti ��"2000 F'�
CANADA p0,700 12,150 43
(2000-4500 Fn
US Zg,000 15,500 38
(a2000 Fn
COSMO-135-C �NG)
CANADA 25,200 13,950 39
(20044500 F7)
US p3,000 13,500 54
COSMO-130-C (LP) �a2000 F'n
CANADA p0,700 12,150 55
(2000-4500 Fn
US Z7�500 14,500 52
COSMO-135-C (LP) ��'2000 Fn
CANADA 24,750 14,000 53
(2000-4500 FTJ
D. High Altitude Installations
NOT/CE: Ifthe heating value ofthe gas has been reduced,
these rules do not apply. Check with your local gas utility
or authorities having jurisdiction.
When installing above 2000 feet elevation:
• In the USA: Reduce input rate 4% for each 1000 feet
above 2000 feet.
• In CANADA: Reduce input rate 10% for elevations
between 2000 feet and 4500 feet. Above 4500 feet,
consult local gas utility.
Check with your local gas utility to determine proper
orifice size.
E. Non-Combustible Materials Specification
Material which will not ignite and burn. Such materials are
those consisting entirety of steel, iron, brick, tile, concrete,
slate, glass or plasters, or any combination thereof.
Materials that are reported as passing ASTM E 136,
Standard Test Method for Behavior of Materials in a
Vertical Tube Furnace at 750 °C and UL763 shall be
considered non-combustible materials.
F. Combustible Materials Specification
Materials made of or surfaced with wood, compressed pa-
per, plant fibers, plastics, or other material that can ignite
and burn, whether flame proofed or not, or plastered or
unplastered shall be considered combustible materials.
G. Electrical Codes
NOTICE: This appliance must be electrically wired and
grounded in accordance with local codes or, in the absence
of loca! codes, with National Electric Code ANSI/NFPA
70-latest edition or the Canadian Electric Code CSA
C22.1.
• A 120 VAC circuit for this product must be protected with
ground-tault circuit-interrupter protection, in compliance
with the applicable electrical codes, when it is installed in
locations such as in bathrooms or near sinks.
Heat 8� Glo • Cosmo-130-C, Cosmo-135-C • 2239-901 Rev. G• 7l12
ti
10-08-2012 Inspection Request Re•orting lb/ Page 23
X4
: • .m • - • 1 'I
Requested Inspect Date: Tuesday,October 09 2012
Site Address: 903 N FRONTAGE RD W VAIL
Sandstone 70 Building 8 Unit 14
A/P/D Information
Activity B12-0430 Type: COMBO Sub Type: AMF Status: ISSUED
Const Type Occupancy: Use: Insp Area:
Owner PERKINS, PATRICIA S.
Contractor: WESTERN FIREPLACE SUPPLY Phone: 970-827-9623
Description: wood to gas fireplace converstion extending gas line into fireplace, install electrical receptical in fireplace,
install direct vent gas insert iwth full reline of existing flue
Requested Inspection(s1
Item: 90 BLDG-Final Requested Time: 09:30 AM
Requestor: WESTERN FIREPLACE SUPPLY Phone: 970-827-9623
Comments 827-•6 .*�
Assigned To r 1 D Witt Entered By: JMONDRAGON K
Action Time Exp:
Item: 191 ELEC-Final Requested Time: 08:00 AM
Requestor: WESTERN FIREPLACE SUPPLY Phone: 970-827-9623
Comments 8. -9''1
Assigned To J 7:11,,. N Entered By: JMONDRAGON K
Action Time Exp:
Item: 290 PLMB-Final Requested Time: 08:30 AM
Requestor: WESTERN FIREPLACE SUPPLY Phone: 970-827-9623
Comments 827-9623
Assigned To J pa,P ON Entered By: JMONDRAGON K
Action 1 '::c;= Time Exp:
Item: 390 MECH..'inal Requested Time: 09:00 AM
Requestor: WESTERN FIREPLACE SUPPLY Phone: 970-827-9623
Comments 827-9623
Assigned To J P ze— •N Entered By: JMONDRAGON K
Action III Iv Time Exp:
Inspection History
Item: 120 ELEC-Rough **Approved**
10/05/12 Inspector: sgremmer Action: AP APPROVED
Comment:
Item: 200 MECH-Rough **Approved**
10/05/12- Inspector: sgremmer Action: AP APPROVED
Comment:
Item: 240 PLMB-Gas Piping **Approved**
10/05/12 Inspector: sgremmer Action: AP APPROVED
Comment:
REPT131 Run Id: 14888
Department of Community Development
/'J/ 75 South Frontage Road
`^ Vail, Colorado 81657
- - ���:.z 1 � �{ Z Tel: 970-479-2128
.. � ,
� _ ,� Web: www.vaiigov cnm
� , � ' Development Review Coordinatox
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-. _ ,...—...�, _ �„� . _ ra� � .�
_,..._...L..u......._ ..' : . _.... ......::__.__ . �.....'.
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm & sprinkler)
P oject Street dr ss: � ���
�
(Number) (Street) (Suite #)
Building/Complex Name���� ���1 11 I�
Project #:
�
DRB #:
Building Permit #: r, � Z._v�.�t � v
_ %i,." f � _
Lot #:�; B��lock # Subdivision: '�i,G..Yr�,�"� r' f f
Contractor Inform tion � � i`-�1-� ��
Business Name:�� n C�tS.X., � 4 Work Class: New ( ) Addition ( ) Alteration ( )
Busine Address. ,�% �%�` 1 WU Type of Building: __
City State � Zip:�l,(�?.0 Singie-FamilY i) Duplex O Multi-FamilY i)
� Commercial ( ) Other ( )
Contact Name: �
Contact Phone: _T�� ' �1,Q�3 Work Type:
Contact E-Mail:' ' y�� � � (�� � � �� ���1(S(y
Contractor Re 'stration Number: '
' Electrical
X � � Mechanical
Owner wner's Representative Signature ( ' ed) Plumbing
Interior ( ) E�erior ( ) Both ( )
Valuation of
Work Included Plans Inciuded Work
( )Yes ( )No ( )Yes ( )No
( )Yes ( )No ( )Yes ( )No �2���
( )Yes ( )No ( )Yes ( )No ��
Project Informatio /�, '� �+ �5� Buildin9 i )Yes ( )No ( )Yes ( )No
OwnerName•��Vt� J, �'�,I�j %. Z�
, ,'+,r � ,, � j_ Value of all work being performed: $ '� ' �
Parcel #:?', t�� ^ (J 1� ��lj/ (value based on IBC Section 109.3 & IRC Section 108.3�
(For Parcel #, contact Eagle County Assessors Office at (970-328-8640 or visit
www.eayiecounty.usiPatie> Electrical Square Footage
' For Office Use Only:
Fee Paid:
Received From:
Cash Check # _
CC: Visa / MC Last 4 CC #
Auth #
exp date:
Date Received:
p ��—�o��
��P o 6 2012
TOWN QF V�II�
01-Jan-11
1 Listing and Code Approvals
A. Appliance Certification D. High Altitude Installations
MODELS: COSMO-130-C, COSMO-135-C
LABORATORY.• Underwriters Laboratories, Inc. (UL)
TYPE: Vented Gas Fireplace Heater
STANDARD: ANSI 221.88-2009 CSA 2.33-2009
Vented Gas Fireplace Heaters
This product is listed to ANSI standards for "Vented Gas
Appliance Heaters" and applicable sections of "Gas Burn-
ing Heating Appliances for Manufactured Homes and
Recreational Vehicles", and "Gas Fired Appliances for
Use at High Altitudes".
Heat & Glo gas inserts are designed for installations into
solid fuel masonry or factory built fireplaces that have been
installed in accordance with the National, Provincial, State
and local building codes. Fireplaces are to be constructed
of non-combustible materials and, in the absence of local
or regional codes, meet criteria of NFPA 211. No additional
outside air source is required.
NOTICE: This installation must conform with loca/ codes.
In the absence of local codes you must comply with the
National Fuel Gas Code, ANSI Z223.1-latest edition in
the U. S.A. and the CAN/CGA 8149 Installation Codes in
Canada.
NOT INTENDED FOR USE AS A PRIMARY HEAT SOURCE.
This appliance is tested and approved as either supplemen-
tal room heat or as a decorative appliance. It should not be
factored as primary heat in residential heating calculations.
B. Glass Specifications
This appliance is equipped with 5 mm ceramic glass. Re-
place glass only with 5 mm ceramic glass. Please contact
your dealer for replacement glass.
C. BTU Specifications
Models Maximum Minimum Orifice
Input Input Size
(U.S. orCanada) BTU/h BTU/h (DMS)
US Z3,000 13,500 42
(0.2000 F�
COSMO-130-C (NG)
CANADA 20,700 12,150 43
(2000-4500 FT)
US Zg�000 15,500 38
(0-2000 F�
COSMO-135-C (NG�
CANADA 25,200 13,950 39
(2000-4500 F�
US 23,000 13,500 54
(0-2000 F�
COSMO-130-C (LP)
CANADA 20,700 12,150 55
(2000-4500 F�
US z7,500 14,500 52
(0-2000 F�
COSMO-135-C (LP)
CANADA Zq��50 74,000 53
(2000-4500 FT)
NOTICE: If the heating value of the gas has been reduced,
these rules do not apply. Check with your /ocal gas utility
or authorities having jurisdiction.
When installing above 2000 feet elevation:
• In the USA: Reduce input rate 4% for each 1000 feet
above 2000 feet.
• In CANADA: Reduce input rate 10% for elevations
between 2000 feet and 4500 feet. Above 4500 feet,
consult local gas utility.
Check with your local gas utility to determine proper
orifice size.
E. Non-Combustible Materials Specification
Material which will not ignite and burn. Such materials are
those consisting entirely of steel, iron, brick, tile, concrete,
slate, glass or plasters, or any combination thereof.
Materials that are reported as passing ASTM E 136,
Standard Test Method for Behavior of Materials in a
Vertical Tube Furnace at 750 °C and UL763 shall be
considered non-combustible materials.
F. Combustible Materials Specification
Materials made of or surfaced with wood, compressed pa-
per, plant fibers, plastics, or other material that can ignite
and burn, whether flame proofed or not, or plastered or
unplastered shall be considered combustible materials.
G. Electrical Codes
NOTICE: This appliance must be electrically wired and
grounded in accordance with local codes or, in the absence
of local codes, with National Electric Code ANSI/NFPA
70-latest edition or the Canadian Electric Code CSA
C22.1.
• A 120 VAC circuit for this product must be protected with
ground-fault circuit-interrupter protection, in compliance
with the applicable electrical codes, when it is installed in
locations such as in bathrooms or near sinks.
Heat & Glo • Cosmo-130-C, Cosmo-135-C • 2239-901 Rev. G• 7/12
NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES
,.
T4WN (� VAIL' .
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 #: B12-0430
Job Address: 903 N FRONTAGE RD W VAIL
Location......: Sandstone 70 Building 8 Unit 14
Parcel No....: 210301401066
OWNER PERKINS, PATRICIA S. 09/08/2012
903 RED SANDSTONE RD 14
VAIL, CO
81657
APPLICANT WESTERN FIREPLACE SUPPLY
910 NOTTINGHAM ROAD
AVON
CO 81620
License: C000003171
CONTRACTOR WESTERN FIREPLACE SUPPLY
910 NOTTINGHAM ROAD
AVON
CO 81620
License: C000003171
Project #: PRJ12-0531
Applied.....: 09/08/2012
Issued. . . : 09/19/2012
09/08/2012 Phone:970-827-9623
09/08/2012 Phone: 970-827-9623
Description:
wood to gas fireplace converstion extending gas line into
fireplace, install electrical receptical in fireplace,
install direct vent gas insert iwth full reline of existing
flue
Occupancy:
Type Construction:
Valuation: $4,212.00
..._.,,.....,....,..:x,,..= ...............................,..,.,.....,.,,..,,...,...,,..... FEE SUMMARY ....,,.............,....,,,,,,,,,...,,.....,,.........,._....,,,.._.................
Building Permit -----------> $111.25 Bldg Plan Check ----------> $72.31 Use Tax Fee-----------------------> $0.00
Electrical Permit ---------> $172.50 Elec Plan Check -----------> $112.13 Restuarant Plan Review-------->
$0.00
Mechanical Permit ------> $80.00 Mech Plan Check ---------> $20.00 Additional Fees----------------
---> ($283.56)
Plumbing Permit -------> $15.00 Plmb Plan Check ---------> $3.75 Recreation Fee--------------------> $0.00
Investigation----------------------> $0.00
Will Call------------------------------> $15.00
TOTAL PERMIT FEES--------------> a378.38
Payments-------------------------------> $318.38
BALANCE DUE------------------------> $0.00
.......> .......................�.......+,.._..._«...�.............,...............,�..,,..,,_....«.,.........,««........._,..,..........,.....�_......�............,..................+........»
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 #: B12-0430
Owner: PERKINS, PATRICIA S.
Sandstone 70 Building 8 Unit 14
Address: 903 N FRONTAGE RD W VAIL
Location:
............................�.....»........................,..�.,..,,.................,..,..................,.........,.,....,,,..,..,.....,,...,..,,.,,.....,........................,
combination permit_012811
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**,r,r*,rt,r*,t**,t*w,t****r**,ttrr*,t,t*,r***««w«wx,tt*****+t**,t+t+t***,rr*,r,rwxxx�+*t**,t,t«*,r*w*«*,t**xwww*w*+ar***,t«***«,r**,t**�t+r** *******w*�*r***««*«**,r*t,t,t,t**««,r,r,rw
REQUIRED INSPECTIONS AND STATUSES
Permit #: 612-0430
Owner: PERKINS, PATRICIA S.
Sandstone 70 Building 8 Unit 14
Address: 903 N FRONTAGE RD W VAIL
Location:
*****„********,.**,.*******************«««*****************„**.******,*************««««******«****************«***�********„******�,***.**«„**********«*
Item: 00120 ELEC-Rough
10/05/2012 By: sgremmer Action
item: 00200 MECH-Rough
10/05/2012 By: sgremmer Action
Item: 00240 PLMB-Gas Piping
10/05/2012 By: sgremmer Action
Item: 00190 ELEC-Final
10/10/2012 By: sgremmer Action
Item: 00290 PLMB-Final
10/10/2012 By: sgremmer Action
Item: 00390 MECH-Final
10/10/2012 By: sgremmer Action
Item: 00090 BLDG-Final
10/10/2012 By: sgremmer Action
combination permit_012811
AP
AP
_�
AP
AP
AP
AP
***********************+***********************�********************************************
TOWN OF VAIL, COLORADOCopy Reprinted on 01-02-2013 at 08:26:28 O1/02/2013
Statement
********************************************************************************************
Statement Number: R120001387 Amount: $187.50 09/19/201201:52 PM
Payment Method: Check Init: MH
Notation:
-----------------------------------------------------------------------------
Permit No: B12-0430 Type: COMBINATION BLDG PERMIT
Parcel No: 2103-014-0106-6
Site Address: 903 N FRONTAGE RD W VAIL
Location: Sandstone 70 Building 8 Unit 14
Total Fees: $318.38
This Payment: $187.50 Total ALL Pmts: $318.38
Balance: $0.00
********************************************************************************************
ACCOUNT ITEM LIST:
Account Code Description Current Pmts
-------------------- ------------------------------ ------------
EP 00100003111100 ELECTRICAL PERMIT FEES 172.50
WC 00100003112800 WILL CALL INSPECTION FEE 15.00
-----------------------------------------------------------------------------