HomeMy WebLinkAboutPRJ07-0344 B07-0247TOWN OF VAIL
75 S. FRONTAGE ROAD
VAIL, CO 81657
970-479-213 8
L�►C��
DEPARTMENT OF COMMUNITY DEVELOPMENT
THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES
ADD/ALT MF BUILD PERMIT Permit #: B07-0247
Project #: ?? ��C��1 _ O .�[ ( � �
Job Address.: 641 W LIONSHEAD CR VAIL Status.....: ISSUED
Location......: MONTANEROS 302 Applied...: 07/27/2007
Parcel No....: 210106309014 //nOUTANE2o5 Issued ...: 08/29/2007
y�t� �,��,asNE�� F����c, 3, 6LOC�. 1��dT 8/ �uDVm�µ�umS Expires...: 02/25/2008
i
OWNER CIMILUCA, MARK 07/27/2007
27 ALIZE DR
KINNELON
NJ 07405-3215
APPLICANT SRE BUILDERS, INC
PO BOX 6376
VAIL
07/27/2007 Phone: 970-376-1536 (Steve)
CO 81658
License: 703-b
CONTRACTOR SRE BUILDERS, INC 07/27/2007 Phone: 970-376-1536 (Steve)
PO BOX 6376
VAIL
CO 81658
License: 703-b
Desciption:
MONTANEROS 302 INTERIOR REMODEL-RENOVATE 2 BATHROOMS AND
KITCHEN; RETEXTURE DRYWALL WALLS AND CEILINGS
Occupancy: R2
Type Construction: VA
Valuation: $7,750.00 Revision Valuation: ?? Total Sq Ft Added: 0
t**�*«r******+**+*r**r***�**t*t****►*�+►*►****+�********��*r«**ar*** FEE S UMMARY •*r****ar*�*************a***�t**+*�*a�r*+***a*+*********��«*
Building------> $i53 . zs Restuarant Plan Review--> $o . oo Total Calculated Fees--> $255 . 86
Plan Check---> $ 9 9. 61 Recreation Fee--------------> $ o. o o Additional Fees----------> $ o. o 0
Investigation-> $0. 00 TOTAL FEES-------------> $255.86 Total Permit Fee---------> $255. 86
W ill Call-----> $ 3. 0 0 Payments-------------------> $ 2 5 5. 8 6
BALANCE DUE---------> $ o. 0 0
*+r.rs�*�**rr*sr**a�*�*v*:**�+*�***sw**::***��s+***s*�*�s�***■**a***�s****x**s+*r***r**s*.*�*a***�***sr■*s�*******s*sr*«*�*�++�**��.+��*s+*+�*r**
Approvals:
Item: 05100 BUILDING DEPARTMENT
08/27/2007 JRM Action: AP
Item: 05400 PLANNING DEPARTMENT
07/27/2007 JS Action: AP
..*.**..+*�:�.*.�*�*«***.*.**�*�*++�*�*r*s**.�*****#*+:,:****�**��*•*+****�*.*<.**�*s+�*..**+.******+***�*�.*a�,:�.*+++��*.**.+*•+�.�..*.**�<*++..+
See Conditions page of this Document for any conditions that may apply to this permit.
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 479-2149 OR AT OUR OFFICE FROM 8:00 AM �
4 PM.
n A � �
'�'`�/`- t/L� f s �G�" _/ � � " /C' �
SIGNATURE OF OWNER OR CONT�r�@R FOR HIMSELF AND OWNER
*****+************************************************************+************+*****�******
TOWN OF VAIL, COLORADO Statement
*************************+*********************************+********************************
Statement Number: R070001708 Amount: $255.86 08/29/200709:23 AM
Payment Method: Check Init: LT
Notation: SRE Builders,
Inc. / ck 4011
-----------------------------------------------------------------------------
Permit No: B07-0247 Type: ADD/ALT MF BUILD PERMIT
Parcel No: 2101-063-0901-4
Site Address: 641 W LIONSHEAD CR VAIL
Location: MONTANEROS 302
Total Fees: $255.86
This Payment: $255.86 Total ALL Pmts: $255.86
Balance: $0.00
********+***********************************************************************************
ACCOUNT ITEM LIST:
Account Code Description Current Pmts
-------------------- ------------------------------ ------------
BP 00100003111100 BUILDING PERMIT FEES 153.25
PF 00100003112300 PLAN CHECK FEES 99.61
WC 00100003112800 WILL CALL INSPECTION FEE 3.00
-----------------------------------------------------------------------------
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�� �� �� ,
75 S. Frontage Rd.
Vail, Colorado 81657
, � -�� ,-.
� � d`�.1 �''�-y:
=mail address: �
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APPLICATION WILL NOT BE ACCEPTED IF INCOMPLETE OR UNS '�_ ��(�
Project #:
���� � � �� � Building Permit #� �
,�,.,., J70-479-2149 {Inspec ions .
TOWN OF VAIL BUILDING PERMIT APPLICATION
Separate Permits are required for electrical, plumbing, mechanical, etc.!
CONTRACTOR INFORMATION
Town of Vail R No.: Contact Person and Phone #'s:
/� -�- _-
,�-?� /,/C _� � � *� l c�.�c/ � 1����' U�c.!tii `�%'�% _ � 'i v i
��''x:1s�:%�''-5�� ,y�(��ac� . ��s�� Fax #: 7`id`- �L�`� L
COMPLETE VALUATIONS FOR BUILDING PERMIT (Labor 8� Materials)
BUILDING: $ ��, ����, � ELECTRICAL: $ ��; � ��;�s, r��.e:� OTHER: $ �%/�-
PLUMBING: $ ' <; `;t_; �;� MECHANICAL: $ �j�,l, , �,_; TOTAL: $ '��=> . <��: �
For Parcel # Contacf Ea_qle Counfy Assessors O�ce at 970-328-8640 or visit �ww.eaale-countv.com
. ,�/C: /�.:`�� ��,c��, l�_r
Job Name: � � � �;--, �
��_ % 7C�i4` ` �/ ,,. �.
Legal Description ' Lot: Block:
Owners Name����,�uu,�3 �
eer: �
ed descrioti�
/` `� � - r- `
;�r"� !`� i�
Job Address� i . � ,
����� �-�'� ���,�.����-,��� C�.�.
Filing: —l�ubdivision:
Ad�iress; -�, Phone., ,_.
�
i �.'= j-`� `r<- /'-'(`7 '� �4�1�.. �iCs�S� �.� ��
Address: Phone:
-� ,. .., -
7 L�. -.:r- %_..�, ��T -�c ;, r a_ �� � lc' ,: ( c: t<f ��.._i
J.��.:.• �}I'�-'l .✓'t��. /%�-r>"�Li.� �7 � C;t'L i� -x- 1.
Work Class: New ( ) Addition ( ) Remodel (}�) Repair ( ) Demo ( ) Other ( )
Work Type: Interior (jQ Exterior () Both () Does an EHU exist at this location: Yes () No
Type of Bldg.: Single-family ( ) Two-family ( ) Multi-family (,(} Commercial ( ) Restaurant ( ) Other ( )
No. of Existing Dwelling Units in this building: � �I �7 No. of Accommodation Units in this building:
No/Type of Fireplaces Existi
No/Type of Fireplaces Propc
Does a Fire Alarm Exist: `
es
Gas Appliances
Gas Appliances
Gas Logs ( ) Wood/Pellet
Gas Logs ( ) Wood/Pellet
—� Does a Fire Spr�nkle
FOR OFFICE USE ONLY�'"�*'`��
�O cu �anc nGrou tion 4 ' Date p eceived; �
.p y p: , � �,.�,��;.� Acce ted By: �� �
, �b
�` ���
F:\cdev\FORMS\Permits\Building\building�ermit. DOC
Page 1 of 16
Wood Burning ( )
Wood Burning (NOT ALLOWED
stem Exist: Yes (;,,� No ( )
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a:.��y
;___TOWN OF VAIL.___�
02/09/2005
TOWN OF VAIL
75 S. FRONTAGE ROAD
VAIL, CO 81657
970-479-2138
DEPARTMENT OF COMMUNITY DEVELOPMENT
NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES
ASBESTOS Permit #: ASB07-0024 � �� � - �' � t � �
- �-� �� � �j-1- O �� � ` � `�
Job Address: 641 W LIONSHEAD CR VAIL
Location.......: MONTANEROS 302
Parcel No....: 210106309014
Legal Description:
Project No . : ??
OWNER CIMILUCA, MARK
27 ALIZE DR
KINNELON
NJ 07405-3215
APPLICANT ROCKY MOUNTAIN ABATEMENT,
PO BOX 621840
6576 S GRAY WAY
LITTLETON
CO 80162
License: 194-5
CONTRACTOR ROCKY MOUNTAIN ABATEMENT,
PO BOX 621840
6576 S GRAY WAY
LITTLETON
CO 80162
License: 194-5
09/04/2007
Status . . . : ISSUED
Applied . . : 09/04/2007
Issued . . . : 06/04/2008
Expires . . .: 12/O1/2008
IN 09/04/2007 Phone: 303-932-1767
IN 09/04/2007 Phone: 303-932-1767
Desciption:
MONTANEROS 302 INTERIOR REMODEL-REMOVAL OF GYPSUM BOARD
FROM BATHROOM
Occupancy:
Type Construction:
Type Occupancy: ??
Valuation: $950.00
Add Sq Ft: 0
Fireplace Information: Restricted: # of Gas Appliances: 0 # of Gas Logs: 0
# of Wood Pellet: 0
*s*�***�***r*r***�**�**r***+r�*****«**:r«r��*sr*+****a*�*s***rr�***** FEE S UM MARY *****s*+***********��*********�*******w*r**►**t��*r**r******
Building------> $ 5 6. o o Total Calculated Fees--> $116 . o 0
Plan Check---> $ 5 8. 0 0 Additional Fees----------> $ o. o 0
Investigation-> $ o. 0 o Total Permit Fee---------> $116 . o 0
Payments-------------------> $116 . o 0
TOTAL FEES-------------> $116 . o o BALANCE DUE---------> $ o. o 0
.e�*+.+:+•*..s.+.*e++w+�***a*•+�++.+*+++�.e�++*r*r•++s+.:�**w*s*:+«*+:.:**ss*.*..•+:rs*.r*.:r..++*.::.+:.*..::::*:..s..*•*++.+:•+..*..**s.r*�**.+
Approvals:
Item: 05100 BUILDING DEPARTMENT
Item: 05600 FIRE DEPARTMENT
09/06/2007 DRhoades Action: AP Approved as
noted:
1. A handheld.fire extinguisher is required
inside the work area and one near the decon/loadout area.
.+*�*.*.*.*.�+���*.*.*.�.**+�.*«..*«*.�.�.�.*..«+.�*.****.*.*.*.*..�.�**#.#«*.*�*.*,��*�.*.*.*:*..*..»�*.�.**.�..*...*.�..*..:.«**+.,..+«....*..*
See page 2 of this Document for any conditions that may apply to this permit.
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 Residentail Codes and other ordinances of the Town applicable thereto.
REQUESTS FOR INSPECTION SHALL BE MADE SEVENTY-TWO HOURS IN ADVANCE BY TELEPHONE AT
970-479-2252. /'�,� � � �
SIGNATURE OF OWNER OR CONT�ACTOR FOR HIMSELF AND OWNER
0
*****########********##*#**#*********#*##****###**#####*******###*###*#*######********####**
TOWN OF VAIL, COLORADO Statement
**********�*++**********************************�*******************************************
Statement Number: R080000861 Amount: $116.00 06/04/200808:06 AM
Payment Method:Credit Crd Init: SAB
Notation: CRAIG
GREENLEAF-RKY MTN ABATEMENT
-----------------------------------------------------------------------------
Permit No: ASB07-0024 Type: ASBESTOS
Parcel No: 2101-063-0901-4
Site Address: 641 W LIONSHEAD CR VAIL
Location: MONTANEROS 302
Total Fees: $116.00
This Payment: $116.00 Total ALL Pmts: $116.00
Balance: $0.00
***********************************************************************************�********
ACCOUNT ITEM LIST:
Account Code Description Current Pmts
-------------------- ------------------------------ ------------
BP 00100003111100 BUILDING PERMIT FEES 58.00
PF 00100003112300 PLAN CHECK FEES 58.00
-----------------------------------------------------------------------------
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�:�P�,I�A'�Yt3N'�l'I�� i�C)�' °� Aa�LEPTE43 IE �9ViC39+rD�LEi� Oft [39V ��`� Y�
f�roject #: �
�uitd�rog Perrnat #: •
� - a� • ����� �s�estos �ertr�i� �#. _..
aa 3
�i �f�$��' �f���,�"�� ����� �� �a��� ����9��� ��e������� ������ ,����.I������
E�er�a�6��d �Ser �9�d"a���a�e I�a�. ��, S�ri�s �# 1���
�� �. �a-or����� ��. �er�a� a����a���sa w�18 sa¢�� �e ac����ed ���h�s�t f�� ��l�c��a���
>a��a�, �i3fo5�s�� ����� 1. Ccpies of Genera) Abatement Certificate and State of Coiorado Ce�tincation
2. A copy oi writter� arrangements with the facility operators Tar any temporary disabiing of the
aii' hatldling sys�ems, fire sprinklPr systPm, �nrl �larrn systems with the names and contact
phor�e numbers of these individuals.
3. Site pfan with details addressing: waste contdiner storage iacation. waste load out area
location. entry and exiting details of abatement area. details of entry and exiting plans for the
�c:.cupants of ti�e sti ue.lwe ii� unaffecle� dreo5.
Ci3h1�'d�CTOR It�F�9lt�i��'d0�1
' On Site Abatement Contractor: � To��p�/ Reg. t� �0J'ttact and Pi�pne #'s:
--� ��q`,i , . . 7 vrac/J �G�l, ��
J.^rz::i.�.r' s!/./� : :1sti,�3i-.:sP.9:..;�,.:- T� �/ aZi'�'�'__f.� rLr'._�.�317 I
�-s�aati asearess:
Contractor Signat�re:
�0������ ��A���'fIOPd F��t AS�ESTO� A�a�TE1+���T ��R�+lIT {Labor & �a�eria�s�
/lsbestos 1lbatement: $ �5'�� w��
��g���ct �a,�f� ���n� Assessors ��ce at 9��-328-854� a� �is�i�` �nrww. eaale-county com �a� ��r�e! #�
; �� � # � �:��° i �� F� � /� `� �i �l �
Job Name:
_ega! Descrip�ian I
Owners Name.�,��� �
�raject Nianager:
?roject Desigrer:
Air Monitoring SQeciali
Det�iled description of
Amount of
Job Address:
� �ii � t�-
Lot: Block: Filing: �
. Ad ess: � � �
��i`' u�i; . °" '
'�-- ---� -- - - _ -�� � ��-..,_��- ------
Arldress:
� Address:
r. . - !
st;;Y,v_ r9._ , ., �P,ddress: ii � �' Je`�v�r'rr%
work: jt�/�;�y�,�,;9.L
�
��a�
UUork Class: New O Addition (} Remodel j� }
'dVork Type: Interior (�") Exterior ( ) Both ( )
"Type of Bldg.: Single-familY () Two-family () Multi-famil
Does a�ire Alarm Exist: Yes (,� No ()
,...':i: f.l' ...:.:..........—....x..:.a.................YX':C'Y. ::.•.....�T��BS
�tFer �ees:
���lic Way Permit Fee;
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�,�,Vail�data\cdev�'rORMSi,PERMSTS�AS M.DOC
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Subdivision:
' . Phone: �
� Phone:
Phone:
Phone: ��;
� ���5
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=.�r�� r�d rr �
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-- �fS:,�—G=,?
� � ,� Quit Time
_ 55!Gal Drums: _
Repair ( ) Demo ( ) Qther ( )
v
Commercial ( ) Restaurant L ) Other ( )
Does a Fire Sprinkier System Exist: Yes �+-') No O
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TOWN OF VAIL FIRE DEPARTMENT
75 S. FRONTAGE ROAD
VAIL, CO 81657 �
970-479-2135
OWNER
VAIL FIRE DEPARTMENT
NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES
SPRINKLER PERMIT Permit #: F07-0124
;�j�-G�`��
Job Address: 641 W LIONSHEAD CR VAIL Status ...: ISSUED
Location.....: MONTANEROS 302 Applied ..: 10/04/2007
Parcel No...: 210106309014 Issued ..: 10/16/2007
Project No : �7�SC "� -G � � t �( Expires . .:
APPLICANT
CONTRACTOR
CIMILUCA, MARK
27 ALIZE DR
10/04/2007
KINNELON
NJ 07405-3215
WESTERN STATES FIRE PROTECTIIO/04/2007
7026 SOUTH TUCSON WAY
ENGLEWOOD
CO 80112
License: 338-5
WESTERN STATES FIRE PROTECTIIO/04/2007
7026 SOUTH TUCSON WAY
ENGLEWOOD
CO 80112
License: 338-5
Phone: 303-792-0022
Phone: 303-792-0022
Desciption: MONTANEROS 302 INTERIOR REMODEL-RELOCATE ONE SPRINKLER HEAD
Valuation: $1,200.00
r***+�++�*��***s*+*******r**�**�*******►*��*****�*******s**r*►*r**►■ FEE S UMMARY x*�+******�►*******+*****+***►******x�**�***+r******�*******
Mechanical---> $ o. o o Restuarant Plan Review--> $ o. o o Total Calculated Fees---> $ 4 01. o 0
Plan Check---> $ 3 5 0. o o DRB Fee---------------------> $ o. o o Additional Fees-----------> ($ z 8 5. o o)
Investigation-> $ o. 0 0 TOTAL FEES--------------> $ 4 O 1. o o Total Permit Fee----------> $116 . 0 0
W ill Call-----> $ 0. 0 0 Payments-------------------> $116 . 0 0
BALANCE DUE--------> $ o. o 0
***�a+r**r****s+:rrr*******as�**r*�+***r�***+�*�+�**�**�*r**r�+*+*�********�*****+r��+*�s►**�**�*+*�ar*******+�**********+s�*r*��*+*rr*s**+****�**
Item: 05100 BUILDING DEPARTMENT
Item: 05600 FIRE DEPARTMENT
10/05/2007 mcgee Action: AP
CONDITION OF APPROVAL
Cond: 12
(BLDG.): FIELD INSPECTIONS ARE REQUIRED TO CHECK FOR CODE COMPLIANCE.
**..*�•*.�.*�.*:**.*..,*+*►*+.***+*..*.,*•+s**.*�.***.�**.*.**.*.�*.+*.,*.*.�**:+�**+*,:*�*.*�**...++***».*...,.,*�*s*..*..�*«**.**,:+****.*.*.++.*
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 479-2135
w � � �-�- .
�
�
*************************************************************�******************************
TOWN OF VAIL, COLORADO Statement
**************************************+************�***************************************+
Statement Number: R070002238 Amount: $116.00 10/16/200711:28 AM
Payment Method: Check Init: DDG
Notation: Western States
Fire Protection 106720
-----------------------------------------------------------------------------
Permit No: F07-0124 Type: SPRINKLER PERMIT
Parcel No: 2101-063-0901-4
Site Address: 641 W LIONSHEAD CR VAIL
Location: MONTANEROS 302
Total Fees: $116.00
This Payment: $116.00 Total ALL Pmts: $116.00
Balance: $0.00
********************************************************************************************
ACCOUNT ITEM LIST:
Account Code Description Current Pmts
-------------------- ------------------------------ ------------
PF 00100003112300 PLAN CHECK FEES 116.00
-----------------------------------------------------------------------------
TOWN OF VAIL
75 S. FRONTAGE ROAD
VAIL, CO 81657
970-479-2138
DEPARTMENT OF COMMUNITY DEVELOPMENT
NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES
ELECTRICAL PERMIT
Job Address: 641 W LIONSHEAD CR VAIL
Location.....: MONTANEROS 302
Parcel No...: 210106309014
Legal Description: � � _��� -� _ 6 �3`-( ��
Project No :
OWNER CIMILUCA, MARK
27 ALIZE DR
KINNELON
NJ 07405-3215
APPLICANT BOSTON ELECTRIC
P.O. BOX 2472
AVON
CO 81620
License: 155-E
CONTRACTOR BOSTON ELECTRIC
P.O. BOX 2472
AVON
CO 81620
License: 155-E
l0/04/200�
10/04/2007
10/04/2007
Permit #
Status . . . :
Applied . . :
Issued . . .
Expires . .:
E07-0257
l�61-��`��
ISSUED
10/04/2007
10/04/2007
04/O 1 /2008
Phone: 970-748-6980
Phone: 970-748-6980
Desciption: MONTANEROS 302 INTERIOR REMODEL-rewire kitchen and
bathrooms and replace electric baseboard heat. add recessed
cans in hall, kitchen and over fireplace
Valuation: $0.00 Square feet: 1372
***+*r**►***r****+*►�*t**+*+*********+****t****�***�+************** FEE SUMMARY *******+**v*r+**+**t****�*��*�******+****�***�***tr+**+*�***
Electrical---------> $ 5 7. 5 0 Total Calculated Fees--> $ 61 . 5 0
Investigation----> $ 0. 0 o Additional Fees----------> $ 0. o 0
Will Call---------> $4 . oo Total Permit Fee--------> $61 . 50
TOTAL FEES--> $ 61 . 5 o Payments------------------> $ 61 . 5 0
BALANCE DUE--------> $0. 00
*�****.s****►**.��*�*t+***�**�*�+■ra**sw*■**+**�+****+►�err***s«*******�►+*.�«*rar■*****�s�*rs*s*��*��**■*+r��*�****�.***�***.+**��*+re�*****#*++
Approvals:
Item: 06000 ELECTRICAL DEPARTMENT
10/04/2007 shahn Action: AP
Item: 05600 FIRE DEPARTMENT
***..,*�,:�.*.***.*�*..*.*.:.*.*.*.+**�+*�,.****.*.++*.*.*s*.*.**�****»**.+.*�***.*�.*+.*.*+�*�.*s*....*�*�:**.*:.*.*s*...*,*.�*.*..�,*.**.*...,..
CONDITIONS OF APPROVAL
Cond: 12
(BLDG.): FIELD INSPECTIONS ARE REQUIRED TO CHECK FOR CODE COMPLIANCE.
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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
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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 T 79-2149 OR AT OUR OFFICE FROM 8:00 AM - 4 PM.
SIGNA�I�RE OF OV�✓NE�� CONTRACTOR FOR HIMSELF AND OWNER
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TOWN OF VAIL, COLORADO Statement
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Statement Number: R070002100 Amount: $61.50 10/04/200702:15 PM
Payment Method: Check Init: LC
Notation: #1615/BOSTON
ELECTRIC
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Permit No: E07-0257 Type: ELECTRICAL PERMIT
Parcel No: 2101-063-0901-4
Site Address: 641 W LIONSHEAD CR VAIL
Location: MONTANEROS 302
Total Fees: $61.50
This Payment: $61.50 Total ALL Pmts: $61.50
Balance: $0.00
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ACCOUNT ITEM LIST:
Account Code Description Current Pmts
-------------------- ------------------------------ ------------
EP 00100003111100 ELECTRICAL PERMIT FEES 57.50
WC 00100003112800 WILL CALL INSPECTION FEE 4.00
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�rontage Rd.
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APPLICATION WILL NOT BE ACCEPTED IF INCOMPLETE OR UNS�Q�� 03 (� �
Project #: ��
Building Permit #: (�O�-ud.� )
�� Electrical Permit #:
" 970-479-2149 (Inspections)
CONTRACTOR INFORMATION
IT
COMPLETE SQ. FOOTAGE FOR AREA OF WORK AND VALUATION OF WORK (Labor & Materials)
AMOUNT OF SQ FT IN STRUCTURE: ��� 1-. II ELECTRICAL VALUATION: $ ��v ''
Contact Ea /e Coun Assesso�s O�ce at 970-328-8640 or visit www, ea le-coun , com for Parce/ #
Parcel # �� �� � I
]ob Name: M���..�, � ..� �� Job Address: C,'�� 1�! ��on��e.�� L"�
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Legal Description Lot: Block: Filing: Subdivision:
Owners Name:�G��, ������, � Address:�,� {�11u- �y^� �" ;T• Phone:
Engineer: Address: Phone:
Detailed descri tion o�work: ���� �,�� �(�� �„ r,�,, �� �i4� � �.�
���z.,�..< � ��.� . �1.� '�ea5�.- I��i-� �� �-.��, ���. un��„¢..��h �, �.�
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Work Class: New ( ) Addition ( ) Remodel ) Repair ( ) Temp Power ( ) Other ( )
Work Type: Interior ) Exterior () Both () Does an EHU exist at this location: Yes () No ()
Type of Bldg.: Single-family ( ) Duplex ( ) Multi-family ( ) Commercial ) Restaurant ( ) Other ( )
No. of Existing Dwelling Units in this building: No. of Accommodation Units in this building:
Is this ermit for a hot tub: Yes. No
Does a Fire Alarm Exist: Yes ) No () Does a Fire Sprinkler System Exist: Yes ) No ()
***************************************FOR OFFICE USE ONL
Other Fees Date
DRB Fees: � Acce
Planner Sian-off:
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F:\cdev�FORMS\PERMITS\Building\electical�ermit i1-23-2005.DOC
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11/23/2005
B07-0247 : Entries for Item:90 - BLDG-Final 08:17 11/21/2012
Action Comments By Date Unique_
Ke
AP S. Gremmer 11/21/2007 A000108
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