HomeMy WebLinkAboutP05-0095 voidTOWN OF VAIL DEPARTMENT OF COMMUNITY DEVELOPMENT
75 S. FRONTAGE ROAD
VAIL, CO 81657
970 -479 -2138
NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES
PLUMBING PERMIT
Job Address:
4094 LUPINE DR VAIL
Location.....:
4094 LUPINE DRIVE
Parcel No...:
210112219012
Project No
pryaD# v d1 k9
OWNER
APPLICANT
CONTRACTOR
AFFA, ROGER B. & MARYLYN H
PO BOX 2041
EDWARDS
CO 81632
FIRST CLASS PLUMBING
P.O. BOX 1793
EAGLE
CO 81631
License: 132 -P
FIRST CLASS PLUM ING
P.O. BOX 1793
EAGLE
CO 81631
License: 132 -P
Desciption: PLUMBING FOR ADDITIO
Valuation: $20,000.00 0
Fireplace Information: Restricted: ??
/2005 \Phone
# of Gas Appliances: ??
` * * * ** FEE SUMMARY
Permit #:
P05 -0095
Restuara PI Review - ->
BD� ODB
Status ...:
ISSUED
Applied ..:
07/22/2005
Issued . ..
07/26/2005
Expires . .:
01/22/2006
: (970) 524 -26
970)524 -x600
# of Gas Logs: ?? # of Wood Pallet: ??
Plumbing --- >
$300.00
Restuara PI Review - ->
$0.00 Total Calculated Fees
.00
$3 $0 .00
$75.00
1 Fee - - -- -- ------ - - - - ->
$ 0.0 0 Additional Fees----- - - - - --
>
Investigation-
$0.00
TOTAL FE ---- - - - - ->
$378.00 Total Permit Fee ----------
> $378.00
Will Call - - - - ->
$3.00
Payments -------------------
> $378.00
BALANCE DUE ---------
> $0.00
Item: 05100 BUILDING DEPARTMENT
07/22/2005
JS
Action: AP
Item: 05600 FIRE DEPARTMENT
07/22/2005
& HEATI07 /2
CONDITION OF APPROVAL
Cond: 12
(BLDG.): FIELD INSPECTIONS ARE REQUIRED TO CHECK FOR CODE COMPLIANCE.
****************************************************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
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. 4-L
TOWN OF VAIL, COLORADO Statement
Statement Number: R050001159 Amount: $378.00 07/26/200504:42 PM
Payment Method: Check Init: DDG
Notation: First Class P &
H 7600
Permit No:
P05 -0095 Type:
PLUMBING PERMIT
Parcel No:
2101 - 122 - 1901 -2
Site Address:
4094 LUPINE DR VAIL
Location:
4094 LUPINE DRIVE
Total Fees:
$378.00
This Payment:
$378.00
Total ALL Pmts:
$378.00
Balance:
$0.00
ACCOUNT ITEM LIST
Account Code Description Current Pmts
-------------- - - - - -- ------------------------ - - - - -- ------ - - - - --
PF 00100003112300 PLAN CHECK FEES 75.00
PP 00100003111100 PLUMBING PERMIT FEES 300.00
WC 00100003112800 WILL CALL INSPECTION FEE 3.00
APPLICATION WILL NOT BE ACCEPTED IF INCOMPLETE OR UNSIG 6 4
_ O( /(y'rj
Project #: 7� 7
Building Permit #: , o
Plumbing Permit #:
A 970 - 479 -2149 (Inspections
TOWN OF WI �....... Ar \ /�T■ A ■ Aft.."s. T/��TTA�■
75 S. Frontage Rd.
Vail, Colorado 8165
CONTRACTOR INFORMATION
Plumbing Contractor: f / Town of Vail Reg. No.: Contact and Phone #'s:
1'
[ 1-114 — ail Address:
Contract at
COMPLETE VALUATION FOR PLUMBING PERMIT (Labor & Materials)
PLUMBING: $
rnntart Fan/P rniinty AccAccnrc nffirP at 97n- _3 ?R -RF,4n nr visit www. PanIp- rnunty. rom for Parcel #
Parcel
Job Name: (��
1
J ob Address: q
(
Legal Description =Lot- Block: Filing: Subdivision:
Owners Name: Address:
Phone:
Engineer: Address:
Phone:
Detailed &escriptio of work:
I�
F w Class: New( Addition Alteration ( ) Repair ( ) Other ( )
Type of Bldg.: Single family ( ) Duplex N Multi family ( ) Commercial ( ) Restaurant ( ) Other ( )
No. of Existing Dwelling Units in this building:
No. of Accommodation Units in this building:
Is this a conversion from a wood burning fireplace to an EPA Phase II device? Yes ( ) No ' )
�xxxx *� xxxx �x *Y *x *x* �xxxFOR OFFICE USE ONLYxx *x �x �x *xxxx �x * * *�* �x *xxxY �xx
Other Fees:
Date Received:
DRB Fees:
Accepted By:
Planner Sign-off:
3�
\ \Vail \data \cdev \FORMS \PERMITS \PLM BPERM. DOC 07/26/2002