HomeMy WebLinkAboutE95-0163NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES
TQYYlY OF �C11L� ELECTRICAL PERMIT Permit #: E95-0163
75 South Frontage Road Department of Community Development
Yai� Colorado 8.1657
970-479-2138/479-2139 Job Address : 4475 GLEN FALLS LN Status ....: ISSUED
FAX 970-479-2452 Location. ..: Applied. .: 08�09�1995
Parcel No..: 2101-123-13-007 Issued...: 08�24/1995
Project No.: PRJ95-0121 Expires..: 02�20�1996
APPLICANT EI,K RIDGE DESIGN BUILDERS
P.O. BOX 2382, FORT COLLINS, 80522
CONTRACTOR ELK RIDGE DESIGN BUILDERS
P.O. BOX 2382 FORT COLLTNS 80522
Phone: 970-484-1697
Phone: 970-484-1697
OWNER TIMBER FALLS.ASSOCIATES �
228 BRIDGE ST, VAIL CO 81657
CONTRACTOR JON WAYNE ELECTRIC, INC. Phone: 970-225-0838
431 TN RA.SHER ST., FT. COLLINS, C 80526
Descriptian: NEW SFR � Valuation: 29,000.00
*ic**�k*�kk *icicirk�cirkk*irkkicicicirkic*k**irkir*�lc* FEE SUMMARY ic***h***�Jc�lc�hk*icic**�F�hk**icint*ir*ic*****�t*�t*�k�ht**int**�ht******ic
Electrical--> 269.00
DRB Fee ---> .00
Investigation> .00
Will Call-°-> 3.D0
TOTAL FEES---> 272.00
Total Calculated Fees---> 272.00
Additionat Fees---------> .00
Total Permit Fee--------> 272.00
Payments----------------> 272.00
BALANCE DUE-------------> .00
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Item• 06000 ELECTRICAL DEPARTMENT Dept: BUILDING Division:
08�09�1995 DAN Action: APPR
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DECLAR.ATIONS
I hereby acknowledge that I have read this epptication, fiitled out in fiull the information required, completed an accurate plot
plan, and state that all the information provided as required is correct. I agree to comply with the information and plot plan,
to comply with all Town o�dinances and state taws, and to build this structure according to the Town's zoning and subdivision
codes, design review approved, Uniform euilding Code and other ordinances ofi the Town applicable thereto. '
RE�UESTS FOR INSPECTIONS SHALI BE MADE TWENTY-POUR HOURS IN ADVANCE BY TELEPHONE AT 479-2138 OR AT OUR OfFICE FROM 8:00 AM 5:00 PM
�� �L�' : ( �..-..,,1 r>
S 6NATU OF OWNER OR CONTRAC R FOR NIMSELF ANO OWNER
��.e RECYCLEDPAPER
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���*******��****�**���**�����**����***�***�����*��*�*�*�*�**���*
TOWN OF VAIL, COLORADO � Statemnt
**�***�*****�**�*�****����**��*��*��****����*�**����***���*���*�
Statemnt Number: REC-0057 Amount: 272.00 08�24�95 13�:15
Payment Method: CK1610 Notation: � Init: JR
--------------------------------------------------=-------------
Permit No: E95-0163 Type: B-ELEC ELECTRICAL PERMIT
Parcel No: 2101-123-13-007
Site Addres�s: 4475 GLEN FALLS LN
� Total Fees: 272.00
This Payment 2�2.00 Total ALL Pmts: 272.00
Balance: .00
��**��**�*��***�*****�����**��**��*�**�*��*�*���*������*�**�**�*
Account Code Description ', Amount
� O1 0000 41313 ELECTRICAL PERMIT FEES 269.00
01 0000 41336 WILL CALL INSPECTION FEE 3.00
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Action
Total Rows: 1
E95-0163: Entries for Item:190
By
Page 1
- ELEC-Final
Date Unique_
A000026
10:41 02/28/2013
_ __
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�APPLICATION FORM
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APPLICA�� B F L �?UT COMPLETELY OR IT MAY NOT BE ACCEPTED
*�***** �*****��*��� ����_����� ,
��RMIT INFORMATION ****�*******�**�r*****,�*,�.�****
[ -Building [ ]-Plumbing ( ]-Electrical [ �� anical [��-Other
Job Name : �i � v� �- �.n ,r� � �; � q_c,� Job Address : � � ���, r :. ) ( � � ,..��, �
Legal Description: Lot `% Block Filing SUBDIVISION• �r��:� q��..,�,.,
�/���=s? �=i�-5 S�'C,
Owners Name :\�C a r� �ri� ��• � c Address : Ph .
T�-,, c� k., e.a, �r.� �� t� e.v, � C 3�3 .
Architect: (�o..c-t���r�G�,`e� Address: '�d t 1a�'`�t„ ccr 4-�y�l Ph. ��y `, `�'
General Description : 5��� �� ;� c,�r•..,, �<<..� o� �� � l; r,,�
v
Work Class: [ -New [ ]-Alteration [ ]-Additional [ ]-Repair [ ]-Other
Number of Dwelling Units: � Number of Accommodation Units: 1
N mber and Type of Fireplaces: Gas Appliances 3 Gas Logs � Wood/Pellet
***��*�� ***� ���,4r�*******�*****
VALUATIONS ���*���*****�*******�*��r�*�r*�r****
BUILDING: $ � `��;;,��c�,. :' ELECTRICAL• $ ''Z�, ��� OTHER• �
�'LUMBING : � 3 St a G� MECHANICAL : $ �,�p", (j,�cc� TOTAL: $ �S-p , � �, �,
'�****�'*'��'�**�************** CONTRACTOR INFORMATION ****�*�*��****�t******�***�t*
eneral Contractor: E/(,< j�;��� �,�,.�;_„l,�.;n ;,�,�d.��, Town of Vail Reg. NO �� -Q
Address: '�r� ��,�-��z�2 �� � �: f'�� �
Electrical Contra
Address: G%3� ` � Dn,2
Plumbing Con
Address: �IZ
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or� �",'`�.,4 -��a��� � �
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Mechanical Cantractors
Address:
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��a.5 �.Z. Fhcr�e Number: (q� ���!-J�,�'r �
Tawn of Vail Reg. NO.����
n.J "�""�__��.., Phone Number:r��iG� ZZG-�S,�-,�.,
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�--• ��-�� ,c1� Town of Vail Reg. NO. ��%!7
�.�� '� ; Phone Numb.er: 9?Q) t���'�ti _,J t� �`;
��, ��,�e� Town of Vail Reg. NO.�j ��
" Phone Number:
***�***�**��*�r*******���*******� FOR OFFICE USE..���r*�****�***�r*�*��***�**�*****
BUILDING PERMIT FEE: BUILDING PLAN CHECK FEE:
PLUMBING PERMIT FEE: PLUMBING PLAN CHECK FEE:
MECHANICAL PERMIT FEE: MECHANICAL PL�N CHECK FEE:
ELECTRICA�, k'��, RECREATION FEE:
OTHER TYP�' pr,;�' ;i ��; � CLEAN-UP DEPOSIT:
DRB FEEo TOTAL.PERMIT FEES:
TYPE GROUP SQ.FT. VALUATION BUILDINGt
SIGNATURE:
------ _______.� Z ONING :
S IGNATURE : �� ��,n�
Comments• �;
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CLEAN IIP DEP.OSIT REFQND T0: °�
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