HomeMy WebLinkAboutD13-0004 �» ��
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� � Department of Community Development
75 South Frontage Road
/ Vail,CO 81657
,���� �� �Q��.::'�� ,� Te1: 970-479-2128
www.vailgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm &sprinkler) ' �� ��i
Project Street Address: �A-^-_-_---^--^-- Project#: �
2�L W�YS'� �C.Cc��� I�,�� '�—��� DRB#:
(Number) (Street) (Suite#) •--�-.`� ' �O�'\
r� Building Permit#: � J `J
BuildinglComplex Name: " ' ) �4 � v��� �
Lot#: Block# Subdivision:
i Contractor Information
;Business Name: �f'�" 7 ���� Addition � Alteration�
� il �I Work Class: New(�) � �
�wK ""�
!Business Address: � °�" � � '��s�^ � -
� Zi �f�r 1 TYPe of Building:
��;City ���L State: p'---- Single-Family(�) Duplex(�j Multi-Family��
�I Contact Name: %� �� Gw�� Commercial(� Other(�)
i Contact Phone: / 7b " ��`�`�
_ � Work Type: Interior�E�erior(� Both(�
1�;Contact E Mail: ���L�r�' I��`"" � ' �'�� —
Valuation of
`, I hereby acknowledge that I have read this application,filled out �/�/ork Included Plans Included Work
', in full the information required,completed an accurate plotglan, Electrical ( es ( No ( Yes ( ,' o
{ and state that all the information as required is correct. I a ree to
i comply with the information and plot plan,to comply with all Town �
f ordinances and state laws, and to build this structure according to �Mechanical (�Yes �)No (�Yes (�No
' the town's zoning and subdivision codes,design review ap- � �Yes �jNo (�Yes (�No
�, proved,Intemational Building and Residential Codes and other Plumbing
'', ordinances of the n applicable thereto. �Building (�Yes �No (�Yes �No 3 ' ��
�/ Value of all work being performed: $ �
��/� �value based on IBC Sedion 109.3 8 IRC Section 108.3� ���
';Owner/Owne s Representative Signature(Required) Electrical Square Footage
��I qpplicant Information Detailed Scope and Location of Work:
� uC�F''�.') �Jh,,v j w�-`i.sY- �►+ f 6`t-i
�;Applicant Name: ���7 �-�-- �
'j Applicant Phone:
;�7 (, ��h� � �(-� � a r�,n s� ✓
� ��z o ��:. ��y M �,j,, re ��. ���
�'i Applicant E-Mail: �e/�� /
1 � �
�Pro ect Information j 3
� �, �14 C -� ����.
j Owner Name: �
� � :�a 1 - oti�—� �-c�v3
Parcel#: I
�(For Parcel#,contact Eagle County Assessors Off°e at(970-328�640 or visit �
www.eaglecounty.uslpatie) (use additional sheet if necessary)
, s��
For O�ce Use Only: Date Received: � � � � �
Fee Paid: �
Received From: � �P� U$ 'L���.
�� Check#
CC: Visa/ MC Last 4 CC# exp date:
�th# �WN ��v�r�-
2013-Feb O1
*******************+******+****************�************************************+***********
TOWN OF VAIL, COLORADO Statement
***+************************+*****************************+*********************************
Statement Number: R130000276 Amount: $54 .00 04/08/201304 :25 PM
Payment Method:Credit Crd Init: CG
Notation: visa b cuomo
--
Permit No: D13-0004 'I'yP
--------------
e: DEMO. OF PART/ALL BLDG.
Parcel No: 2101-071-0800-3
Site Address: 22 W MEADOW DR VAIL
Location: VILLA CORTINA UNIT 130 Total Fees: $142.36
This Payment: $54 .00 Total ABalance: $88.�36
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ACCOiJNT ITEM LIST: Current Pmts
Account Code Description
------------------------------ -------
BP 00100003111100 BUILDING PERMIT FEES 54 .00
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D13-0004: Entries for Item:90 - BLDG-Final 11:27 12/31/2013
Action Comments By Date Unique_
Ke
AP JRM 06/26/2013 A000160
192
Total Rows: 1
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