HomeMy WebLinkAboutB13-0132TOWN OF VAIL `
_ v13
Department of Community Development
75 South Frontage Road
Vail, CO 81657
Tel: 970 -479 -2128
www.vailgov.com
Development Review Coordinator
TRANSMITTAL FORM
Use this form when submitting additional information for planning applications or building permits.
This form is also used for requesting a revision to building permits. A two hour minimum building review
fee of $110 will be charged upon reissuance of the permit.
Application /Permit #(s) information applies
to: r Attention: O Revisions
()Response to Correction Letter
Y2 attached copy of correction letter
Deferred Submittal
1 4 Other
Project Street AddF
s: r
e ,
(Number) (Street) (Suite #)
Building /Complex Name: Description of Transmittal/ List of Changes, Items Attached:
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Applicant Information L
e',yT C,rtur' ,,5 ?✓-,C GS
(architect, contractor, owner /owner's rep)
A
Contact Name:
Address:' PO Z �U�
/
City V Cc ', l State: �O Zip:
Contact Name: Ec,e
(use additional sheet if necessary)
Contact Phone:
Building Permits
L L (-,,,,—.(,_,,,.Revised ADDITIONAL Valuations (Labor & Materials)
Contact E -Mail: (DO NOT include original valuation)
I hereby acknowledge that I have read this application, filled out
; Building: $ 90, LQ L
in full the information required, completed an accurate plot plan,
and state that all the information as required is correct. I agree to
Plumbing: $
comply with the information and plot plan, to comply with all Town
ordinances and state laws, and to build this structure according
Electrical: $
to the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other
Mechanical: $
ordinances of the Town applicable thereto.
3g, 000
X
Total: $
Owner /Owner's Repr entative Signature (Required)
- -- -
Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check #
CC: Visa / MC Last 4 CC # exp. date:
Auth #
NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES
M010Fv1
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 #: 1313 -0132
Project #: PRJ13 -0049
Job Address: 4575 STREAMSIDE CR E VAIL Applied...... 04/30/2013
Location......: B SIDE 4575 STREAMSIDE CIRCLE EAST Issued...: 05/0112013
Parcel No....: 210112416012
OWNER HALLENBECK, JACQUIE 04/30/2013
3555 E WILLAMETTE LN
LITTLETON, CO
0
APPLICANT BURKE HARRINGTON CONSTRUCTIO 04/30/2013 Phone: 970 - 376 -2256
PO BOX 2943
VAI L
CO 81658
License: C000003373
CONTRACTOR BURKE HARRINGTON CONSTRUCTIO 04/30/2013 Phone: 970 - 376 -2256
PO BOX 2943
VAI L
CO 81658
License: C000003373
Description:
WINDOW REPLACEMENT B SIDE
Occupancy: R -3
Type Construction: VB
Valuation: $30,000.00
..,>..,.„ .... ...............................
.......» >. <,,.....,.....,. FEE SUMMARY
..,.,,<,,..,..,........,.,.,»...
....,,.. =x...,,.,.............. ,,..........
Building Permit ------ - - - - ->
$441.75 Bldg Plan Check ----- - - - - ->
$287.14
Use Tax Fee------------------ - - - - ->
$400.00
Electrical Permit ---- - - - - ->
$0.00 Elec Plan Check ------ - - - - ->
$0.00
Restuarant Plan Review--- - - - - ->
$0.00
Mechanical Permit - - - - - ->
$0.00 Mech Plan Check ---- - - - - ->
$0.00
Additional Fees--------------- - - - - ->
$0.00
Plumbing Permit --- - - - - ->
$0.00 Plmb Plan Check ---- - - - - ->
$0.00
Recreation Fee--------------- - - - - ->
$0.00
Investigation------------------ - - - - ->
$0.00
Will Call ------------------------------ >
$5.00
TOTAL PERMIT FEES--------- - - - - ->
$1,133.89
Payments ------------------------------- >
$1,133.89
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
X11 I � i
CONDITIONS OF APPROVAL TO BE MET PRIOR TO FINAL SIGN OFF
Permit #: B13 -0132 Address: 4575 STREAMSIDE CR E VAIL
Owner: HALLENBECK, JACQUIE Location: B
SIDE 4575 STREAMSIDE CIRCLE EAST
combination permit-012811
OiuWN
REQUIRED INSPECTIONS AND STATUSES
Permit #: B13 -0132
Owner: HALLENBECK, JACQUIE
SIDE 4575 STREAMSIDE CIRCLE EAST
Address: 4575 STREAMSIDE CR E VAIL
Location: B
Item: 00070 BLDG -Misc.
Item: 00090 BLDG -Final
combination permit_012811
TOWN OF VAIL, COLORADOCopy Reprinted on 05 -01 -2013 at 16:16:53 05/01/2013
Statement
Statement Number: R130000472 Amount: $1,133.89 05/01/201304:16 PM
Payment Method:Credit Crd Init: CG
Notation: visa b
harrington
-----------------------------------------------------------------------------
Permit No: B13 -0132 Type: COMBINATION BLDG PERMIT
Parcel No: 2101- 124 - 1601 -2
Site Address: 4575 STREAMSIDE CR E VAIL
Location: B SIDE 4575 STREAMSIDE CIRCLE EAST
Total Fees: $1,133.89
This Payment: $1,133.89 Total ALL Pmts: $1,133.89
Balance: $0.00
ACCOUNT ITEM LIST:
Account Code Description Current Pmts
-------------- - - - - -- ------------------------ - - - - -- ------ - - - - --
BP 00100003111100 BUILDING PERMIT FEES 441.75
PF 00100003112300 PLAN CHECK FEES 287.14
UT 11000003106000 USE TAX 4% 400.00
WC 00100003112800 WILL CALL INSPECTION FEE 5.00
----------------------------------------------------------------------- - - - - --
11 -11 -2013 Inspection Request Reporting Page 27
4:07 -D- -m- Vail,CO.lty��
Requested Inspect Date: Tuesdayy November 12, 2013
Site Address: 4575 STREAMSIDE CR E VAIL
B SIDE 4575 STREAMSIDE CIRCLE EAST
A/P /D Information
Activity: B13 -0132 Type: COMBO Sub Type: ADUP Status: ISSUED
Const Type: Occupancy: Use: R -3 Insp Area:
Owner: HALLENBECK, JACOUIE
Applicant: BURKE HARRINGTON CONSTRUCTION Phone: 970 - 376 -2256
Contractor: BURKE HARRINGTON CONSTRUCTION Phone: 970 - 376 -2256
Description: WINDOW REPLAQfME_NT B SIDE
in: 90 BLDG -Final
>r: BURKE HARRINGTON
:s: 376 -2256
o: SGREMMER i
Inspection History
Item: 70 BLDG -Misc.
Item: 90 BLDG -Final
Requested Time: 10:30 AM
ION Phone: 970 - 376 -2256
Time Exp:
IONDRAGON K
REPT131 Run Id: 14741