Loading...
HomeMy WebLinkAboutB13-0155 APPLICATION AND RECEIPT (VOIDED) Ciel any Department of Community Development 75 South Frontage Road L * Vail, CO 81657 TOWN OF VAI p Tel: 970-479-2128 l� www.vailgov.com com Development Review Coordinator BUILDING PERMIT APPLICATION (Separate applications are required for alarm/& sprinkler) Project Street Address: I' Project#: PICT/, — n/79 bRB#: (Number) (Street) (Suite#) /�- Building Permit#: 213 D 1,5") Build inglComplex Name: ��// �� Contractor Information Lot#: Block# Subdivision: ✓(�.{ V�l1oy,� jll// !�13 Business Name:-4r-&A6,4f �ewa Work Class: New(©) Addition (©) Alteration (©) Business Address: City State: Zip: Type of Building: Single-Family(0) Duplex(O Multi-Family(0) Contact Name: Commercial Other(®) Contact Phone: 476.3 ii• ate~ Contact E-Mail: ('a[s7Cti° � YYIC�tf ork Type: Interior(0 Exterior(Q Both(0 I hereby acknowledge that I have read this application,filled out Valuation of in full the information required,completed an accurate plot plan, Work Included Plans Included Work and state that all the information as required is correct. I agree to Electrical (aes (C)No (OYes (ONo comply with the information and plot plan,to comply with all Town ordinances and state laws, and to build this structure according to Mechanical OYes ONo OYes (ONo the town's zoning and subdivision codes, design review ap- proved,International Bui ing and ResidentiatCkodes and other Plumbing ()Yes OjNo ()Yes ONo ordinances of the Tow applicable thereto. r' ' ' O Q °tea Building ( es No es No X t �' Value of all work being performed: $ 0 Owner/Owner's e�rese ative 8.4- ature(Required) (value based on IBC Section 109.3&IRC Section 108.3) Electrical Square Footage Applicant Information Detailed Scope and Location of Work: Applicant Name: vi, Applicant Applicant Phone: P0 '/576 Applicant E-Mail: Project Information t Owner Name: Parcel#: (For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit www.eaglecounty.us/patie) (use additional sheet if necessary) For Office Use Only: y l Date Received: Fee Paid: Received From: Cash Check# C6- CC Visa/ MC Last 4 CC# exp date: MAY 0 7 2013 Auth# TOWN OF VA&L3-Feb 01 ******************************************************************************************** TOWN OF VAIL, COLORADO Statement ******************************************************************************************** Statement Number: R130000521 Amount: $25. 19 05/07/201301: 12 PM Payment Method: Check Init: DR Notation: CK# 9965 CRAWFORD PIERCE ----------------------------------------------------------------------------- Permit No: B13-0155 Type: COMBINATION BLDG PERMIT Parcel No: 2101-034-0300-2 Site Address: 2800 BALD MOUNTAIN RD VAIL Location: TRACT A OPEN SPACE Total Fees: $43.78 This Payment: $25. 19 Total ALL Pmts: $25. 19 Balance: $18.59 ******************************************************************************************** ACCOUNT ITEM LIST: Account Code Description Current Pmts -------------------- ------------------------------ ------------ BP 00100003111100 BUILDING PERMIT FEES 4 . 91 PF 00100003112300 PLAN CHECK FEES 15.28 WC 00100003112800 WILL CALL INSPECTION FEE 5.00 ----------------------------------------------------------------------------- I