HomeMy WebLinkAboutB13-0177 APPLICATION.pdf Department of Community Development
75 South Frontage Road
���� �� ��j� Vail, CO 81657
Tel: 970-479-2128
www.vailgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm & sprinkler)
Project Street Address: Project#:
710 west lionshead circle A
DRB#:
(Number) (Street) (Suite#)
Building/Complex Name: The Vail Spa Building Permit#:
Contractor Information Lot#: Block# Subdivision:
Business Name: Skyline Mechanical INC
Business Address: 134 Airpark DR Work Class: New(�j Addition (�j Alteration (�
City Vail State: CO Zip: 81657 Type of Building:
Contact Name:
Justin Nielsen Single-Family�j Duplex�j Multi-Family�j
Commercial �j Other�j
Contact Phone: 970-524-6809
Contact E-Mail: lustin@skylinemeChaniCal.COm Work Type: Interior� Exterior� Both (�i
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 �i Yes �)No �Yes �No 1000.00
comply with the information and plot plan, to comply with all Town
ordinances and state laws, and to build this structure according to Mechanical �Yes �)No �Yes �No 6000.00
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing �jYes �No �Yes �jNo
ordinances of the Town applicable thereto.
Building �Yes �)No �jYes �jNo
X Value of all work being performed: $ 7000
Owner/Owner's Representative Signature(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: Skyline Mechanical INC Add 1-Ductless AC unit to existing Space
Applicant Phone: 9�0-524-6809
Applicant E-Mail: Justin@skylinemechanical.com
Project Information Kyle Webb
Owner Name:
Parcel#:
(For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit
www.eag lecou nty.us/patie)
(use additional sheet if necessary)
For Office Use Only: Date Received:
Fee Paid:
Received From:
Cash Check#
CC: Visa/ MC Last 4 CC # exp date:
Auth #
12-Mar-2012
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TOWN OF VAIL, COLORADO Statement
*�****r�*****ss*****r**************�a**��***************��*************�*****�***�****�***** I
Statement Number: R130000750 Amount: $30.00 06/07/201308: 12 AM
Payment Method:Credit Crd Init: SAB i
Notation: VISA SKYLINE
MECHANICAL
Permit No: B13-0177 Type: COMBINATION BLDG PERMIT
Parcel No: 2101-063-1705-6
Site Address: 710 W LIONSHEAD CR VAIL
Location: VAIL SPA UNIT A
Total Fees: $399.75
This Payment: $30.00 Total ALL Pmts: $30.00
Balance: $319.75
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ACCOUNT ITEM LIST:
Account Code Description Current Pmts
-------------------- ------------------------------ ------------
PF 00100003112300 PLAN CHECK FEES 30.00
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