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Home My WebLink AboutB13-0146 • The Nova Group • P.O.Box 3342 • Vail,Colorado 81658 • Office: 970-476-7101 Cell:970-390-0931 Fax 970-476-3334 snapoutofit2@msn.com • The Nova Group 3 _ c((h. May 20,2013 31 Town of Vail Community Development Department Vail, Colorado Re: Ruttum Building Permit Cc: To Whom it May Concern: I just checked with JR for status of Building Permit and he informed me that I may have to have an Architectural Stamp because where the average slope beneath the proposed structure and parking area is in excess of thirty percent. I did a calculation during my design phase and the worst senerio I came up with was a.256%slope. This was from the N/E corner of the garage to the S/E corner of the residence: 19' drop divided by 74' distance which equals.256%slope. Taking any other points and measurements only decreases the slope any where else beneath the structure. The parking area is over 30%so the retaining walls will have an engineered stamp. I hope this will be sufficient in the case. I have had to get Architectural Stamps before when the building was on a slope exceeding 30%. Thank you for reviewing this and please notify me if you have any questions. Sincerely, c7zei;ice David Irwin THE-NOVA-GROUP.COM Department of Community Development 0 75 South Frontage Road TOWN OF VAIL k Vail, CO 81657 Tel: 970479-2128 www.vailgov.com Development Review Coordinator BUILDING PERMIT APPLICATION (Separate applications are required for alarm(&-Tsprinkler) Project Street Address: �J / Project#: (n�•�J I23 — DD IS /"i4➢GUI DRB#: �t��I J �Do� (Number) (Street) (Suite#) Building/Complex Name: 1�0z-71J X W S!A Building Permit#:_Z12> — C) Contractor Information Lot#: Block# Subdivision: A t oE,.)cP__s Ar Business Name: IR PATCH /l/DtIA G,QDU/� 22 Work Class: New& Addition o) Alteration o Business Address: fi/DX ,33'`2 City State: Co. zip: E/6S? Type of Building: /J Single-Family KJ) Duplex 0 Multi-Family 0) Contact Name: /✓A!/!14 _7. W/N Commercial 0 Other t) Contact Phone: 97d - , 43 o -Q 4,3 Contact E-Mail: 5NA,, OQzlrof�7" 2 @ &JW.Go&7 Work Type: Interior O) Exterior O Both 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 Yes O)No O)Yes O)No comply with the information and plot plan, to comply with all Town ordinances and state laws, and to build this structure according to Mechanical WYes O)No O)Yes (DNo 28,0Vj0' the town's zoning and subdivision codes, design review ap- proved,International Building and Residential Codes and other Plumbing WYes O)No O)Yes O)No ordinances of the Town applicable thereto. /,` ,. Building OYes O)No O)Yes O)No urn 7 X / ]l2!/ Value of all work being performed: $ 7ooA 006.®0 Owner/Owner's Representative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3) Electrical Square Footage J foo S Applicant Information Detailed Scope and Location of Work: Applicant Name: I)A,11 Alex _ - Applicant Phone: 9 70 QAJe AD T G !N &1,9,2 Applicant E-Mail: 46,-in2L 2 I9VS4tJ•GDi?? Project Information /� Owner Name: , !4r/!/� /2IJ71)1;17 Parcel#: 216 3/2 /2!0/2 (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: Date Received: (� E Fee Paid: sS2`70-9(c (� Received From:--DAUia TpujJh` D Cash Check# 11-1-59 MAY 0 2 2013 CC: Visa/ MC Last 4 CC# exp date: (� Auth# TOWN OF VAIL 15-Mar-2012 . �____. 1 �rl 07-18-2014 Inspection Request Re orting Page 15 4�25 qm V�,S'O - Citv O� Requested Inspect Date: Monday,July 21 2014 Site Address: 1388 BRIAR PA�CH LN VAIL A/P/D Information Activity: 614-0218 Type: COMBO Sub Type: ASFR Status: ISSUED Const Type: Occupancy: Use: R-3 Insp Area: , Owner: RUTTUM, DAVID MARK Contractor: ACTIVE ENERGIES SOLAR, LLC Phone: 970-306-4233 Description: Photovoltaic System on new single family residence Reauested Inspection(s) Item: 90 BLDG-Final Requested Time: 09:30 AM Requestor: Phone: Comments: 376-3720 Assigned To: J ON Entered By: MHAEBERLE K Action: Time Exp: Item: 120 ELEC-Rough Requested Time: 08:00 AM Requestor: Phone: Comments: 376-372 Assigned To: J C�ON Entered By: MHAEBERLE K Action: , Time Exp: Item: 140 ELEC-Misc. Requested Time: 08:30 AM Requestor: Phone: Comments: 37 - 0 Assigned To: JM GO Entered By: MHAEBERLE K Action: Time Exp: Item: 190 EL Final Requested Time: 09:00 AM Requestor: Phone: Comments: - 7 Assigned To: A N Entered By: MHAEBERLE K Action: Time Exp: Z� 1 Inspection Historv Item: 120 ELEC-Rough ; Item: 140 ELEC-Misc. Item: 190 ELEC-Final Item: 90 BLDG-Final REPT131 Run Id: 14722 NOTE: THIS PERM/T MUST BE POSTED ON JOBSITE AT ALL T/MES .• TOWN QF VAIL'' 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 #: B13-0146 Project #: PRJ13-0015 Job Address: 1388 BRIAR PATCH LN VAIL Applied.....: 05/02/2013 Location......: Issued. . . : 07/19/2013 Parcel No....: 210312121012 OWNER RUTTUM, DAVID MARK 05/02/2013 PO BOX 4722 AVON CO 81620-4722 CONTRACTOR HILL CONSTRUCTION INC 07/17/2013 Phone: 970-390-3413 PO BOX 1735 EDWARDS CO 81632 License: C000003103 APPLICANT NOVA GROUP, THE 05/02/2013 Phone: 970-390-0931 DAVID IRWIN PO BOX 3342 VAI L CO 81657 License: C000003558 Description: NEW SINGLE FAMILY RESIDENCE. Occupancy: R-3 Type Construction: VB Valuation: $700,000.00 ............................................•__.....,,...,......,.....,,,,_,..._= FEE SUMMARY •__,_...,..,.,.......,....___..,....,..........._....._,,..,......,......,,.,., Building Permit----------> $6,751.20 Bldg Plan Check---------> $4,388.28 Use Tax Fee-----------------------> $13,800.00 Electrical Permit------> $506.00 Elec Plan Check-----------> $328.90 Restuarant Plan Review-------> $0.00 Mechanical Permit------> $4,660.00 Mech Plan Check---------> $1,165.00 Additional Fees--------------------> $20,420.47 Plumbing Permit--------> $2,025.00 Plmb Plan Check---------> $506.25 Recreation Fee--------------------> $1,310.40 Investigation------------------> $0.00 Will Call---------------------------> $20.00 � TOTAL PERMIT FEES------------> a55,881.50 Payments-----------------------------a a55,881.50 BALANCE DUE-----------------------a a0.00 ...................................................«,.....,.,.,.,,....,,,,........,.....,,,...,..,.,...,_..«........,.....,_,___,..,,..,.,..._...__•__.._....,..,......__,_..,.._...,. 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 l , � • ��i 1'� 1 ......xx..+.+xx..+......r:x::+.....+xx+........•...•.w.w..++......:....e•....••.:x..xrxw.....+x+...e.••+........+...w..x..x+..r.....r.:...x...ex..x.....+...:....�+x.xxx•x....rr..rr: CONDITIONS OF APPROVAL TO BE MET PRIOR TO FINAL SIGN OFF Permit#: 613-0146 Address: 1388 BRIAR PATCH LN VAIL Owner: RUTTUM, DAVID MARK Location: ................................................................................................................................................................................:...:,� Cond: 50 (FIRE): FIRE SPRINKLER SYSTEM REQUIRED AND SHALL COMPLY WITH NFPA 13R(2007)AND VFES STANDARDS. Cond: 52 (FIRE 2002) Monitored fire alarm system required and shall comply with NFPA 72 (2002 ed.) and VFES Standards Cond: CON0013325 The applicant shall submit and have recorded the Employee Housing Unit Deed Restriction for the on-site EHU prior to requesting a certificate of occupancy inspection. Cond: CON0013329 Blower door Test required prior to building final Cond: 42 (BLDG 2009) CARBON MONOXIDE DETECTORS REQUIRED TO BE INSTALLED PER 2009 IRC R315 combination permit_012811 I i � T�WNOF VA� ' *.,******..*,.*******..***********��..,..*******,.,*,****.,,,,�*..****.*****�**,*,***..*********,*****.*******.,.*********.�...*...,*,****,*,.***„***** REQUIRED INSPECTIONS AND STATUSES I Permit#: 613-0146 Address: 1388 BRIAR PATCH LN VAIL Owner: RUTTUM, DAVID MARK Location: ' ..*«*.****.**„*,**.,*****.*.*,.*««„*****�*.**,*,*„***«**.*.�.��...«***«**..*.�******„****.*.,.,.*«***„«*�***�,.**.**„*„*****...�.*,****«****.*�,.**.***** Item: 00090 BLDG-Final Item: 00010 BLDG-FOOTING Item: 00020 BLDG-Foundation/Steel Item: 00120 ELEC-Rough Item: 00210 PLMB-Underground Item: 00200 MECH-Rough Item: 00220 PLMB-Rough/D.W.V. Item: 00230 PLMB-Rough/Water Item: 00240 PLMB-Gas Piping Item: 00310 MECH-Heating Item: 00320 MECH-Exhaust Hoods Item: 00030 BLDG-Framing Item: 00050 BLDG-Insulation Item: 00060 BLDG-Sheetrock Nail Item: 00070 BLDG-Misc. ' ` "` Item: 00190 ELEC-Final Item: 00290 PLMB-Final Item: 00390 MECH-Final Item: 00539 PW-FINAL C/O Item: 00534 PLAN - FINAL C/O Item: 00540 BLDG-Final C/O combination permit_012811 � - oo � s i 08-27-2014 Inspection Request Reporting Page 4 4•01 pm V�, CO - Citv Of , Requested Inspect Date: Thursday,August 28,2014 ' Site Address: 1388 BRIAR�ATCH LN VAIL A P;D Information I Activiry: 613-0146 Type: COMBO Sub Type: NSFR Status: ISSUED � Const Type: Occupancy: Use: R-3 Insp Area: Owner: RUTTUM, DAVID MARK Contractor: HILL CONSTRUCTION INC Phone: 970-390-3413 Applicant: NOVA GROUP,THE Phone: 970-390-0931 Description: NEW SINGLE FAMILY RESIDENCE. Comment: SCANNED APPLICATION AND PLAN CHECK RECEIPT. ROUTED TO F-1,WARREN AND FIRE.- DRHOADES Comment: pa er submittal ILC routed to C-3-CGODFREY Comment: LOAD CAECS AND W INDOW INFORM�AT ON ROUTED TO gT ONDR OAD�ES SCHECK,SNOW CLIPS Comment: SQUARE FOOTAGE CALCS...704 GARAGES SQUARE FOOTAGE CALCS...4368 EHU AND HOUSE-JMONDRAGON Comment: BASED ON BUILDING STANDARDS FEE PER SQ FEET OF�371.29 FOR DWELLING AREA AND$140.95 FOR GARAGES THE VALUATIONS ARE SET AS FOLLOW . BUILDING VALI�ATION TOTAL$1,721,023.52 60%BUILDING= 1,032,614.11 20%MECHANICA =$344 204.70 10%PLUMBING=$ 172 10�.35 10%ELECTRICAL=$1`72 102.35 VALAUTIONS REFLECTEd IN REVISIONS PAGE-JMONDRAGON Comment: AgDDED AN ADDITIONAL$20,420.47 IN CONSTRU$CTION USE TAX BASED ON NEW VALUATION Comment: PLANS1NOT TO BEIDRELEASED UN`fIL1ARCHI4TEC7(DAVE IRWIN)�HAS BEEN PAID AND RELEASES THEM FOR USE.-DRHOADES Comment: RECEIVED NEW UTILfTY SIGN OFF FORMS.SCANNED TO LASERFICHE.-DRHOADES Comment: DRHOADESRW IN,OK TO RELEASE PLANS TO NEW CONTRACTOR(DAVE CAME INTO THE OFFICE).- Comment: TRANSMITTAL RECEIVED FOR THE OPEN HOLE SOILS REPORT. ROUTED REPORT TO JRM FOR REVIEW/APPROVAL.-DRHOADES Comment: 2nd and Final Open Hole Soils Report,-routed to JRM(APPROVED)-JMONDRAGON Comment: paper submittal of"Special Inspection' scanned to laserfiche and routed to JRM-CGODFREY Comment: RECEIVED A FOUNDATION 1LC.SCANNED TO LF. PAPER COPY ROUTED TO WARREN.-DRHOADES Comment: Needs new DRB chn to review new roof forms. Done-WCAMPBELL Comment: �a�RRECTIONS EMAILpEDtTOSDAVE IRWINS�JMONDRAGON GODFREY Comment: Reauested Insaection(s) ��`►,/1� (,�� P(� ��(n� V��S fte • LAN-FINAL C/O Requested�ime: 08:45 AM Re or: HILL CONSTRUCTION INC Phone: 970-390-3413 � C ments: tco 390-3413 I As ' ed To: RUTHER Entered By: JMONDRAGON K �(�( S I�t � �� ' --. _ Ti xp: , `'" 1 " .- �' ��• '� � Rem: 90 BLDG-Final Requested Time: 08:15 AM �C� Requestor: HILL CONSTRUCTION INC Phone: 970-390-3413 �� Comments: tco 390-3413 Assigned To: JMONDRAGON Entered By: JMONDRAGON K Action: Time Exp: �G�c n� � � � v�=l Item: 290 PLMB-Final Requested Time: 09:15 AM Requestor: HILL CONSTRUCTION INC Phone: 970-390-3413 O��eev� Di,/�eS Comments: tco 390-3413 �f � � Assigned To: JMONDRAGON Entered By: JMONDRAGON K Action: Time Exp: Ct y��f n e2 d -�a �je �G! � Item: 390 MECH-Final Requested TirrTe: 09:45 AM Requestor: HILL CONSTRUCTION INC Phone: 970-390-3413 Comments: tco 390-3413 Assigned To: JMONDRAGON Entered By: JMONDRAGON K Action: Time Exp: Item: 539 PW-FINAL C/O Requested Time: 10:15 AM Requestor: HILL CONSTRUCTION INC Phone: 970-390-3413 Comments: tco 390-3413 REPT131 Run Id: 14856 NOTE: TH/S PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES , ,. ��r�v�,�� 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 #: B13-0146 Project #: PRJ13-0015 Job Address: 1388 BRIAR PATCH LN VAIL Applied.....: 05/02/2013 - Location......: Issued. . . : 05/22/2014 Parcel No....: 210312121012 OWNER RUTTUM, DAVID MARK 05/02/2013 PO BOX 4722 AVON CO 81620-4722 CONTRACTOR HILL CONSTRUCTION INC 07/17/2013 Phone: 970-390-3413 PO BOX 1735 EDWARDS CO 81632 License: C000003103 APPLICANT NOVA GROUP, THE 05/02/2013 Phone: 970-390-0931 DAVID IRWIN PO BOX 3342 � VAIL CO 81657 License: C000003558 Description: NEW SINGLE FAMILY RESIDENCE. Occupancy: R-3 Type Construction: VB Valuation: $700,000.00 ...,.......«,...,�......«..................,,.......,.,,,........_............,,,. FEE SUMMARY ..........,.............,.........,,_..,.,,..«..,,.....,,....,............,.....,,_ Building Permit-----------> $6,751.20 Bldg Plan Check----------> $4,388.28 Use Tax Fee-----------------------> $13,800.00 Electrical Permit---------> $506.00 Elec Plan Check-----------> $328.90 Restuarant Plan Review--------> $0.00 Mechanical Permit------> $4,660.00 Mech Plan Check---------> $1,165.00 Additional Fees--------------------> $20,420.47 Plumbing Permit--------> $2,025.00 Plmb Plan Check---------> $506.25 Recreation Fee--------------------> $1,310.40 Investigation-----------------------> $0.00 Will Call------------------------------> $20.00 TOTAL PERMIT FEES--------------> $55,991.50 � Payments-------------------------------> $55,991.50 BALANCE DUE------------------------> $0.00 ,,,...>...,...,<..............�...,..x�.........,,......,,,....,.......,............,.,....,,.,..,...>...,,,...............,................,..,«............,,........._............... 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 a . . � r �ifLT �� 1� 1 ..,.,.,»,.......,..>,,.,.,>.........................................................................................,,....,,...................,.,,,.».......,».».,.,..,.,�,....,...... CONDITIONS OF APPROVAL TO BE MET PRIOR TO FINAL SIGN OFF � Permit#: B13-0146 Address: 1388 BRIAR PATCH LN VAIL Owner: RUTTUM, DAVID MARK Location: ........................................�.....,......,.>..........,,..,............,,...........,.........�,.,.......,,...,,,..,,.......,...x.xx...,,.......,,,�.,..............,....., Cond: 50 (FIRE): FIRE SPRINKLER SYSTEM REQUIRED AND SHALL COMPLY WITH NFPA 13R(2007)AND VFES STANDARDS. Cond: 52 (FIRE 2002) Monitored fire alarm system required and shall comply with NFPA 72 (2002 ed.) and VFES Standards Cond: CON0013325 The applicant shall submit and have recorded the Employee Housing Unit Deed Restriction for the on-site EHU prior to requesting a certificate of occupancy inspection. Cond: CON0013329 Blower door Test required prior to building final Cond: 42 (BLDG 2009) CARBON MONOXIDE DETECTORS REQUIRED TO BE INSTALLED PER 2009 IRC R315 combination permit_012811 a a � �� ******..***.****+.,+******,+*.****.*.******,.*********,.�,.*,+*,+�******«**************,.***************,.***********************�«««*««**««.,***.*******«*�**�* REQUIRED INSPECTIONS AND STATUSES Permit#: 613-0146 Address: 1388 BRIAR PATCH LN VAIL Owner: RUTTUM, DAVID MARK Location: ***..,.*********�***..*.*.*******,...*,*****,,,..**..,,,»*.*****.*�*,.****�*,.*******w*******««„**««****.*«««***.«*.,,,«.,**.**�***.��.*.************.*„*.,****„«., Item: 00090 BLDG-Final Item: 00010 BLDG-FOOTING 08/14/2013 By: sgremmer Action: PI Comments: lower section only 09/10/2013 By: sgremmer Action: AP Comments: upper section Item: 00020 BLDG-Foundation/Steel 08/21/2013 By: sgremmer Action: PI Comments: Lower foundation 09/16/2013 By: JRM Action: AP Item: 00021 PLAN-ILC Foundation Plan 10/29/2013 By: Warren Action: AP Item: 00120 ELEC-Rough 10/22/2013 By: sgremmer Action: PI Comments: temp 04/14/2014 By: mdenney Action: AP Comments: main unit and lock-off unit. Item: 00210 PLMB-Underground 10/03/2013 By: sgremmer Action: PI Comments: lower section 10/07/2013 By: sgremmer Action: AP Item: 00200 MECH-Rough 10/17/2013 By: JRM Action: AP Comments: SLAB IN FLOOR HEAT LOWER LEVEL 100#AIR TEST � 11/05/2013 By: JRM Action: AP Comments: SNOW MELT SIDE WALK 100#AIR TEST NORTH/WEST 04/22/2014 By: sgremmer Action: AP Comments: exhaust fans Item: 00220 PLMB-Rough/D.W.V. 04/22/2014 By: sgremmer Action: AP Item: 00230 PLMB-Rough/Water 04/22/2014 By: sgremmer Action: AP Item: 00240 PLMB-Gas Piping 12/12/2013 By: sgremmer Action: PI Comments: temp heat gas lines 04/22/2014 By: sgremmer Action: AP Item: 00310 MECH-Heating Item: 00320 MECH-Exhaust Hoods Item: 00022 PLAN-ILC FRAMING 05/01/2014 By: Warren Action: AP Item: 00030 BLDG-Framing Item: 00050 BLDG-Insulation 10/17/2013 By: JRM Action: PI Comments: SLAB INSULATION Item: 00060 BLDG-Sheetrock Nail item: 00070 BLDG-Misc. 10/17/2013 By: JRM Action: PI Comments: RADON PIPING APPROVED LOWER LEVEL combination permit_012811 � 04/29/2014 By: sgremmer Action: PI Comments: Stucco Item: 00190 ELEC-Final Item: 00290 PLMB-Final Item: 00390 MECH-Final Item: 00539 PW-FINAL C/O Item: 00534 PLAN - FINAL C/O Item: 00540 BLDG-Final C/O combination permit_012811 � � ****************************************************************�*************************** TOWN OF VAIL, COLORADOCopy Reprinted on OS-22-2014 at 14:55:09 OS/22/2014 Statement , **************�********�*****************************************************************+++ Statement Number: R140000635 Amount: $110.00 05/22/201402:54 PM Payment Method:Credit Crd Init: CG Notation: mc gary hill ----------------------------------------------------------------------------- Permit No: B13-0146 Type: COMBINATION BLDG PERMIT Parcel No: 2103-121-2101-2 Site Address: 1388 BRIAR PATCH LN VAIL Location: Total Fees: $55, 991.50 This Payment: $110.00 Total ALL Pmts: $55, 991. 50 Balance: $0. 00 ******************************************************************************************** ACCOUNT ITEM LIST: Account Code Description Current Pmts -------------------- ------------------------------ ------------ PF 00100003112300 PLAN CHECK FEES 110.00 ----------------------------------------------------------------------------- 1 Department of Community Development 75 South Frontage Road TO WN OF VA(L � " va�i, 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: Attention: ( ) Revisions � � I C I m,-r J�. ( ) Response to Correction Letter �f� °�� attached copy of correction letter '` ( ) Deferred Submittal �� `-{'i� � - ( )Other Project Street Address: , �� c1�FFu-,�' ��.� /ZD. (Number) (Street) (Suite#) Building/Complex Name: Description of TransmittaU List of Changes, Items Attached: Applicant_Information �''�`1`�� '�� U�?� l�-�lli.C(�, (architect, contractor,owner/owner's rep) Contact Name:sC,,—l��-�,`�' �11 ,1�. Address P Q ��?� ) �� City`��i��,NL,�S State: C.� Zip: /(�3 Z. Contact Name: (use additional sheet if necessary) Contact Phone: � �� Q 'T/ Building Permits: Revised ADDITIONAL Valuations (Labor&Materials) Contact E-Mail: �IZY�-}'I.L.( � CC��i✓Li T�,I.JF� (DO NOT include original valuation) I hereby acknowledge that I have read this application,filled out Building: $ 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: $ ordinance�s the T �I�able thereto. X .,.r�m=--��;.! � Total: $ �? _ �, OwnerJOwner's Representative Signature (Required) Date Received: � � � c� � Mr� For Office Use Only: A Fee Paid: NPR �� o I�t Received From: Cash Check# TOWN O� VqIL CC: Visa/MC Last 4 CC# exp.date: Authorization #