HomeMy WebLinkAboutB13-0368 Inspection Items for B13-0368 10:14 02/25/2014
Sec Item Id Descri tion A r Re Items Action Inheritable
" 120 ELEC-Rou h Yes R 1 AP No
* 200 MECH-Rou h Yes R 1 AP _ No
220 PLMB-Rou h/D.W.V. Yes R 1 AP No
* 230 PLMB-Rou h/Water Yes R 1 AP No
30 BLDGFramin Yes R 1 AP No
" 50 BLDG-Insulation Yes R 1 AP No
* 60 BLDG-Sheetrock Nail Yes R 2 AP No
" 190 ELEGFinal Yes R 1 AP No
290 PLMB-Final Yes R 1 AP No
390 MECH-Final Yes R 1 AP No
90 BLDGFinal Yes R 1 AP No
Total Rows: 11
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The Model 36 Elite fireplace wiih blark singie door and tuce.
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Tl��e Modei 44 Elite t�replace, wirh�lack door and brushed nickel face.
The Fireplace Xtrordinair Elite series is
designed to meet your architectural
needs by blending with the interior of
your home rather than looking like an
add-on.
The double door style is a classic, equally
at home in the country or when gracing a
contemporary living room. This fireplace
is flush to the wall, which saves valuable
floor space in a room. ,
;he traditional classic arch design
ccommodates standard brick dimensions
��✓ithout cutting and works equally
�.vell with stone, marble or tile for that
custom touch.
The controls for fan, air adjustment and
damper are subtly incorporated in the face
of the unit itself for easy access.
The standard heat resistant finish for the
doors and face is a rich metallic black.
Your dealer can offer a wide assortment
of decorator colors as well.
Upgrade your fireplace with elegant
brush-ed nickel (face only) plating. The
plated surface does not require polishing
and will not discolor under normal operation.
The Artisan�""fireplace face design and craft-
manship is reminiscent of the iron work in
the great lodges of Europe and America.
The Artisan is hand-forged and hammered
by master blacksmiths in Europe. Each
fireplace face will bear unique subtle
characteristics from the hands of its creator,
making it a true work of art in iron. The
Artisan in New Iron paint finish is available
as a single door on the 36 Elite and as double
doors on the 44 Elite fireplaces.
Another beautiful benefit of the Elite
series is the size of the logs the unit can
burn (up to 32" on model 44 Elite). The
large capacity firebox features large doors
that provide a huge unobstructed view of
the beautiful,soothing flames.
WOOD LENGTHS
Model 44 Elite
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ClassicArched black single door and
face option for the 36 Elite
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Perhaps the most beautiful feature of the
Fireplace Xtrordinair Elite series is its
value. Despite the fact that the Elite line-up
is constructed of superior components
and features,and the performance ratings
are superior to every other certified fire-
place, the cost of the installed system is
surprisingly competitive. The reason is
simple, the air cooled chimney system
approved for Fireplace Xtrordinair may
cost SO% less than chimney systems
required on other high heat output fire-
places. This dramatic breakthrough is
due to the effectiveness of the unique
heat exchange Posi-Pressure system.
This system delivers most of the heat
generated into the home rather than up
the chimney.
Dollar for doilar, you wili ��ic;�t find a better,
more cost effective way to efficiently heat
your home with wood!
ClassicArched black double doorand
face option for the 36 and 44 Elite
ARTISANT`"Single Door
Hand Hammered&Wrought Iron
Face for the 36 Elite
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ARTISAN 'Double Door
Hand Hammered&Wrought Iron
Face forThe 44 Elite
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Brushed Nickel Face option
for the 36 and 44 Elite
3 Wood Burning Fireplaces www.fireplacex.com 4
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There has never been a fireplace made
that compares to Fireplace Xtrordinair in
all the performance categories,efficiency,
emissions and BTU output. One of the
most critical of all performance charac-
teristics of any heating appliance is the
"overall efficiency': This important data
tells you how much of the energy gener-
ated by combustion is turned into useful
heat. The Fireplace Xtrordinair Model 36
Elite is rated by the Department of Envi-
ronmental Quality (DEQ) in Oregon as
having 73%.This is the highest rating ever
achieved by a wood burning fireplace, in
fact much higher than most E. P.A. certi-
fied wood stoves.
How The Fireplace
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A single air control t1 i regulates the burn
rate of the fireplace. As the fresh air is
directed to the primary combustion zone
of the fire, it is drawn evenly across the
glass by a sophisticated air wash. ?�;This
air wash is designed to help keep the glass
clean during higher operating settings.
An additional boost to the primary fire is
achieved byair inlets i�}nearthe base of the
huge firebox.This combined air entry allows
for aggressive and easy to light fires.
There are two EPA approved methods
for reducing emissions in certified wood
burning appliances, one being non-cata-
lytic High-Tech design, the other using
catalytic combustors. The Fireplace
Xtrordinair features catalytic Technology.
The catalytic combustor €�� is a ceramic
honeycombed block that is coated with a
mixture of palladium and platinum.
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Conventional Conventional Average EPA FPX FPX
Open Uncertified Certified Model Model
Fireplace Woodstove Woodstove 36 Eli[e 44 Elite
The combustor is designed to ignite any
unburned volatile gases that would oth-
erwise pass up the chimney as smoke.The
catalyst in the combustor actually lowers
the temperature at which gases burn,thus
allowing the appliance to burn efficiently
over the complete operating range.
The huge size of the refractory lined �`#�
firebox(4.3 cubic feet on mode144 Elite
4�� Heavy gauge, welded steel firebox
construction and rigorous Underwriters
Laboratory (UL) safety testing by
Warnock Hersey insure complete peace
of mind.
:'��� Large double doors frame the
largest ceramic viewing glass available
in any heat producing fireplace. ,
&3.7 on the mode136 Elite), combines
a large fuel load with the burn charac- � Face Size: 28"x 36"
teristics of the catalytic combustor odel 44 Elite ac ze: x
longer, more efficient burn times tha
those found in any High-Tech stove or
uncertified �` \
ace. ' � �. —
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A catalytic by-pass " �,_.
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mechanism��r)is designed
to prevent smoke spillage during refueling
and allows for quick,effortless firestarting
by allowing a direct unobstructed path for
the flue gases during start-up.
The heavy baffle plates i°�� increase the
time the unburned gases stay in the fire-
box, allowing them, when mixed with
fresh oxygen prior to entering the cata-
lytic combustor, to increase efficiency
and lower emissions.
��� The variable speed blower control
allows you to adjust the amount of heat-
ed air circulation your home requires.
���}The blower micro-
switch instantlyturns offthe blower
system when you open the doors to
prevent smoke-back into the room.
:��?The log retainer allows you the
ability to load a large amount of wood
without it rolling back out.
NOTE:If you purchase the single black door
you will also receive the cast decorative
andiron.
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The Original Arched Fireplace'"'
Fireplace Xtrordinair (sometimes called the FPX) the"Original
Arched Fireplace'; introduced the trademark product shape
of the parallel arches, the arched viewing area and the
parallel arched face over a decade ago. The unique design
of the delicate lace pattern concealing the air intake and
heat exchanger, and the arches have identified Fireplace
Xtrordinair to thousands of discerning homeowners all
over North America.
Nothing Matches A Real Log Fire
When you enter a home,what's the one thing that makes you
feel instantly welcomed and relaxed: the cheery crackle and
dancing warm flames of a real log fire on the hearth.
The fireplace has always been the heart of the home. The
mood it inspires sets the stage for all our fondest memories
of romance, family sharing and festive gatherings around
the fireplace. This wonderful ambience is threatened by
society's need for efficient use of fuel and a cleaner,healthier
environment.
The fireplace of old,and most manufactured fireplaces,cannot
meet these demands. Any heat generated by a traditional fire-
place goes up the chimney and not into the home.
The solution is the Fireplace Xtrordinair Elite series of wood
burning fireplaces. This state-of-the-art fireplace design,
available in two different sized models, provides the warmth,
romance and beauty of a traditional hearth without heat loss
and air pollution. Our Elite fireplaces are installed as framed in,
zero clearance fireplaces,and have an enviable overall efficiency
rating up to 73%. Both models are certified by the EPA as a��°°^
burning,environmentally responsible heating appliance.
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One of the unique design features of Fireplace
Xtrordinair's Elite fireplaces is that you can use fresh
air which is drawn from outside the home for both
combustion and heat transfer through a unique
concept called'Posi-Pressure: Posi-Pressure tech-
nology draws outside air into the cavity around the
fireplace, heats it,and circulates it throughout the
home via a quiet, remote blower. The heated air
naturally 'seeks out' and penetrates cold spaces,
warming the entire home evenly while 'sealing'
cracks, leaks and other drafty spots by preventing
cold air infiltration.
The Furnace That Looks Like A Fireplace
The Elite series by Fireplace Xtrordinair is designed to maintain
the aesthetic appeal of the fireplace while delivering up
to 76,700 BTUs/hour, through a decorative grill built into
the face design, framing the fire and enhancing your home
decor.Other heat-circulating fireplaces require large unsightly
louvers or highly visible vent boxes above the fireplace
opening,sacrificing the traditional hearth look.
The entire Elite series features sleek lines and large glass
doors for an expansive view of the fire. Add the optional
black painted,nickel plated face or hand-hammered Artisan'""
face and door for a dramatic flair. Only Fireplace Xtrordinair
creates such a uniquely beautiful,versatile look in a high BTU
output fireplace.
No Fireplace Burns As Clean As Fireplace Xtrordinair
A source of heat for your home shouldn't be a source of
pollution for our environment. Fireplace Xtrordinair utilizes
the latest catalytic technology to reduce emissions by 90%
compared to conventional fireplaces. A catalytic combustor
reduces the temperature at which smoke ignites, causing it
to burn before it leaves the firebox. Unlike most fireplaces,
the Fireplace Xtrordinair Elite series surpasses the EPA's strict
emissions standards for wood stoves-in fact,emissions are as
low as 2.3 grams of particulates per hour for the Model 36 Elite
and 2.5 grams for the Model 44 Elite!
Illusiration depicts typical heat disiribution of heated air in a home.
Heaiing capacity and room temperature may vary due ro location of
fireplace,degree of insulation,type of fuel and fuel moisture conrent.
5 InstallingYour Fireplace www.fireplacex.com 2
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This beautiful cast concrete fireplace features the Fireplace Xtrordinair 44
Elite with the Hand Crafted ArtisanT`"Double door and Face.
Wood Burning Fireplaces
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The Fireplace Xtrordinair Elite series of wood burning fireplaces is one�
the cleanest burning and the highest BTU output appliances ever certified
by the EPA.
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Fresh outside air is drawn through a remote, quiet 388 cfm blower (13� to
pressurize the house, and provide outside air for combustion. A washable
air filter �14) keeps incoming air dean. The barometric damper (15} pre-
vents cold air transfer into the heat chamber when your fireplace is not in
use. Outside air is circulated around the entire firebox ���1 for maximum
heat transfer before being directed through the decorative face outlets to
pressurize your home with fresh heated air. The finish face�1�1 is removable
and comes from the factory either nickel plated or with a black paint finish.
Check with your dealer for custom paint colors they may offer.
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•Built-in thermodisc for automatic control of the blower.
•8 foot electrical leads for the blower(8'extension with junction box).
•Mason's set-up face provided on the fireplace during installation to
prevent damage to the decorative faceplate.
•3 blower duct locations for a wide selection of blower installation options.
•Unit comes with universal chimney adaptor.
•Flex duct for blower included.
•Flex duct and cooling vents for fireplace included.
his quiet,remote 388 CFM
�lower enables practical use
f the fireplace in the family
�om or the most formal
ving room.
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Love the sound and smell of an open wood fire? All Fireplace Xtrordinair
Elite wood burning models have optional door firescreens available to allow
the fireplace to be operated with the doors open.So now you can enjoy your
wood burning fireplace year-round. A.
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Fireplace Xtrordinair Models 36 Elite&44 Elite are tested to U.L. 127,U.L.
1482 and U.L.907 standards by Warnock Hersey Professional Services,LTD.
I.C.B.O.#NER-219.
Tested and certified to E.P.A. Phase II by Omni Testing Labs.
Features&
Specifications
EPA Phase II Appro�
_`-_-
Model 36 Elite Model 44 Elite
YES I YES
Heatin Ca acit Up to 2,500 Sq./Ft. Up to 3,000 Sq./Ft.
Emissions** 23 Grams/Hour 2.5 Grams/Hour
Maximum BurnTime" 10 Hours 12 Hours
Flue 8"Opening I.D. 8"Opening I.D.
Overall Widtht 42" 49"
Overall Depth 27" 27"
FireboxCapacit 3.7 Cubic Feet 43 Cubic Feet
Wood Size 24" 32"
BTU Output Cordwood 10,300 to 66,000 10,700 to 76,700
*DEQ Method **EPA Method tNot Including Faceplate
�Emissions,Efficiency,Heating Capacity and Burn Time may very depending
on actual home floor plan,type of fuel used,and moisture content.Emissions
numbers are those that have been certifed by the U.S.E.P.A.BTU output based
on burning cordwood.Efficiency numbers are based on Oreqon Dept.of
Environmental quality test standards.
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Please consult your Owner's Manual for Framing Specs.
36 Elite 44 Elite
A = 45 1/2" 50 1/2"
B = 26„ 26„
C = 43" 50"
NOTE:Make sure the
enclosure is wide enough ti
accommodate the blower
(see Owner's Manual for
details).
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To Combustible MantlE
23"from fireplace face.
To Combustible Facing:
Top Facing 12"-Side Facing 2 1/2"from fireplace face.
Hearth:
Requires a 20"non-combustible hearth.
wm
Blower
Approved Air-Cooled Chimney:
FMI 8DM &Firecraft FTF8A
Improper installation of your wood burning fireplace or failure to
operate it according to the guidelines detailed in the Owner's
Manual,may negate your warranty and endanger your home and
family. Contact your local building or fire officials about restrictions
and installation requirements in your area.
Model 36 Elite Dimensions
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1 1/2'
�42"��
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I26I" ;4i,
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IL 6 LT' ^�3 1/4" m FFCE
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Model 44 Elite Dimensions
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61/2' 31/4" FNCE
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Your wood burning fireplace is backed by a network of Specialty Hearth Dealers and certified factory trained
Installers. Fireplace Xtrordinair warrants our products to be free from defects in material and workmanship for a
period of l years from date of purchase. All parts, electronics, and labor are covered for a full 2 years. No other
manufacturer's warranty can compare.
Children, like most of us, are fascinated by fire, and for families with young children,
fireplaces pose a potential safety hazard.Take the time to educate young children about
the dangers of fire and the hot surface temperatures of glass and metal surrounding the
fireplace.If you have an infant or toddler consider installing a fire screen;make sure it's
tall enough so that children can't climb over it,and that it's placed far enough away so
that reaching arms can't touch the surfaces of the fireplace.A few precautions such as
these will allow everyone in your home to safely enjoy the comfort and warmth of your
new wood fireplace.
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The Fireplace Xtrordinair 564 E
»-_� � Electric Fireplace offers the
,�
convenience of adding a fireplace
� ����" � � � � to any room within your home.
a � With no venting required,
- installation can be completed in
_ .� ..,
;�,� �� as little as one hour. The 564 E
-0 offers a selection of finish faces
to match any home decor.
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"� Fireplace Xtrordinair offers a
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, �'�.�' __ �— complete line of heater rated gas
���� ''�� , fireplaces in both landscape and
��. � `���� . .
#� `. portrait-style designs. There are
�'x � �"���i � Fireplace Xtrordinair gas
� fireplaces in many sizes and
- " ��� and for every heating need.
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�, �"�'� If you are interested in the latest
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, ''�' trend in fireplace design,Fireplace
� � {� Xtrordinair's RevolutionT^^Clean
� �" � Face fireplace offers the look of a
� � �'�`" ' A traditional open fireplace without
��"� � grills or louvers. These fireplaces
� ,,;; operate with the efficiencies and
td ° performance of a gas furnace.
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� Turn your old,open masonry or
`; metal (zero clearance)fireplace
x into a clean,efficient source of
� � heat for your home.Fireplace
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µ�.�" ' Xtrordinair offers a complete
�`� '�' � line-up of heater rated wood and
,', gas insets to fit virtually any
� ` existing fireplace.
f ireplace�trordinair�
See our complete line of fireplaces
Visit us online:www.fireplacex.com
Photos and illustrations are for descriptive purposes only.We reserve the right to improve or change our products without prior notification.
Trademarks belong toTravis Industries,Inc.Consult the Owner's Manual for complete installation requirements.
OO CopyrightT.1.201 I/08 - Printed in the U.S.A.
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NOTE: TH/S PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES
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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 #: B13-0368
Project #: PRJ13-0492
Job Address: 5250 MAIN GORE PL VAIL Applied.....: 09/05/2013
Location......: GORE CREEK MEADOWS UNIT J-2 Issued. . . : 09/18/2013
Parcel No....: 210112430010
OWNER KEATING, PATRICK J. & RITA S 09/05/2013
1011 POYNTZ
MANHATTAN, KS
66502
APPLICANT KEATING, PATRICK J. & RITA S 09/05/2013
1011 POYNTZ
MANHATTAN, KS
66502
CONTRACTOR VAIL SMITH PROPERTIES 09/06/2013 Phone: 970-331-3616
PAUL SMITH
BOX 3462
� VAIL
CO 81658
License: C000003851
Description:
REMODEL 3 BATHROOMS. ELECTRICAL: NEW EXHAUST FANS. NEW
LIGHT FIXTURES. PLUMBING: NEW FIXTURES. NEW FIREPLACE. NEW
KITCHEN COUNTER, SINK, FIXTURES.
Occupancy: R-2 Type Construction: VB Valuation: $50,000.00
.................,,,...,............��.,,.......,.,x........,,.>..,............,,.., FEE SUMMARY ,.,,.,._._.«........,....«............,,_._,...,....,......,.,.......___....,�.,...
Building Permit-----------> $643.75 Bldg Plan Check----------> $418.44 Use Tax Fee-----------------------> $800.00
Electrical Permit---------> $115.00 Elec Plan Check-----------> $74.75 Restuarant Plan Review--------> $0.00
Mechanical Permit------> $80.00 Mech Plan Check---------> $20.00 Additional Fees--------------------> $0.00
Plumbing Permit--------> $30.00 Plmb Plan Check---------> $7.50 Recreation Fee--------------------> $0.00
Investigation-----------------------> $0.00
Will Call------------------------------> $20.00
� TOTAL PERMIT FEES--------------> $2,209.44
Payments-------------------------------> $2,209.44
BALANCE DUE------------------------> $0.00
++A'�.F+Ftrtr+FwwRwtrxx*Rff�RL+#R1f1(44rti(ilkrt�ie#Y`#rtrthYrhtrtrtrYr/Yre�RR+Fi#lfxtiiFl`1`4Lili(RiliH`A'4f4frtMtrtrrtN#Yek#rtfrRlrket�R�t4fteR1`f*ir+ili(41`1`il44i(i(kkY`Y#Y(4Y'YrYrYertYrYrfhV rt/YrYr/itkiFfftt1r1r1f4teff�444irfRfirR4*Y`YeYei�kfhhYrRfNtrRNxR�Rtrf
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.
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CONDITIONS OF APPROVAL TO BE MET PRIOR TO FINAL SIGN OFF
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Permit#: B13-0368 Address: 5250 MAIN GORE PL VAIL
Owner: KEATING, PATRICK J. & RITA S. Location:
GORE CREEK MEADOWS UNIT J-2
..................................................................................................�,.........,.......,.............,.................,...,..........,.»...........,,.
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*««***«******««*«„********««*,.**,,.,,,,,*�**�**********,.**�********************************�**,.*********««****««««««„********„******«««***********«*****„
REQUIRED INSPECTIONS AND STATUSES
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Permit#: 613-0368 Address: 5250 MAIN GORE PL VAIL
Owner: KEATING, PATRICK J. & RITA S. Location:
GORE CREEK MEADOWS UNIT J-2
****,.,,************************************«**„***,***„«*********************««**�*«**««*«**„*.,******************««***«****..******«*.,«„******.*******
Item: 00120 ELEC-Rough
Item: 00200 MECH-Rough
Item: 00220 PLMB-Rough/D.W.V.
Item: 00230 PLMB-Rough/Water
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: 00090 BLDG-Final
combination permit_012811
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******************�************************+*++********++*+***+***+*************************
TOWN OF VAIL, COLORADO Statement
*************************************************+******************+++*****+***************
Statement Number: R130001478 Amount: $1, 688.75 09/18/201308:58 AM
Payment Method: Check Init: CG
Notation: ck 1004 tw
smith
-----------------------------------------------------------------------------
Permit No: B13-0368 Type: COMBINATION BLDG PERMIT
Parcel No: 2101-124-3001-0
Site Address: 5250 MAIN GORE PL VAIL
Location: GORE CREEK MEADOWS UNIT J-2
Total Fees: 52, 209.49
This Payment: $1, 688 .75 Total ALL Pmts: $2,209.44
Balance: $0.00
***********************************************************+********************************
ACCOUNT ITEM LIST:
Account Code Description Current Pmts
-------------------- ------------------------------ ------------
BP 00100003111100 BUILDING PERMIT FEES 643.75
EP 00100003111100 ELECTRICAL PERMIT FEES 115.00
MP 00100003111100 MECHANICAL PERMIT FEES 80.00
PP 00100003111100 PLUMBING PERMIT FEES 30.00
UT 11000003106000 USE TAX 4a 800.00
WC 00100003112800 WILL CALL INSPECTION FEE 20.00
-----------------------------------------------------------------------------
*+************s*****************************************�******+****************************
TOWN OF VAIL, COLORADO Statement
*+***+**********************************************+***************************************
Statement Number: R130001386 Amount: $520. 69 09/05/201303: 40 PM
Payment Method: Check Init: DR
Notation: CK# 1100
VAILSMITH PROPERTIES
------------------------------------
Permit No: B13-0368 Type: COMBINATION BLDG PERMIT
Parcel No: 2101-124-3001-0
Site Address: 5250 MAIN GORE PL VAIL
Location: GORE CREEK MEADOWS UNIT J-2
Total Fees: $2,209. 44
This Payment: $520. 69 Total ALL Pmts: $520. 69
Balance: $1, 688.75
***�*******�****************�*****************�**************************�************+*****
ACCOUNT ITEM LIST:
Account Code Description Current Pmts
--------- ------------------------------ ------------
PF 00100003112300 PLAN CHECK FEES 520. 69
-------------------------------------------------------------
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Department of Community Development
75 South Frontage Road
TOWN OF VAIL` � va�i, co s�ss7
Tel: 970-479-2128
www.vailgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm &sprinkler)
Project Street Address: �
f� � , Project#:
� .r� rn��n L��PI���� ��- �-
(Number) (Street) (Suite#) DRB#:
Building Permit#: `� — (.���p�
BuildinglComplex Name:���f� S�Pr''k�4if i�r��:;Cl � ��
Contractor Infortnation Lot#: Block# Subdivision:
h!
Business Name: l�' ,?I/�/)')/ v�':��C''����
� ( � 3 r/ Work Class: New� Addition� Alteration�j
Business Address: '� �1 y��(�--
City �;�1`a I� / State:�Zip: � � ,� Type of Building:
�>1�c � � l� Single-Family� Duplex�Multi-Family�
Contact Name: �� � Commercial�j Other�
Contact Phone: ��(�� J � ( � p / b
Contact E-Mail: i\ '��_i�` \�� (,Cf11\� r(�(n'� Work Type: Interior�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 lncluded Plans Included Work
and state that all the information as required is correct. I agree to Electrical i Yes O)No Q)Yes )No. 'i '
comply with the information and plot plan,to comply with all Town
ordinances and state laws, and to build this structure according to Mechanical �jYes �o �Yes �No.�,��_�`_
the town's zoning and subdivision codes, design review ap- _ / Q) � �
proved,Intemational Building and Residential Codes and other Plumbing �jYes No Yes o , "�?�
ordina s of the Town applicable thereto. 9 � �/ � � 3
, Buildin Yes �)No Yes No
�'
X Value of all work being performed: $ �� Q�
Owner/Owner's Representative Signature(Required) (value based on IBC Section 109.3&IRC Sedion 108.3�
Electrical Square Footage ��
. _
Applicant Information Detailed Scope and Location of Work:
Applicant Name: �c���� �irY-�� L ►'� .p � �,,L��,( 3 �d�1-, G'���m S
Appiicant Phone: � 3 � C-6 C'�PC�2'�('�: � � fl p� -P h�,��S� �YI,J,
Applicant E-Mail: < 'i'K�� _L!�'Z°lnS' 1 l��(I"l � �'C 7'tJ 1�'. i'".l � T �V�'1�i n�;
Project Information � � _n�'w� �K �V�Ct�'S' . '1�'�-{= �,� �',��
Owner Name: Ol �pGi n� �
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��D f i�l ���- 3� --o io <,:� ���� � �� )<� ��--�. �ovn ef
Parcel#: "'" , / �t f
(For Parcel#,contact Eagle County Assessors�ce at(970-328-8640 or visit �//)�C�' �:\'TJ�•
www.eaglecounty.uslpatie) `T -
� (use additional sheet if necessary)
For Office Use Only:
Fee Paid: � �j �0 "�� � Date Received: � � � n �n �
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Received From:
Cash Check# S�P Q� Z��3
CC: Visa/MC Last 4 CC# exp date:
Auth #
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