HomeMy WebLinkAboutB13-0489 ********************************************************************************************
TOWN OF VAIL, COLORADO Statement
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Statement Number: 8130001805 Amount: $76.25 10/24/201311:34 AM
Payment Method: Check Init: DR
Notation: CK# 1259 KCB
CONSTRUCTION INC
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Permit No: B13-0489 Type: COMBINATION BLDG PERMIT
Parcel No: 2101-082-5401-5
Site Address: 68 E MEADOW DR VAIL
Location: VILLAGE INN PLAZA UNIT 204
Total Fees: $218.50
This Payment: $76.25 Total ALL Pmts: $76.25
Balance: $142.25
ACCOUNT ITEM LIST:
Account Code Description Current Pmts
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PF 00100003112300 PLAN CHECK FEES 76.25
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i
Department of Community Development
75 South Frontage Road
TOWN OF VAIL 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#: 3-9-*9&- E � by a�— — �/'
Number DRB#: ��9-
(Number) (Street) (Suite#) -
(� 1
Building/Complex Name: �, ((a�e� G�. �lc\, Building Permit#:
Contractor Information Lot#:D_Block#5b Subdivision:_I)V Q L
r
Business Name:
Business Address: 3 7 3 OJ Work Class: New( ) Addition ( ) Alteration ( )
City (JOLA_ State: (�o Zip: Type of Building:
Single-Family( ) Duplex( ) Multi-Family(y)
Contact Name: �f:�/4�n l rp D�C-) Single-Family
( ) Other( )
Contact Phone: 0 3 S`f W
Contact E-Mail: l C—L C.) _., _ f_� �VVork Type: Interior(kJ Exterior( ) 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 QYes ( )No ( )Yes ( )No 000•dk'�
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
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing ()()Yes ( )No ( )Yes ( )Nol- D
ordinances of the Town applicable thereto.
Building ( )Yes ( )No ( )Yes ( )No
X Value of all work being performed: $ ce :e
Owner/Owner's Rep&z&ative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3)
Electrical Square Footage 15096
Applicant Information Detailed Scope and Location of Work:
Applicant Name: JSTRUCTIOrJ 1�UC ��� � 3 �� U�✓�U�
Applicant Phone:
Applicant E-Mail:
Project Informatio / _ /POLLED C)
Owner Name: 4
_ 5 �,�e�
o
Parcel#: L)0 S2)'
(For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit
www.eaglecounty.us/patie)
(use additional shee
For Office Use Only:
Date Received:
Fee Paid: -710. ,Q5 OLLE
Received From: OCT 2 2 2013
Cash Check# DD
CC: Visa/ MC Last 4 CC# exp date: I.3on,h �1—
Auth # TOWN OF VAIL
2013-Feb 01