HomeMy WebLinkAboutB13-0514 �
Department of Community Development
, 75 South Frontage Road
TOWN OF VAIL ` � va�i, co 8�ss7
Tel: 970-479-2128
www.vailgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm 8�sprinklerj
Project Street Address: Project#: ��S � , `�c��(.�
��7� r�;h;,;+�,n.-,;� �d E 2 �� I I a�f(b
DRB#:
(Number) (Street) (Suite#) (�
Building/Complex Name:���iM�, n� �o�°��'1 Building Permit#: �(�J ��S� 7
Contractor Information Lot#: Block# Subdivision:
Business Name: S C,1�� h0�e c�:s►'1�.�
Work Class: New�j Addition �j Alteration(�9�
Business Address:
City State: Zip: Type of Buildin
Single-Family�) Duplex� Multi-Family(�°,�j
Contact Name: ���1t1 ��� `��`"�
Commercial� Other�j
Contact Phone: ��� ��� - ��Z�
Contact E-Mail: i ��1 L' � cS�D�'��I1`O�"rn�11�-Ca'�lWork Type: Interior o Exterior Q Both Q
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 QYes QNo
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 QYes QNo
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Plumbing �Yes OjNo QYes �No
ordinances of the Town applicable thereto. ��
Building 4�Yes ONo OYes �No �,`��•
�;-'� i , -� u
X � ''� ' r�, ' � Value of all work being performed: $2,��• 0
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� . _ ; —�=T�'.
Ow�edOwrrer'�s Repres�er,�'Ge Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3�
,�°
Electrical Square Footage
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Applicant Information Detailed Scope and Location of Work: l,X}�ci�� (�e�'�'
Applicant Name: .�o�1n f���S�CX°� �, hn �IeCK,;-, r'c�;� �jql �"�r
Applicant Phone: �iZo 3_(�a - S�UZ� -4t� �O� r��`QC� v:7��'�1 s�e.i,v .
Applicant E-Mail: 15he.�Sc�G�h��t'��, , C'C�"1 1`�p �S�7_C'� � �,�cteo�S� �� �2�,��►S�'
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Project Information C-h����� •
Owner Name: �'Gh� �����5�+c'`°'�•
�1 c� �'t�l l C o s�,e.�c, 1�1fl s�-u c,t��a�
Parcel#: !7� ��3 '" 1� �--6�`�1 1 ° `
(For Parcel#,corrtact Eagle County Assessors Office at(970-328-8640 or visit C-h�q f�C b)�1Z �D Q rC V E'-�
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www.eaglecounty.us/patie) �
(use additional sheet if necessary)
For Office Use Only:
Fee Paid: Date Received:
Received From: � � IS � �'/ �
Cash Check# D
CC: Visa/MC Last 4 CC# exp date: ������ � j �(���
Auth #
TOWN OF
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TOWN OF VAIL, COLORADO Statement
*****+*****++**********************************�*******************************+*+*+++******
Statement Number: R130001936 Amount: $100.00 11/11/201311:23 AM
Payment Method:Credit Crd Init: CG
Notation: mc jeffrey m
potto
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Permit No: B13-0514 Type: COMBINATION BLDG PERMIT
Parcel No: 2103-143-0601-9
Site Address: 2771 KINNICKINNICK RD VAIL
Location: COLUMBINE NORTH CONDOS BUILDING E
Total Fees: $142.36
This Payment: $100.00 Total ALL Pmts: $100.00
Balance: $42. 36
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ACCOUNT ITEM LIST:
Account Code Description Current Pmts
-------------------- ------------------------------ ------------
BP 00100003111100 BUILDING PERMIT FEES 45. 89
PF 00100003112300 PLAN CHECK FEES 54 . 11
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