HomeMy WebLinkAboutB13-0543 Department of Corr�munity Development
• � 75 South Frontage Road
TOWN OF VAI� # ,�/, ' . va�i, co s�s57
�/ Tei: 970-479-2128
www.vailgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm & sprinkler)
Project Street Address: Project#: �!'�� ��� �0���
�30� 1�.�f�ST'It)"c�1�. t7 Y'►v�.. �.G�.c�n��t
DRB#:
(Number) (Street) (Suite#) � /
Building/Complex Name: "�"�� �c.a��°S��" Building Permit#: ��3`— �s `i �
Contractor Information Lot#: Block# Subdivision:
�
Business Name: r'V'G.S� 1�- � �L�
Pp �,� ��� Work Class: New( ) Addition � Alteration ( )
Business Address:
City �01� State: � Zip:� Type of Building:
�G�� c� �- �SO� Single-Family( ) Duplex( ) Multi-Family( )
Contact Name: ✓,f�vh
Commercial (�Other( )
Contact Phone: - ` Z� .3�TJ� �`��
Contact E-Mail:S�P�1�� � ��� �1�( Wark Type: Interior�xterior( ) 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 -- - - G
comply with the information and plot plan, to comply with all Town Elecfrical OYes ONo OYes ONo �,T_ �
ordinances and state laws, and to build this structure according to Mechanical ( )Yes ( )No ( )Yes ( )No f������
the town's zoning and subdivision codes, design review ap-
prove , nternation uilding and Residential Codes and other Plumbing ( )Yes ( )No ( )Yes ( )No �� �� �
ordin n es of the ow applicable thereto.
Building ( )Yes ( )No ( )Yes (�C)No c�
X G^"��'1�-' Value of all work being performed: $ �,�00 �
Owne/Owner's Representative ignature(Required) (value based on IBC Section 109.3&IRC Section 108.3� !
s Electrical Square Footage
Applicant Information
/' [.- Detailed Scope and Location of Work:
Applicant Name: �E't'f�-���b�Y1( I'VCc�fN(.�►1S{vVL�l6l'� �6Jwl��'t �' nw�1�V1 '�'
Applicant Phone: �Z� �� ��g� �g�u,h�� L„�yyd,y�
Applicant E-Mail: ��r�n� � �-4� � C��
Project Information �.�l�� n_ _ _�Ssn�
Owner Name: "�� ��D'� ��'
Parce�#: 07 l�,3 )o? � �01
(For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit
www.ea g l ec ou nty.usl pati e)
(use additional sheet if necessary)
For Office�Use Onl : �Q C� l f� � (� � n/J (� J(
Fee Paid: ���� Date Receive � � �� v i� � �
Received From: ��C �, � 2��3 �
Cash Check#
CC: Visa/ MC Last 4 CC # exp date:
Auth # �'��� �F �/AIL '
?ni�_FPh ni
****************************************++++************************************************
TOWN OF VAIL, COLORADOCopy Reprinted on 12-11-2013 at 15:39:31 12/11/2013
Statement
********�*********************�*******************************************************+****�
Statement Number: R130002088 Amount: $160. 81 12/11/201303: 39 PM
Payment Method:Credit Crd Init: CG
Notation: visa bruce
fraser
-----------------------------------------------------------------------------
Permit No: B13-0543 Type: COMBINATION BLDG PERMIT
Parcel No: 2103-121-0001-2
Site Address: 1300 WESTHAVEN DR VAIL
Location: CASCADE RESORT LAUNDRY ROOM
Total Fees: $957 . 06
This Payment: $160. 81 Total ALL Pmts: $160. 81
Balance: 5296.25
****************************************�************+*******************++*****************
ACCOUNT ITEM LIST:
Account Code Description Current Pmts
-------------------- ------------------------------ ------------
PF 00100003112300 PLAN CHECK FEES 160.81
-----------------------------------------------------------------------------