HomeMy WebLinkAboutB14-0155�.
Department of Community Development
, 75 South Frontage Road
TOWN QF VAtL� vai�, co s�ss�
Tel: 970-479-2128
www.vailgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm &sprinkler)
Project Street Address: Project#: ��� ,� — U � ��
181 West Meadow Drive
DRB#:
(Number) (Street) (Suite#) �( � _ � ��S
Building/Complex Name: Vail Valley Medical Center Building Permit#:
Contractor Information Lot#:C�"�Block# Subdivision:U v � �—�
Business Name: Encore Electric, Inc.
Business Address: 2107 West College Ave
Work Class: New(Q) Addition�j Alteration (�
City Englewood State: CO Z�p; 80110 Type of Building:
Pete Palm ren Single-Family�) Duplex(Qj Multi-Family(Qj
Contact Name: 9
Commercial(Qj Other�
Contact Phone: 970-471-0015
Contact E-n+�ai�: pete.palmgren@encoreelectric.com Work Type: Interior Qi Exterior Q 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 �i Yes Q)No QYes aN0 Si89,000
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 Oi )No �Yes �i No '
the town's zo ' g and subdivision codes, design review ap-
proved,Inte at nat Building and Residential Codes and other Plumbing �Yes QjNo �Yes �No
ordinance of t own app' ble thereto.
Building QYes allo QYes QNo
X Value of all work being performed: $ 189} �U�"
Owne�`I ner's Represe ive Signature(Required) '(value based on IBC Section 109.3&IRC Section 108.3�
Electrical Square Footage
Applicant Information Detailed Scope and Location of Work:
Applicant Name: Pete Palmgren Switchgear Replacement at Vail Valley Medical Center
Applicant Phone: 970-471-0015
Applicant E-Mail: Pete.palmgren@encoreelectric.com
Project Information Ryan Magill
Owner Name:
Parcel#: ��G'� — �7 � ~(�lC� ��
(For Parcel M,contact Eagle County Assesaors Office at(970-328-8640 or vfaft
www.eaglecounty.us/patle)
(use additional sheet ff necessary)
For Oftice Use Only: � � � � �/ �
Fee Paid: Date Received: j�
U
Received From: i;�� � � ��'�t}
Cash Check#
CC: Vsa/MC Last 4 CC# exp date:
A�m # TOWN OF VAIL
„..__,�„
********************+***************+********++********************************************+
TOWN OF VAIL, COLORADO Statement
****++**************************************************************************************
Statement Number: R140000461 Amount: $3, 606. 69 05/01/201409:50 AM
Payment Method: Check Init: CG
Notation: ck 2442 Encore
Electric
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Permit No: B19-0155 Type: COMBINATION BLDG PERMIT
Parcel No: 2101-071-0101-3
Site Address: 181 W MEADOW DR VAIL
Location: Vail Valley Medical Center
Total Fees: $12, 740.94
This Payment: $3, 606. 69 Total ALL Pmts: $3, 606. 69
Balance: $9, 133.75
***********+*************r*************************************+****************************
ACCOUNT ITEM LIST:
Account Code Description Current Pmts
-------------------- ------------------------------ ------------
PF 00100003112300 PLAN CHECK FEES 3, 606. 69
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