HomeMy WebLinkAboutB14-0237 REV3 transmittal Department of Community Development
75 South Frontage Road
TOWN DF VAtL` va�i, co$�ss�
Tel: 970-479-2128
�, � _ � �/�/ � www.vailgov.com
��"��M � l l � Development Review Coordinator
BUIfL NG PERMIT APPLICATION
(Separate applications are required for alarm &sprinkler)
Project Street Address: � l Project#: ��'� �� � � -���
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- DRB#:
(Number) (Street) (Suite#)
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Building/Complex Name: ��� ` ( �� ( �' Building Permit#: .�' ' =�"`>� �►�T �!"-�
Contractor Information Lot#: Block# Subdivision:
Business Name:�Q�V'��;,i�� (,�'�� �``� � � �
� � r �, ( ���� Work Class: New�j Addition�j Alteration(�j
Business Address: �•'' .��i � "
. �.
C. '`� '� �-� �� Type of Building:
City�.��, t i State: Zip: G
�' Single-Family�j Duplex�j Multi-Family�
Contact Name: l J't i l��� '1, ��i�r����
� � � �,� Commercial(�) Other�j
Contact Phone: 'c� ' ` ✓— ' �^ " �
�Contact E-Mail: ��'i�� - � ���' "� �-' � � , ��� Work Type: Interior� Exterior Q Both IQ
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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 �)No (�Yes �No �` ?�."��
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 �jNo
the town's zoning and subdivision codes, design review ap-
proved,International Building and Residential Codes and other Plumbing �Yes �jNo �Yes �No
ordinances of the Town applicable thereto.
Building �Yes �No �Yes �jNo
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X �"'�/ �� �` ��' ''�-�°` Value of all work being performed: $ �� �">=>•�
Owner/O er'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:
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Applicant Name: /�J �}� I� 1,���-�-i'f � ��.- �,/� �;�'"�� �a/»
Applicant Phone: 3 �3 7�� ���/ Y�'����/v`��,� � �✓/``t � f� �"T y?� '
Applicant E-Mail: �'ta F/"c" �9 /�'�°� 1/►�- ` ` '�.� �1�71-F ,N� C�! /3.���'�� i4}",,ie � ;� '',� �^°Y,;
Project Information ,p ��'�'�� £`°� ''"��' � '� £�' ,"��'�`�'
OwnerName: G�✓(✓�` Y �-(N<<
��/�' U!r�._f ��i✓1 � ,-,,:t ,� a d��',�
Parcel#:
(For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit
www.eaglecou nty.uslpatie)
(use additional sheet if necessary)
For Office Use Only: Date Received: �**--._..
Fee Paid: D � � f'�' � �/7 �
Received From: LS V
Cash Check# Q�.� �
CC: Visa/ MC Last 4 CC# exp date: � �014
Auth #
TOWN OF VAIL�Z-Mar- 012
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TOWN OF VAIL, COLORADOCopy Reprinted on 10-28-2014 at 14:46:50 ]0/28/2014
Statement
*************************************+********+********+***++++***********++****************
Statement Number: R140001827 Amount: $1, 897 .50 10/28/201402:46 PM
Payment Method: Check Init: CG
Notation: ck 139451
Ludvik Electric
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Permit No: B14-0237 Type: COMBINATION BLDG PERMIT
Parcel No: 2101-064-0900-2
Site Address: 165 N FRONTAGE RD W VAIL
Location: US West Communications Tower
Total Fees: $42, 763.38
This Payment: $1, 897.50 Total ALL Pmts: $42, 763.38
Balance: $0. 00
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ACCOUNT ITEM LIST:
Account Code Description Current Pmts
-------------------- ------------------------------ ------------
EP 00100003111100 ELECTRICAL PERMIT FEES 1, 150. 00
PF 00100003112300 PLAN CHECK FEES 747.50
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