HomeMy WebLinkAboutVAIL VALLEY FILING 1 BLOCK 3 LOT 17 TOWN aP VAIL DEPARTM�NT OF COMMUNITY DEVELOPMENT
75 S. FRONTAGE ROAD
V�4IL, CQ 81657
970-479-2X38
NOTE: THIS PERMIT MUST BE POSTED�N JOBSITE AT ALL TIMES
PLUMBING PERMIT Permit #: P02-0022
JoU Address: 1468 VAIL VALLEY DR VAIL Status . . . : ISSUED
Locati�n.....: 1468A VAII.VALLEY DR Applie� . . : 04/09/2002
Parcel Na...: 210109207015 Issued . . : 04/12/2002
Project No : Expires . .: 10/09/2002
OVJNER GROFF NEAL CRAIG 04ffl9/2002 Phone:
4582 S ULISTER 5T PKWY STE 1
DENVER CO
80237
Lieense:
CONTRACTOR KELLY'S QUALITY PLUMBING SER04/09/20�2 Phone: 970-328-6093
P.O. Box 3�87
Eagle, CO
81631
License: 279-P
APPLICA,NT KELI�Y'S QUALITY FLUMBING SER04/09/2002 Phone: 970-328-b093
P.�. Box 3187
Eagle, CO
81�631
License: 279-P
Desciption: changing one tub to a steam shower,mflving 2 lavs and on
toilet
VaIuation: $4,000.00
Fireplace Iirformation: Restricted: ?? #J of Gas Appliances: ?? #of Gas Logs: ?? #of
W��.J Tlallet. '?'�R#rt*****IF*XMk#*k****kfik#*1r:FR*:Fk*!*:lir*R#*k*K#***fS***fF*#*****#t*k*k�e*�F CCL'Cf iI�AAA A 1]V 1+t�Ftkitrtk#%#Y+kk*tYk44**trtkRYk�1%%-kt*fk**M********##X#+t#}###*#
ll F" ll � f'L.L JYJ1Vll�1lll\i
Plumbing--> $60.OD Restuarant Plan Reciew—> $o.oo Total Calculaked Fees--� S78.o0
Plan Check--> $15.DO DRB Fee--------------------> $0.00 Adc�itional Fees-------> $55.00
��esrigation-> $o.00 ToT,ai,Fr-.ES-----------> S�a.00 TotalPermitFee--------> 5333.00
Will Call-----� $3.D� Payments------------� $133.00
BALANCE DUE-----� $0.00
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Item: 0510� BUILDING DEPARTMEN'T
04/09/20Q2 DF Actipn: AP
Item: 05600 FIRE DEPARTMENT
COIVi�ITTON C)F APPROVAL
Cond: 12
{BLDG. ) : FIELD INSPECTIONS ARE REQUTRED TO CHECK FOR CODE CONIPLIANCE.
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DECLARATIONS
I hereby acknowledge that I have read this application,filled out in full the infarmation required,compl�ted�n
accurate plot p�azt, and state that aIl the infarmation as requirec£ is correet. I agree to comply with the information and
plot plan, to comply with alI Town ordinances and state laws, and to build this structure according to the towns zonin�
and subdivis�on codes, design review approved, Uniform Building Code and other ordinances o#the Town applicable
thereto.
[ZEQUESTS FOR INSPECTFOh SHALL BE MAD�7VJENTY-FOUR HQUii5 IN ADVAI�ICE,BY TELEP�IOI�iE AT 479-2138 OC2 AT OUR OFFICE FROM 8:OD AM-5
PM. � � _
/> J -
G ., .� '4�-�`
SIGNATIIRE OF WI�iER OR COI'1TRACTQR F�R HIMSELF AND dWNEF
_ ,/ P�-��-�,��
A�rLICATION WILL NOT 6E ACCErTED IF INCOMr�LETE OR UN
Project #: ,Y� � -
��, Building Permit #: - — -- -
� ��
� Plumbing Permi# #:
� 970-479-2149 (Inspections)
Y � 1NM O V L ING PE P AT
75 ro R
Vai , Col ado i .•
NTRA TOR INFORMATIO
Plumbin ra�tor: Town of Vail Reg. No.: Contact and Phone #'s: k��-LLy p
�b �s C��.,ti.I,�y �(�..�.b:�, ��� - .� a.sr� -5 8 -r S
Contractor Sgnature: �
�
COMPLET� VALUATION FOR PLUMBING PERM bor ials}
PLl1MBiNG: $ j/�j(J. °"'
�vntact Ea le Coun Assessors O�ce at 9T�-328-8640 or visrt ww�vv.ea /e-coun ,com for Parce/#�1°''
Parcel # (Required if no bldg. permit # is provided above) ��q iCaq z�-J v r5
Job Name: ��o �r ,�}���,��c 6 ]ob Address: �y�g v�.�'v���Q,
�C
Legal Description �.ot: �'� slock: 3 Fiting: Subdivision:
Owner�s Name: r�4-� � Address: �4�� ji��.�� Vra-i'�j Q�� Phone: �[�S - �Cao r
Engineer: �,�.. Adc�ress: �,,� Phone: N,q
Detailed descebption of work: ��;,n�..,�.r��. �a� T�a � � Sr� S{-���+.� rm��"�-a � ��'s ,
�Y1ov�n- ,v� .��� �f f"� �k, errr� I..e� •
Wark Class: New ( ) Addition ( ) Alteration ( Repair( ) Other( )
Type of Bldg.: Single-family� Duplex( ) Multi-family ( ) Commercial ( ) Restaurant( } Dther( )
No. of Existing DwellFng Units in this building: � .�-wa No. of Accommodation Units in this buildi�g: r'�
Is this a conversion from a wood burning freplace to an EPA Phase II device7 Yes O No `
***:��x,�x��*:�x*:���*�*:��:���*���xx:����x:���FOR OFFICE USE ONLY*�Xx�*��x�,��x;��*,�*:��:���:�,��:�*��*:�**�*�
Other Fees: Date Recei�red:
DRB Fees: Acte ted B :
Planner Si n-off:
REC'� A PR - 5 2oQ2
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HOW DiD VYE RATE WIT� Yfl�!? �
Tawn of Va�� Survey
C�mmunity Deve�apment fle�artmen# Russell �oRest, Director, �
�(970�479-2139
c!c a'�I that a��iies.
. Which �epartneni(s) did yau can#act?
Buii�ing Environmentai Housing Admin
Planning DRp p��
. �
2. �'Vas your initial contact with our staff immediate slow or
no one avaiia�le ?
3. If you were requ�red ta wait, how lang was it before you wer'e
he!�ed?
4. 'Nas yaur.pr�oject revie�Ned on a tim�ly basis?Yes 1 f�o
if na, why nat?
5. Was�his your f�rst tirne to fi�e a �RB app p��aQ�
Bfdg Pem�it NIA
6. Please rate the performance of the staff¢�ersa�t who assisted you:
5 4 3 2 1 hlame:
{kn�wiedge; fE5�fl�1SiV£t1�SS, avaiiabiii�y}
7, Overail effec�ve�ess af the Front Ser�»ce Counter. 5 4 3 2 �
8. What is the best time of day for yo� to Use the Frar�t SeN�ce
COUn�ef?
9- �nY��m����y�� have whict� would allow us t� be�e�s��ve you
next time?
Th�nk you for t�#cjng t�e time to comple#e t�is s�rvey. We �re
cammi�e� m im�rovi�tg a�r service.
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TOWN�F VAIL DEP�,RTMENT OF COIv1MU1�TITY DEUELOPMENT
75 S. FRONTAGE R.OAD
VAIL, CO 81657
9'70-479-213$
I�iOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT�4LL TIMES
ELECTRICAL�'ERMIT Permit #: E02-0025
Job Address: 1468 VAIL VALLEY DR VAIL Stat�xs . . . : ISSUED
Location.....: 146$A VAIL VALLEY DR Applied . . : 04/03/2002
Parcel No...: 210109207015 Issued . . : 04/11/2002
Project No : Expires . .: 10/08/2002
OWNER G420FF NEAL CRAIG 04/03/2002 Phone:
45$2 S ULISTER ST PKWY S'I'� 1
n�r�v��. co
80237
License:
CON'I'RACTOR �OUBLE Q ELECTRIC 04/03/2002 Phone: 970-748-9780
P.O. BOX 242
EDWARDS CO
81632
License: 190-E
APPLICANT DOUSLE Q ELECTRIC 04j03/2002 Phone: 970-748-9780
P.O. SOX 242
EDWIARDS CO
81632
License: 190-E
DescipYion: REMODEL 2 UPSTAIRS BATHS AND STEAM SHO[NER
Valuation: $2,aoo.00
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l'1•G JC.�VIIVI!'11\I
&lettrical-----� $50.00 "C'otal Calculated Fees--> $53.0�
DfiS Fee-------> $o.00 Additional Fees------> $0.o0
Investibation--� $0.00 Tc�tai Fermit Fee---> $53.00
Will Call-----> $3.00 Payments-----------> $53.00
TOTlaL FEES--> $53.00 BALANC�DUE-----> So.o0
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Appro�Tals:
Item: 06000 ELECTRICAL DEPARTMENT
04/03/2002 DF Action: AP
Item: 056�0 FIRE DEPARTMENT
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CONDITIONS OF APPRO�VAL
Cond: 12
(BLDG. } : FIELD INSPECTIO�+75 ARE REQUIRED TO CHECK FOR CODE COMPLIANCE.
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DECLARATIONS
I hereby acknowle�ge that I have read this appiication,filled out in full the informatio�required,campleted an
accurate plot plan, and state that aIl the information as re�uired is correct. I agree to compl�with the in�ormation and
p1Qt�lan, ta cornplv with a11 Town ord�nanees and state laws, and to build this structure aecorc�ing to the towns zdnin�
and subdivision codes, design review approved, Uniform Building Code and other ordinances of fhe Town applicable
thereto.
REQUESTS FOR 1�]SPECTION SHALL BE MADE TY1rEN1'Y-FQUR H0�7R5 IN ADVANCE BY TELEPHONE AT 479-2138 OR AT OUR OFFICE FROtvt 8:00 AM-5
PI�1. � � �
i �
'�
t-GC.ci `
SIG� TURE�F OWNER O�CONTRACTOR FOR HIMSELF AND OWNEF
04/02/2002 I3.06 970-748-9780 nOUBLE a EL�CTRIC PAGE 02
: � - -- �������5'Q 7-b�y�
Proj��. ,, ,�,.,,�,.
; -� Bu�ldinp Perm�t#:
i �lectrical P�rrnit#:
; )
d ���'�'� Ta �[ca�
° 75 S.FnpnMge Rd.
� Y�fl, CoiorAdo 81657
. O
�lectric�)Contractor: Town pf V�il Re9, Na.: Contact and Phone #',�;
�c ���'�'� ,�'-� 47�
C�trac�nr " ture:
COMpL.�ETF . FEET FOR N�VY BUILDS and VAI.UATIQNS FOR ALL QTHERS bor d�Mab�ial$
AMOt1Af['OF SCl FT IN STRUCTURE: EtECTF2ICJIL VALIfATiQN: � �
Contact E Ie Coun A.s�essors ORi�e at 9�328�640 or risit Rar PCa��
� 3ob Name: �� �`i1 lob Address:�iI�� ��" �1��
U
Le�ff Descrlptio� Loc: Bbck: Filing: Subdlvkion:
Ow� rne; :v �r �r � P n - 2.7�4
Engineer: Address: Piione:
Ddailed description of work:
4 Wark Cla�s: New( ) Add�on t l �rnode�t�y ��va�C � T�,p po+�{ � ocn�r( )
� Work Ty�e: Ir�terior� F�tterbr( ) Both ( J Dae3 ar�EHU rxist at thi5 location: Yes( � No( )
T�rpe of eWg.: Sfr�gle-farrWY( ) pupleic�ll Mula-fan�lY( ) cc�mm�aal( ) Resra�uant( ) qlher( ?
Nn. of 6cisting [3w�lling Unit�in tltiis buikiing� Nn.of 14ccxutvnddatian Uni�s in this bu�din�:
Is this rmit for a hot tub: Yes No
Does � Fre A�tm Exist: Xes Na( ) Dces a F�re 5prinkler 5ystem Exist: Yes( ) No
, i
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TOV-COM.oEV.
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04/@2l2002 13:06 970-7dB-97B9 DOUSLE Q ELECTRIC PAGE 01 �
� .. ' �� ���� Quiz �Bruce) Qu�senberry
� �-
. A �� ,�, 970-748-9780
�
' eo.Box 24�
� Edwards,C�lc�rado 81 b32
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To: 1 From: ��
� �ax: t`-1 � � — �tf' S�` �ages: �
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Phvn�: Dates: �J� !�y �. .
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D�Urgent i kTF�r Review C�"�lease �amment C] Please Reply
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�'O�jN OF VAIL DEPARTMEPJ'I' OF" C4MMUNITY DEVELOPMEN'I"
75 S . FRONTAGE FZOAD
VAIL, CO 81657
970-479-2138
NOTE: THIS PERMIT MUST BE POSTED ON JC?BSITE AT ALL TIMES
ADD/ALT SFR BUILD PERMIT Pennit # : H97-0262
Job Address : 1468 VAIL VALLEY DR Status . . . : ISSUED
Location. . . : �.466 A VAIL VALLEY DR Applied. . : 08/14/1997
Parcel No. . ; 2101�092-07-015 Issued. . . : 11/20/1997
Project No. : P�2J97-0144 �xpires . . : 05/19/1998
APPLICANT C & H WOODWORKING Phone: 3038457968
PO BaX 384Q, AVON, Ca, fOxmerly CAIRNS 8162fl
CONTI�ACTOIZ C & H WOODWORKING Phone : 3038457968
PO SOX 3840, AVON, CO, formerly CATft1V5 81620
OWNER GROFF NEAL CRAIG
4582 S ULISTER ST PKW1� STE l, �]ENVER CO 80237
Descr�.ptiora.
PASSTHRU,ADD CABZNETS,APPLIANCES, EX DOORS BA�'H ADD
Oecupancy: R3 Single Family Residence
Type Constructi.on: V N Type V Non-Rated
Val.uation: 62 , 756 Add Sq Ft :
Fireplace Infonmation: Restricted: #lof Gae Appliancce: #oE Gas Loge: #of Wood/Pallet:
:rr+rwr,rw�.+tr�rrr+asaa�siaraarrrrrrai•rrrrr+�ar�vrWarw�arwr♦ FEE 9UMMARY a+atyri+r�yr�rMrr�r�w��;•rra++raa�aa�ra�rr�yrrr��r+�w..�a�w
euilding-----> 555.00 Reetuarant Flan Review--� .00 Total Calculated Feee---> 1,168.75
Plan CFteck---> . 3€0.75 DRB Fee-------�---------� .00 Additional Feee---------> .00
Inveetigation> .OQ Racreaki.on Fee----------> .00 Total Permit Fer-------3 1,168.75
Will Call----> 3.D0 Claan-Up Depoait—------> 250.00 Paymente---------------> 1,168.75
TQTAL FEES--"----'-----> 1.160.75 BALAP➢CE DUE-------------a .00
♦a•i+a++rrir;rr+rr�rrsarrre��rrwrr��rrr�a.raa�*a+ia�i+rr�r�aii+rrvar�arrta�rwxrw��ara�arr+++�starrar���»erw�warw�++��arsr�rrrarr.ai•
Item: 05100 BUILDII�IG DEPARTMENT De t : BUILDING Divisiorr,:
08/14/1997 CHARLIE Action: APPR CHARLIE DAVI�
I�em: 05400 PLANNING DEPARTMENT Dep� : PLANNING Division:
08/14/1997 C�IARLIE Action: APPR N/A
Item: a��ao FIRE DEPARTMENT Dept : FZRE Division:
08f14/1997 CHARLIE Action: APPR N/A
7tem: 05500 PUSLIC W�RKS Dept : PUB WORK Davisian:
08/14/1997 CHARLIE Action: APPR N/A
Wrrrr�,trra�wrarrarra++iawrrrrr+rtretri*�rrr�arritetr�+tr�trwrw+r+��iWar�ar+a+w�sr�ir�erraar*w�.+r�ariarair++riarrr►+�r�re�rr�re�rte+:w+w
See Page 2 of tha_s Document �or any condition.s thati may ap�ly to this permit .
DECLARATIONS
I he�eby acknorrledge that I have read thie application, filled out in full the infozmation requized, completed an accurate p2ot
plen, and atate thak all the informaCion provided ae required ie correct. I agree to comply with the in£ormation and p1oG p2an,
to comply with alI Town ordinances and atata lawe, and to build thia etructure according to the Town�e zoniag arnd aubdivisian
codee, deaign raview approved, Uniform Suilding Code and other ordinanaea of the Town applicable thereto.
REQUESTS FOR INSPECTIONS 51EALL BE MADE TWENTY-FOUR HOLIRS IN ADVANCE SY`TE AT 479-213 T OUR OFFICE FROM 8:60 AM 5:00 PM
Send Clean-Up depoeit To: C&H WOODWORKIN4 E pF O ER OR RACSOR FOR HIMSELF ASIL1 OWNER
Page 2
*�*�****************************�***************�**���*������************���****
COND I"�'I QNS
Peacmit # : �97-0262 as o� 11/20/97 Status--- : ISSUED
**************************************************,��**,r*�,�*,x********************
Pennit Type: ADD/ALT SFR BUILD PERMIT Applied-- : f?8/1�4/1997
Applicant-- : C & H WOQDWORKII�TG Issued--- : 11/2�/1997
3038457968 To Expire : 05/19/1998
Job Address : 1468 VAIL VALLEY DR
L�cation--- : 1468 A VAZL VALLEY DR
Parcel No-- : 2101-092-07-015
Descr�.ptiean:
PASSTHRU,ADD CABINETS,APPLIANCES,EX DOORS BATH ADD
*�*****�**********����**,���*********,�* Conditions ******************************
1 . FIELD Z[�TSPECTZONS ARE REQUIRED TO CHECK FOR CODE COMPLIANCE.
� . SMOKE DETECTORS ARE ��Q�7IR�I7 IN ALL BEDROOMS AND EVERY STORY
AS P�R SEC. 1210 �F THE 1.991 UBC.
3 . THIS PERMYT IS GOOD FUR I1�TER70R WORK ONLY
4 . N� �L�CTR�CAL, PLU`MHING OR M�CHANICAL WORK ALL�WED UNTIL
PERMITS ARE OBTAINED
.
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Statemnt Number: REC-0362 Amo�nG: 99.00 11/20/97 10:05
Payment Mechod: CK Notation: 259 Tr�it: MAW
--------`--------------`----'--------`---`-°°-------------------
Permi� No: B97-0262 Type: A-BUIL4 ADD/ALT 8FR BUILD PE
Parcel No: 2101-092-07-015
5iGe Addreee: 1468 VAiL VALLEY DR
Loca[ion: 146B A VAIL VALLEY DR
Total Feee: 1,168.75
Thie Payment 99.40 Total ALL Pmta: 1,168.75
Balance: .00
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Account Code OeacripCidn Amount
BP 00100003111100 BLTILDING PERMIT FEES 60.00
PF 00100007112300 PLAN CH6CK FEES 39.Otl
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TO�N OF VAIL DEPARTMENT OF COMMUNITY �EVELOPMENT
75 S . FRONTAGE R�AD N;�
VAIL, CO 81657 �f/��Y�� /r��irr �
970-479-2138
NO'TE: THIS PERMIT MUST BE POSTED ON JOBSITE AT A�,i� "?F-��
ADD/ALT SFR BUILD PERMIT Permit # : B�'"�@'�p
�7ob Add�ess : 1468 VAIL VALLEY DR Status , . . :
Location. . . : 1468 A VAIL VALLEY DR App�ied, . : UF�
Pa�eel No. . : 2101-092-07-015 Issu�d. . . . �$/
Project No. : PRJ97-0144 Expires . . : �� �,/- ,/
APPLICANT C & H WO�DW�RKING Phone: 3038457968
PO BOX 3840, AVON, CO3 formerly CAIRNS 81620
CONTRAC�OR C & H WflODWORKING Phone: 3u 845'�
PO BoX 3840, AVON, CO, �ormerly CAIRNS 81620
QWNER GROFF NEAL CRAIG
4582 S IILISTER 5T PKWY STE 1, DENVER CO 8�237
Description:
P.A.SSTHRU,ADD CABINETS,APP�IANCES,E� DOORS BATH ADD
�ccupancy: R3 Single Family Residence
Type Construction: V N Type V Non-Rated
Valuati.c�n: 62 , 756 Add Sq Ft:
FirepLace Information: Restricted: �lOf Gas Appliances: HOf Gas Logs: tlOf Wood/Pallet:
ir�tirk*sht*�ht*iririrk***ie-kint{t�t#*irit*�F*�t�tint***irk**#*****#ir*k***lcic** FEf SUMt�ARY �***�'k*ir***;kktt**irk**�:�kkir**Iric******ic�t******ir**#****rt**iric*ic*
6uilding-----> 55S.Q0 Restuarant Plan �teview--> .QO 7otal Calculated �ees---> 1,168.75
Plen Check---> 360.75 DRB Fee-----------------> .00 Additional fees---------> '�l�
InvestigatioN .00 Recreation Fee----------> .OD Total Permit Fee--------> i,16 7
Will Call----> 3.00 Clean-up Deposat--------> 250.QD Payments----------------> 1,n6, 7
TOTAL FEES-------------3 1,168.75 BALANCE DUE-------------> 49,{y�= -
�t*****ir**k******tkir**ik****ic***********rFit**�k******************************ir***iFic*ir****i[****ic****�k*ir***************** 'r�,k**ir**� �
Item: 05100 BUILDING DEPARTMENT DE t: BUIL�IN� Div> in•• •
0B�14�1997 CHARLIE ACtion : APPR CHARLYE DAVI�
Item: 05400 PLANNING DEPARTMENT Dept: PLAt�NING Divis
08�14�1997 CHARLIE Actian: APP�t N�A
Item; 05600 FIRE DEPARTMENT Dept: FIRE D1V153 .
08�14�199? CHARLIE Action: APPR N�A
Item: 05500 PUSLIC WORKS Dept: PUS WORK Divis i:
08/14�1997 CHARLIE Action: APPR N,�A
*�lk*******k****�k*iric***�t**t**int�t-k*ir****#*itic********�Ir**k******ick*****1r*****stic7tilr*�Fik�Yk****ic****ic*#*******1c**************rc�*******�k *
See Page 2 of this Document for any conditions that may apply ta this permit .
DECLARATIONS
I hereby acknouledge that I have read this application, filled out in full the information required, completed an accurate plot
plan, and state that all the information provided as required is correct_ I agree to comply uith the information and plot plan,
to comply Nith all Toun ordinances and state laws, and to build th�s structure according to the ToWn's zoning and subdivision
codes, design revieu approved, Uniform euilding Code and other ordinances of the Toun applicable thereto.
REQUES7S FOR INSPECTIONS SHALL BE MA�E TWENTY�FOUR HOURS IN ADVANCE BY TELEPHO�IE AT 479°2138 aR AT OU�t QFfICE fROM 8:00 AM S:f
Send Clean-Up Deposit To: C&H WOODWORKING SIGNATURE OF OWNER OR CONTRACTOR FOR HIMSFIF phD 0�
Page 2
************���*�**��***�������********�******��**************� ��*�*��� w**�* . ,
CONDITIO�S
Permit # : B97-0262 as of 11�19�97 Status---: ISSU��
***********������**********���*���****************�********�************� *.,,
Permit �yp�: ADD�ALT SFR BUILD PERMTT Applied--: 08r14�] ���
Applicant--: C & H �OODWORKING Issued---: 08�14�� 9���'
3038457958 To Expire: 02�10�1r�9t��
Job Address. 1458 VAIL VALLEY DR
Location---: 1468 A VAIL VALLEY DR
Parcel No=-: 210�-�92-07-015
Descriptian:
PASSTHRU,ADD CABINETS,APPLIANCES,EX D�OftS BATH ADD
***********����*��*****��*����*�*�**** Conditions *****�*�******�*******�
1 . FIELD INSFECTIONS ARE REQUIREp TO CHECK F�R CODE COMPLIANCE .
2 . SMaKE DETECTORS ARE REQUIRED TN ALL BEDROOMS AND EVERY S'TORY
AS PER SEC. 1210 OF THE 1991 UBC.
3 . THIS PERMIT IS GOOD FOR IN�ERIOR WORK ONLY
4 . ND ELECTRICAL,PLUMBING OR MECHANICAL WORK ALLOWED UNTIL
PERMITS ARE OBTAINED
� ,
� .
kConta�� Ea�le Cou��lty Assessors OEfice �� [ � ���v
�t 970-32$-$540 for Parcel �l� TOWN OF VAIL CONST3tUCTI�N PERt�IIT l"
'ARCEL !1: �/c�/ _Q<%Z- Q 7-Qyj PERMIT APPLICATION FOFZM
�ATE: �� .
APYLICATION MUST BE FILLED OUT CO1�fAI.�TELY t�` Y NO EPTED
xk****�************�********** PERMXT INFORMATION � *�� �****�*�****
[�]-Building [ � -P1.umbing [ ]-Electrical [ ] --Mechanical, [ j-Other
Job Name: +� �-_ � Job Address: ('��"�,� �1�.1� V!'�G-Lt'� �
Legal Descript�ion: Lot Bl.ack Filing SUaDIVISio�:
owners Name: �L ��� Address: 4�-���`��L
V�1.L�°�Ph. ��^7�j�,�
Architect: �t..-��`-'� I �C- f- � Addaress: � u, ph,
General Descript�on: ��j �(�jj�
c'
tr7ork Class : [ ] -�Ier�r [�j -Alteration [ ]--Additional ( ] -Repaix ( J -Dther
tlumber of Dwel�.ing Units: � Number of A�commodation Units:
`�umbez� and Type o� Fireplaces: Gas Appliances Gas Loys_ Wood/Pelle�
r�
k*�`*'���*****'�****'�**'{•*'�************ VALUATTONS *****�*****��nk�4aE�k�t�kks�yksti:��k�k�t�c�4*�F*�c
�UILDZNG: � � EI:,�CTR�CAL: � U•:i,•kl't;R: $
�UMBZNG: � MECY:At�1zCAL: $ TOTAL,: $ I ,����
�****'�*****'�**'�'�********'�*** CONTRACTOR INFf7RMA'I'ION yk�r�k�rk�r�r•k**,k�k�kek�kak�lr�r�krkdr�k7k�k�k**
,enera� Contx�actor: �' � Town �� Vai�. Reg, NO.�� r,�
�c3dress; Phone Nt�mb�x-• ' ��_��'S 3_
'lectrical Con�zactor: • ��"��
Town ofi Vai� Rec�. MO.
�.ddress : _ Phonc I��,zmber:
�lumbing Con��actor: � Town c�f Vail Reg. NO.
sddress: _ _ _ Phon� Nurnber: � � �
.echana.cal Cantractor: _ Toa�;s o�' Vail �eg. �70.
�dc�ress: _.._ �._ . Phc���G Humber: _..._..
-*��**�t******�****��*�*****r:***,t FOR OFFICE USE ***�t**�*****������t�t**�*****�:�•k
:UrLDrNG PERMZT FEE: BLTILDZNG PLAN CHECK FEE:
'LUMBXNG PERMT� � � �'1 ,� '�� �; PLUMBIh1G PLAN CHECK �EE:
iECHANICAL PE� ' ��.,� , ';, �„ i. ' MECHANICAL PZ�N CHECK F'EE:
;LECTRICAL FEE. ��-• RECREATI�N FEE:
�THER TYP� OF F��Y I�OY 1� � '�4R� �'-- I CLEAN--UP DEPOSXT:
�RB FEE: _,..:-�.,. ..
� �, TOTAL PERMIT FEES ;
�y "� t i: .,l..��i �'� � .
fiYPE GROUP ti . F : L ATION BU1Ln1:I�{�� �
SIGNA7['URF� _.�.,...-_.._..�..,____"��...._..__ ._r._�._��
_ ZON�NG: �---....._--� -- �
S IGNATU�: -.�.._��.-�`l-� ____�..��..-_�,__�_
ommen�s: •---- - ,__��. _- ...—.. .—__.__.._.
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