HomeMy WebLinkAboutB14-0337 Use Tax refund.pdfApplication for Refund of Use Tax Paid
Please refer to instruction on the back of this form.
James Johnson Taxpayer Name: _____________________ _
Project Address: _7_9_4_P_ota_to_P_a_tc_h_o_r_un_i_rn_v_a·_11,_c_o_s_1_657 ________ _
Mailing Address: _1_11_6_E_L_a_yt_o_n _Av_e_. _E_n_g_le_w_oo_d_. _c_o_a_o1_1_3 ________ _
Phone or e-mail: _30_3-_5_94-0 __ 3s_o_o_r_jim_J_·o_hn_s_on_3_0_3@_gm_ai_l.co_m _______ _
Building Permit Number: _s_1_4-_0_33_7 ____ Date of Payment: _2-_2s-_1s __ _
Total Amount Paid: $9,600 Total Refi.Jnd Requested:. $9•600
Reason for Request (please mark the appropriate line):
Construction materials costs were less than 50% of the project valuation shown
on the buiiding permit. An audit ef. the; project cost is required before the town can
provide any refund for this reason. Audit costs are borne by the taxpayer.
Documentation showing the total · cost Df the project, copies of paid invoices for
materials; and bills· of·lading showing. delivery to the project site should accompany this
request If a determination cannot be made based upon the information provided,
additional information and/or audiLprocedures may be required. The taxpayer will be
notified if audit costs are expected to exceed $500. -
Exemption under section 2-8-5 of the Vail Town Code {see www.vailaov.com)
Deed restricted employee housing with a price appreciation cap
~ax paid in error or by mistake
Provide details on reverse side or on a separate sheet of paper. Attach all supporting
documentation. No construction has taken or. will take place
under this permit number. See next page.
)
I declare under penalty of perjury that this request, including all attachments, is true and
correct to the best of my knowledge. If I have requested a refund because my materials
cost less than 50% of the project valuation, I acknowledge the Town of Vail may charge
up to $500 for audit costs without additional notification.
. '!t. .d PtWJ ll-?tJ-IL
Title
Date
75 South Frontage Road-Vail, Colorado 81657-(970) 479-2100 -FAX (970) 479-2157
.:::
Details and supporting information :
This Project never happened. No work was performed under this permit
number. At this time we are requesting 100% refund of the use tax
($9,600) and 80% refund of the other permit cost ($5,431 .94 ). Work is not
scheduled to be performed in the future.
INSTRUCTIONS
1.) Attach a copy of the building permit or permit receipt showing the original
amount of use tax paid.
2.) If you are claiming a refund because:
a. actual cost of materials used for a project is less-than 50% of the
valuation shown on your building permit -submit this form for
review along with the appropriate documentation.
b. you are exempt from the use tax -Identify which of the exemptions
cited in section 2-8-5 of -the Vail Town Code (available at
www.vailgov.com) applies to you and attach documentation to
support your claim. Submit this form within 60 days after issuance
of the building permit.
c. you paid tax on materials used to construct deed restricted
employee housing units which have a price appreciation cap -
submit a certified copy of the recorded deed restriction conforming
to Title 12 of the Vail Town Code within 60 days of issuance of the
last certificate of occupancy.
d. you paid the construction use tax in error or by mistake -provide
an explanation as to why the tax paid is erroneous and any
calculations used to determine the amount of the error. Submit this
application Within three years after the date the materials are used.
3.) Sign the affidavit on the front of this form.
4.) Keep a copy for your records.
5.) Submit original form to the Finance Director, Town of Vail, 75 South
Frontage Road, Vail, Colorado 81657 by mail or hand delivery to the
front desk of the municipal building.
Amount of Refund:
For Town of Vail Use Only
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_q:...r..~..;;....{t_Oo.:::___ ___ Date:
Jt -&..)a~ Account Code:
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Approved by: llD -{).ID-~ I o&o , o f
75 South Frontage Road-Vail, Colorado 81657 -(970) 479-2100 -FAX (970) 479-2157
Payment History-B 14-0337 10:57 12/02/2016 Deferre Entered Time Type Method Amount Posted Notation Receipt No Trans Id Set Reference Check No cc~ d Reference 09/05/2014 10:51 AM Payment Check $2,499.67 09/05/2014 ck 19923 nedbo construction R14000136 T00002931 n/a 0 19923 1 8 02/25/2015 10:03 AM Payment Check $13,890.25 02/25/2015 CK 20575 NEDBO R15000013 T00003023 n/a 0 20575 CONSTRUCTION 8 7 Total Rows: 2 Page 1
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TOWN OF VAIL, COLORADOCopy Reprinted on 02-25-2015 at 10:03:21 02/25/2015
Statement
********************************************************************************************
Statement Number:
Payment Method:
CONSTROCTION
Permit No:
Parcel No:
Site Address:
Location:
This Payment:
Rl50000138 Jl...mount: $13, 8 90 . 25 02/25/ 201510: 03 AM
Check Init: CG
Notation: CK 20575 NEDBO
B14-0337 Type: COMBINATION BLDG PERMIT
2101-063-0107-1
794 POTATO PATCH DR VAIL
Potato Patch Unit B
$13,890.25
Total Fees:
Total ALL Pmts:
Balance:
$16,389.92
$16,389.92
$0.00
********************************************************************************************
ACCOUNT ITEM LIST:
Account Code Description Current Prnts
BP 00100003111100 BUILDING PERMIT FEES 3,177.75
EP 00100003111100 ELECTRICAL PERMIT FEES 402.50
MP 00100003111100 MECHANICAL PERMIT FEES 240 .00
PP QU0003H1100'----<>.LUMBING PERM I-'r f'EES -.------~--450.00
T 1100Q0Jl11~6000 USE TAX 4% 9,600.00
WC 00100003112800 WILL CALL INSPECTION FEE 20. 00
NOTE: THIS PERMIT MUST BE POSTED ON JOBS/TE AT ALL TIMES
WWN~
Town of Vail, Community Development, 75 South Frontage Road, Vail, Colorado 81657
p. 970.479.2139, f. 970.479.2452, inpsections 970.479.2149
COMBINATION BLDG PERMIT
Job Address: 794 POTATO PATCH DR VAIL
Location ..•••. : Potato Patch Unit B
Parcel No •... : 210106301071
OWNER JOHNSON, JAi\1ES 09/03/2014
1176 E LAYTON AVE
ENGLEWOOD, CO
80113
Permit#:
Project#:
B14-0337
PRJ14-0252
Applied ..... : 09/03/2014
02125/2015 Issued ••• :
APPLICANT NEDBO CONSTRUCTION INC 09/03/2014 Phone: 970-845-1001
PO BOX 3419
VAIL co 81658
License: C000003087
CONTRACTOR NEDBO CONSTRUCTION INC 09/03/2014 Phone: 970-845-1001
PO BOX3419
VAiL co 81658
License: C000003087
Description:
Addition on remodel Includes expand east side of unit
Relocate garage, kitchen and bedroom. Add new family room
on second level. New finishes throughout.
Occupancy: R-3
Building Permit -->
Electrical Permit-->
Mechanical Permit -->
Plumbing Permit -->
Type Construction: VB
$3,171.75 Bldg Plan Check-->
$402.50 Elec Plan Check---·->
$240.00 Mech Plan Check --->
$450.00 Plmb Plan Check -->
$2,065.54
$261.63
$60.00
$112.50 .
Valuation: $490,000.00
LUle~,.!.jTax!!..t:~==""".""'=::->---$9,800.00 es!uarant Plan Review--> $0.00
Additional Fees----> $0.00
Recreation Fee---· -> $0.00
Investigation------> $0.00
Will Call---------> $20.00
TOTAL PERMIT FEES----> $16,389.92
Payments---->
BALANCE DUE-------->
$16,389.92
$0.00 •••11t••··--··..-···--·-··*************"'**•••••·.,.·• .. 11--• .. ••••11t•-·· ......... _. ..... _ •••••• _ ... __ ....... -............... _ •• _ .................. ****-.... **"'-.... -···-···-··-.... ••••• .. -· ..
DECLARATIONS
I agree to comply with the information and plot plan, to comply with all Town ordinances and state laws, and to build this structure
according to the town's zoning and subdivision codes, design review approved, International Building and Residential Codes and
other ordinances of the Town applicable thereto.
REQUESTS FOR INSPECTION SHALL BE MADE TWENTY-FOUR HOURS IN ADVANCE BY TELEPHONE AT 970.479.2149
OR AT OUR OFFICE FROM 8:00 AM -4:00 PM.
combination permit_012811
Town of Vail Accounts Payable Edit Listing Invoice GIL Due Date Received Confirming Vendor/Remittance Address Number Description Date Date Date EFT GIL Date Notes Amounts Batch Department: Com Dev Com Dev 17582-NEDBO CONSTRUCTION Bl4-0337 Batch Date: 12/1312016 Use Tax Refund Batch Number: 2016-00005050 Batch Description: Com Dev -Nedbo Construction Invoice Department: Com Dev Com Dev NEDBO CONSTRUCTION P.O.BOX3419 VAIL, CO VAIL, CO 81657 Check Sort Code: Check Code: Manual Check: No Check Number: Detail: P.O. Number C/D/F/T/A/1099 Description NIN/NIN/NIN Refund Com Dev Fees -use tax refund G/L Distribution: GIL Account/Project 12/13/2016 12/13/2016 12/13/2016 Bank Account: Operating Account Invoice Terms: Hold Reason: Quantity U/M 1.0000 EA 110-0000.31060.01 (Capital Projects Fund-Revenue .Refunds) Total Invoice Items: Invoice Amount Expensed: $9,600.00 Invoice Amount Unencumbered: User: Carolyn Godfrey Pages: 1 of 2 No Gross: 9,600.00 Freight: 0.00 State Tax: 0.00 County Tax: 0.00 Local/City Tax: 0.00 Discount: 0.00 Retainage: 0.00 Net Amount: $9,600.00 Amount/Unit Total Amount 9,600.0000 9,600.00 Expensed Unencumbered 9,600.00 0.00 $0.00 Batch Total Invoices: Batch Total Gross: Batch Total Freight: Batch Total State Tax: Batch Total County Tax: Batch Total Local/City Tax: Batch Total Discount: Batch Total Retainage: Batch Total Net: Batch Total Unencumbered: Grand Total Invoices: Grand Total Gross: Grand Total Freight: $9,600.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9,600.00 $0.00 1 $9,600.00 $0.00 12/13/2016 10:14:53 AM
Vendor/Remittance Address Number User: Carolyn Godfrey Town of Vail Accounts Payable Edit Listing Invoice G/L Description Date Date Pages: 2of2 Due Date Received Confirming Date EFT GIL Date Notes Grand Total State Tax: Grand Total County Tax: Grand Total Local/City Tax: Grand Total Discount: Grand Total Retainage: Grand Total Net: Grand Total Unencumbered: Amounts $0.00 $0.00 $0.00 $0.00 $0.00 $9,600.00 $0.00 12/13/2016 10:14:53 AM