HomeMy WebLinkAboutB15-0223_B15-0223 fee grid_1437688500.pdfTOWN OF~ Department of Community Development
75 South Frontage Road
Vail, CO 81657
Tel: 970-479-2128
www.vailgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm & sprinkler)
.-~~~~~=-~~~~~~~~....,.....,..--~~~~--. 4f d-Project#: £PD' 15. -033 <-j Project Street Address:
5123 Black Bear Lane
(Number) (Street) (Suite#)
Building/Complex Name: Howard-Levaggi Remodel
Contractor Information
Business Name: Local Restoration, LLC
Business Address: 1003 Main Street
City Minturn state: _c_o __ Zip: 81645
Contact Name: Jeff Armistead
Contact Phone: 970-471-0618
Contact E-Mail: localrestorationllc@gmail.com
I hereby acknowledge that I have read this application, filled out
in full the information required, completed an accurate plot plan,
and state that all the information as required is correct. 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 ap-
proved, International Building and Residential Codes and other
ordinances of the Town applicable thereto.
X Tim Howard Digitally signed by Tim Howard
DN: en= Tim Howard. o, ou, emall=thoward@indra.com, c,,,u5
Date: 2015.06.25 15:01:49-06'00'
Owner/Owner's Representative Signature (Required)
Applicant Information
Applicant Name: Tim Howard (Owner)
Applicant Phone: 1-303-918-1882
Applicant E-Mail: thoward@indra.com
Project Information 5123 Bl kB L LLC Owner Name: ac ear ane
Parcel#: 2099-182-25-002
(For Parcel #, contact Eagle County Assessors Office at (970-328-8640 or visit
www.eaglecounty.us/patie)
For Office Use Only:
Fee Paid:-----------------
Received From: ---------------
Cash Check # ___ _
CC: Visa I MC Last 4 CC # ___ _ exp date: __ _
Auth# ___ _
DRB#:--------..,-----....---------
Building Permit#: _8 __ 1 _S_-_O_~_O __ , ... :S...----
Lot#: Block# __ Subdivision:--------
Work Class: New 0 Addition 0 Alteration (®
Type of Building:
Single-Family 0 Duplex 0 Multi-Family 0
Commercial 0 Other @Split Level Residential Condo
Work Type: Interior(!) Exterior 0 Both 0
Valuation of
Work Included Plans Included Work
Electrical (!)Yes Q)No QYes QNo 4500
Mechanical (!}Yes Q)No QYes QNo 1500
Plumbing (!)Yes QNo QYes 0No 5000
Building @Yes QNo QYes QNo 11000
Value of all work being performed: $ 22000
(value based on IBC Section 109.3 & IRC Section 108.3)
Electrical Square Footage 100
Detailed Scope and Location of Work: Demolition of some
interior walls, re-locate some existing electrical,
re-work laundry, shower plumbing, update new bath
cabinetry, tile, flooring, drywall, paint
(use additional sheet if necessary)
Date Received:
TOWN OF~ Received
By Carolyn Godfrey at 8:01 am, Jul 23, 2015
12-Mar-2012
TOWN Of~ Department of Community Development
75 South Frontage Road
Vail, CO 81657
Tel: 970-479-2128
www.vailgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm & sprinkler)
Project Street Address:
5123 Black Bear Lane
(Number) (Street) (Suite#)
Building/Complex Name: Howard-Levaggi Remodel
Contractor Information
Business Name: Local Restoration, LLC
Business Address: 1003 Main Street
City Minturn state: _c_o __ Zip: 81645
Contact Name: Jeff Armistead
Contact Phone: 970-4 71-0618
Contact E-Mail: localrestorationllc@gmail.com
I hereby acknowledge that I have read this application, filled out
in full the information required, completed an accurate plot plan,
and state that all the information as required is correct. 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 ap-
proved, International Building and Residential Codes and other
ordinances of the Town applicable thereto.
X Tim Howard D191ta!ly ~19ned by Tim Howard
ON <.n=T1m Howard, o. ou, email"'1howatdf';lmd1awm, t::US
Dilte. 7015.06.15 15:01 49 -06'00'
Owner/Owner's Representative Signature (Required)
Applicant Information
Applicant Name: Tim Howard (Owner)
Applicant Phone: 1-303-918-1882
Applicant E-Mail: thoward@indra.com
Project Information 5123 B 1 k B L LLC Owner Name: ac ear ane
Parcel#: 2099-182-25-002
(For Parcel#, contact Eagle County Assessors Office at (970-328-8640 or visit
www.eaglecounty.us/patie)
For Office Use Only:
Fee Paid: -------::....-..::._-'--1-------J
Received From: ---------=::::,,,--=~-=--
Cash Check # ____ _
CC: Visa I MC Last 4 CC # ___ _ exp date: __ _
Auth # ___ _
--~~~~~~~~~~~~~~~~~~~~ ......
Project#: __ P_R_J_l_S_-_0_3_3_4 ________ _
ORB#: _________________ _
BlS-0223 Building Permit#: ______________ _
Lot#:~ Block #_l:__ Subdivision: Gore Creek
Work Class: New a Addition 0 Alteration ({!)
Type of Building:
Single-Family 0 Duplex a Multi-Family a
Commercial 0 Other('!) Split Level Residential Condo
Work Type: Interior@ Exterior Q Both 0
Valuation of
Work Included Plans Included Work
Electrical @Yes Q)No QYes QNo 5000
Mechanical @Yes Q)No QYes 0No 2000
Plumbing @Yes QNo QYes 0No 5000
Building @Yes Q)No QYes QNo
Value of all work being performed: $ __ ~,____ __
(value based on IBC Section 109.3 & IRC Section 108.3)
Electrical Square Footage 100
Detailed Scope and Location of Work: Demolition of some
interior walls, re-locate some existing electrical,
re-work laundry, shower plumbing, update new bath
cabinetry, tile, flooring, drywall, paint
(use additional sheet if necessary)
Date Received:
12-Mar-2012
********************************************************************************************
TOWN OF VAIL, COLORADOCopy Reprinted on 07-23-2015 at 15:23:25 07/23/2015
Statement
********************************************************************************************
Statement Number: Rl50001033 Amount: $1,244.95 07/21/201501:52 PM
Payment Method:Credit Crd Init: SAB
Notation: Visa-Tim
Howard
Permit No: Bl5-0223 Type: COMBINATION BLDG PERMIT
Parcel No: 2099-182-2500-2
Site Address: 5123 BLACK BEAR LN VAIL
Location: Unit 2
This Payment: $1,244.95
Total Fees:
Total ALL Pmts:
a ance:
$1,297.99
17
($346.18)
**************************************************************** ***************************
ACCOUNT ITEM LIST:
Account Code
--------------------
BP 00100003111100
EP 00100003111100
MP 00100003111100
pp 00100003111100
UT 11000003106000
WC 00100003112800
Description
BUILDING PERMIT FEES
ELECTRICAL PERMIT FEES
MECHANICAL PERMIT FEES
PLUMBING PERMIT FEES
USE TAX 4%
WILL CALL INSPECTION FEE
Current Pmts
512.45
57.50
40.00
75.00
540.00
20.00
********************************************************************************************
TOWN OF VAIL, COLORADOCopy Reprinted on 07-23-2015at15:23:01 07/23/2015
Statement
********************************************************************************************
Statement Number: Rl50000882 Amount: $399.22 06/26/201503:00 PM
Payment Method:Credit Crd Init: CG
Notation: visa Tim
Howard
Permit No: Bl5-0223 Type: COMBINATION BLDG PERMIT
Parcel No: 2099-182-2500-2
Site Address: 5123 BLACK BEAR LN VAIL
Location: Unit 2
This Payment: $399.22
Total Fees:
Total ALL Pmts:
Balance:
$1,297.99
$1,644.17
($346.18)
********************************************************************************************
ACCOUNT ITEM LIST:
Account Code Description Current Pmts
PF 00100003112300 PLAN CHECK FEES 399.22
15:22 07/23/2015
Item# Description Fee Amount PmtAmount Balance Account code
10 BUILDING PERMIT FEES $363.25 $512.45 ($149.20) BP 00100003111100
20 PLUMBING PERMIT FEES $75.00 $75.00 $0.00 pp 00100003111100
30 MECHANICAL PERMIT $40.00 $40.00 $0.00 MP
FEES 00100003111100
40 ELECTRICAL PERMIT $57.50 $57.50 $0.00 EP 00100003111100
FEES
47 ELEC PLAN REVIEW $37.38 $37.38 $0.00 PF 00100003112300
80 PLAN CHECK FEES $264.86 $361.84 ($96.98) PF 00100003112300
140 RECREATION FEES $0.00 $0.00 $0.00 RF 11100003112700
150 WILL CALL INSPECTION $20.00 $20.00 $0.00 WC
FEE 00100003112800
160 RESTAURANT PLAN $0.00 $0.00 $0.00 FS 00100003112400
REVIEW
1205 USE TAX4% $440.00 $540.00 ($100.00) UT 11000003106000
1210 INVESTIGATION FEE $0.00 $0.00 $0.00 PN 00100003153000
(BLDG)
Total Rows: 11
Page 1
Fee Items-B 15-0223 C>-J~f\ v-~ 14:13 07/23/2015
Item# Description Fee Amount PmtAmount Balance Account code
10 BUILDING PERMIT FEES $512.45 $512.45 $0.00 BP 00100003111100
20 PLUMBING PERMIT FEES $75.00 $75.00 $0.00 pp 00100003111100
30 MECHANICAL PERMIT $40.00 $40.00 $0.00 MP
FEES 00100003111100
40 ELECTRICAL PERMIT $57.50 $57.50 $0.00 EP 00100003111100
FEES
47 ELEC PLAN REVIEW $37.38 $37.38 $0.00 PF 00100003112300
80 PLAN CHECK FEES $361.84 $361.84 $0.00 PF 00100003112300
140 RECREATION FEES $0.00 $0.00 $0.00 RF 11100003112700
150 WILL CALL INSPECTION $20.00 $20.00 $0.00 WC
FEE 00100003112800
160 RESTAURANT PLAN $0.00 $0.00 $0.00 FS 00100003112400
REVIEW
1205 USE TAX4% $540.00 $540.00 $0.00 UT 11000003106000
1210 INVESTIGATION FEE $0.00 $0.00 $0.00 PN 00100003153000
(BLDG)
Total Rows: 11
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