HomeMy WebLinkAboutB14-0208 Application.pdfTOWN Of~ Department of Community Development
75 South Frontage Road
Vall, CO 81657
Tel: 970-479-2128
www.vallgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm & sprinkler)
Project Street Address:
\630 ~cd~Jon~
(Number) (Street) (Suite #)
Bulldlng/Complex Name: O\le.r\a')\:... g\ \Jo,.; l
Contractor Information
Business Name: Coro\±-E\e.c\.r \C.... (.of p
Business Address: ~\\..._L\ .... S __ W_~2-~4--~_"'__,._f'>-'-'"t_. ___ _
City ~ \ \\Q. State:(,() Zip: f?\(pS-Q
Contact Name: __ J(._.n. ...... c.i-...o .... 'c'--o.....__L__,u...__"f'._Y\ ______ _
Contact Phone: ---""3 ...... 0_q._-_0_2S_.....""""&=--------
Contact E-Mail: c..o'oo . .\\-e.\e.c.....\-r \LC...O,-@c9tvX:.\1 I
.<..OM
I hereby acknowledge that I have read this application, filled out
in full the information required, completed an accurate plot plan,
and state that all the information as required is correct. I agree to
comply with the information and plot plan, to comply with all Town
ordinances and state laws, and to build this structure according to
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other
ordina ces of the Town applicable thereto.
.--~~~~~~~~~~~,.---~~~~~~
Project #: \' Q::y \ 3 -0 0 0.-
ORB#:---------------~
Building Permit#: _ __.._,6......,l,_t..-/ ..... · ·_U-"---dv__.~....__ ____ _
Lot#: Block# __ Subdivision:-------
Work Class: New 0 Addition 0 Alteration •
Type of Bulldl~
Single-Family U Duplex Q Multi-Family A
Commercial 0 Other Q _________ _
Work Type: Interior Q Exterior • Both 0
Valuation of
Work Included Plans Included Work
Electrical eves QNo QYes .No$ 2.,500
Mechanical Oves Q>No Qves QNo
Plumbing Oves QNo Qves 0No
Building Qves QNo Qves QNo
Value of all work being performed: $ 2, 500 .. 0 0
(value based on IBC Section 109.3 & IRC Section 108.3)
Electrical Square Footage
Applicant Information Detailed Scope and Location of Work:-------
Applicant Name: AJjd:. LunY' fuc\-tor \:oot-re.\?hce.rv-el'\.\-~t
Applicant Phone: 30(( .._ JOSL..~ ~CJ.R h,QO-\-\-~\)Q.... or... \)~\'\
Applicant E-Mail: c..obll lte.le_c .. l·r i<-<...O f ~!jlM j l .com _____ 8_e_N__.o_\ ........ o.. ........ cJ. _____ , 6.-} ....... \ \_...\ _'o_e.. ___ _
Project lnformatlol}.._ \.. ....1 • \ o.AfeJ.-_ 0( cexv,O'fed,
OwnerName: UtQr\oc~ cd: \/CA\
Parcel #: ,....._ _ _,,,_....,_..,.--.,.-----,.,,.,,--.......... ..,,.,..,-=---
<For Parcel #, contact E119le County All~rs Office at (970-328-41840 or visit
www.eaglecounty.ua/patle)
For Office Use Only:
Fee Paid:---------------Recewed From: ____________ _
cash Check# ___ _
CC: Visa I MC Last 4 CC # __ _ exp date: __ _
Auth# __ _
(use additional sheet if necessary)
Date Received:
12-Mar-2012
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TOWN OF VAIL, COLORADO Statement
********************************************************************************************
Statement Number:
Payment Method:
Permit No:
Parcel No:
Site Address:
Location:
This Payment:
R140000695 Amount: $148.75 06/02/201402:39 PM
Check Init: SAB
Notation: 2007-COBALT
B14-0208 Type: COMBINATION BLDG PERMIT
2103-121-2300-2
1340 SANDSTONE DR VAIL
Overlook at Vail Bldgs 6,7,8,11
Total Fees:
$148.75 Total ALL Pmts:
Balance:
$337.06
$148.75
$188.31
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ACCOUNT ITEM LIST:
Account Code
EP 00100003111100
PF 00100003112300
Description
ELECTRICAL PERMIT FEES
PLAN CHECK FEES
Current Pmts
17.94
130. 81