HomeMy WebLinkAboutD96-0002 application,, ,^orQrrr-Foun HouRs rN ADv^NcE By FRof E:00 Ar 5:q) p[
TOWN OFVAIL
75 South Fronnge Road
Vail, Colorado 81657
970-479-213V479-2139
FAX 970-479-2452
Department of Community Development
********************************************************************************
CONDITIONSpernir #: D96-0002 as "t-oi/io1sa starus! rssuED**************!r!r:ft**************************i**i*************:t*******************
Permit.Type: DEMO. OF PART/ALL BUDG.Applicant: wErrz-coHEN cbNsr., co3038606600
Applied: 03/14/t996rsaued: 03/20/L996To Expire | 09/L6'/1996
Job AddresE:
, L,ocat,ion:Parcel No:
Description:
DEMO/EXCAVATTON/SHORTNG/WATER WELLS
Conditione:1. FIELD INSPECTIONS ARE REQUIRED TO CHECK FOR CODE COUPLIAICE.2. SOILS AND ENGINEERING REPORTS REQUIRED
I. }:3TOV}L/PUBLI.C WAY PERMIT IS FOR INITAT STAGES OF DEMO4. ONLY. APPLICANT MUST REAPPLY FOR A SECOND PUB WAY PERMIT5. BEFORE REROUTING VAIL VALLEY DRIVE.
{S *t*uoruo
TOWN OFVAIL
NOTE: THIS PERMIT MUST BE POSTED
DEMO. OF PART/ALL BUDG.
ON .TOBSITE AT ALL TIMES
Permit #: D96-0002
75 South Frontage Road
Vail, Colorado 81657
970-479-213V479-2139
FAX 970-479-2452
APPLICANT
CONTRACIOR
OIINER
Description:
JOb Addrees: 458 VATL VALLEY DRLocaLion...: GOLDEN PEAK BASE
ParceL No.. : 2101-081-09-004Project, No. : PRJ96-0006
Department of Community D eve lopment
Status...: ISSUEDApplied..: 03/L4/Lee6Issued...: 03/20/1996Expires..z 09/L6/L996
Phone: 3038606600
802 03
Phone: 3038606600
802 03
wErTz-coHEN coNST., CO89 LOGAN STREET, SUITE 600,
t^IEITZ-COHEN CONST., CO89 LOGAN STREET, SUITE 600,VAIL CORPORATION THE
PO BOX 7, VArL CO 81658
t,77E.W Restuarant Ptan Revi eH-->1.105.70 DRB FcF------.00 Recreation Fec---------->5.00 C [c.n-up Depos i t-------->
Add sg Ft:
fof Gas Logs:fot tlood/P!l,tet:
.0O Total calcutated Fe.s--> E,EE5.70.00 Additionat Fees-------> .00.0O Total P.rnit Fee--------> E,886.701,000.00 Payments------
DENVER
DENVER
co
co
I!e,!n; ,951Q0 BUILDING DEPARTMENT Dept: BUILDING Division:93/.14/.1996 DArr Acrion: NOTE CHUCK-PLANS EXeUrllER--- -
03'/14'/1996 CHUCK Action: ApFnI!ery';.,Q54Q0 PITANNING DEPARTMENT Dept: PLANNING Division:03/.14/.7996 DAlt Action: llofe JrM-PLANNE03'/.20'/.7996 CHUCK Action: Appn -
03'/20'/1996 CHUCK Action: carlc oK pER .rrM c-
93/.14/.1996 DArr Acrion: NOTE CHUCK-PLANS EXeUrllER--- -
03'/14'/1996 CHUCK Action: ApFnItsLni.,Os4QO PLANNING DEPARTMENT Dept: PLANNING Division:03/.I4/.7996 DAlt Action:--Nofe,rru-pr_,ANNER.-'-- -'
03'/.20'/7996 CHUCK Action: .APPR03'/.20'/.t996 CHUCK Acrion: eaNC OK pER JrM C.03'/20'/1996 cHUcK Acrion: Appn oii FEii JiM a:Ite.{ri'.950q0 FIRE DEP4RT].\,[ENT Depr: FrRE Division:Q3/.I4/.I996 DA\t Action: NOTE MrKE oR JEFF-- -
9?'/I5TL99_6_JEFF A Action: APFR Appiovea-Fv-fire depr. pIleE;',9!Iq0_PIIBEIC woRKS bept:-p0e-wonR Division:03/.14/.L996 DAN Action: NOTE TERRY91'/19'/1996_TERRT M Acrion: AppR AppRovED By puB woRKsI!elni'.95?q0 ENVTRONMENTAT HEALTH -- -DebE: nnni,in Division:9311411996 DAN Acrion: NOiE nuss --t--- --'
9?/20'/\e_21^c$gq5^_ Action: AFPR -
DEMO/EXCAVATTON/SHORTNG/WATER WELLS
Occupancy: 82 82
Type Construction:
Type Occupancy:
Valuation: 1, 146, 000
Fireptacc Infor ation: Restnicted: #Of 6as Apptiances:
*********ffiffiffi****ff*ffiffiH** FEE SUttfiARy #R*#r**Hffiffi*ff#ffiffi*ffifr**ffi*
Bui td i n9-----)
Ptan ch.ck--->
lnvcst igat i on>
l'l'i l, L Ca L t--->
TOTAL FEES-_--
' ffi *ff **ffi fi *ffi ffi rHrtt*rrffi *rr*****ft ffi*ffiffir****riff ***i,****ffi t*
I!erni'.q59q0 LIQUOR Depr: CLERK Division:03/74/1996 DAI{- Action: AppR N/A --r--
***rr*t*ffiffi ffitffi*|t/r'tffi ff ffi**U***ffi************t:ffi***ff ***ffi ff ***t*t tffi *ffi**ffiffi ffi *
See Page 2 of this Document for any conditions that may apply to this perrnit.
DECLARATIONS
I hefeby acknovtedge that I have read this app[ication, fitted out in futl, the inforrution required, comptctcd an rccuratc ptotpLan, and state thrt atl thc information pfovidcd !s required is corrcct. I agnec to conpty riittr tire iniornation rnd pl,ot pLan,to compty vith rtt Tovn ordinances and stlte [avs, and to buiLd this structure according io-the Tovn,s zoning and subdivisibncodes, design rcvica sPProved, Uniforn Buil,ding Codc and othcr ordinances of the Tovn appticabtc thereto.
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,, ,^orQ*rr-FouR HouRs 'r ADV ilcE By ICE tRoll E:00 Ail 5:00 pl{
oF oINER oR coNTRAcroR ron uxse[F lno-orlEi
TOWN OFVAIL
75 South Frontage Road
VaiL Colorado 81657
970-479-213V479-2139
FAX 970-479-2452
Department of Community Development
********************************************************************************
CONDTTIONSPermir #: D96-0002 as ot ot/io/So starus: rssuED*******************************************i**i*********************************
Pernit.Type: DEMo. or PART/ALL BUDG.Applicant: wEITZ-COHEN CbNST., CO
303860 6 600
Job Address:
, Locat,ion: GOLDEN PEAK BASEParcel No: 2101-081-09-004
Applied: 03/t4/re96Issued: 03/2O/t996To Expirez 09/I6/L996
Description:
DEI.{O/EXCAVAT rON/SHOR rNG/WATER WELLS
Conditions:1. FIELD INSPECTIONS ARE REQUIRED TO CHECK FOR CODE COMPLIANCE.2. SOILS AND ENGINEERING REPORTS REQUIRED
1. 13!IOVl!/rUAr,rC WAY PERMIT IS FOR INITAT STAGES OF DEMO4. ONLY. APPLICANT MUST REAPPLY FOR A SECOND PUB WAY PERMIT5. BEFORE REROUTING VAIL VALLEY DRIVE.
{s rtn"uoru*
ft*. +'Wr*4i;igffi"*n PERI"IIT /I
- A APPLfCATfON }|UST BE FILL,ED OUT COUPL,ETELY OR IT ltlAy NOT BE AcCEpTED
x***************************** t EIl!{If TNFORMATJON ***************** ********* ***,l [ ]-Building [ ]-plurobing I J-Electricar I J-I"echanibal [ ]-other
Job Name:
Legal Description: Lot
Ortners Name:Address:pn*7/-3/qz
Architect:Address:pn.lZa'qqz:
ceneral Description:cnu4floN.,/g fa346/UAXutezz3
gI{ork Class: I J-New [ ]-Atteration [ ]-Additlonat [ ]-Repatr Kl-other
Nunber of Dntelllng units:
-
Nuuber of Accomnodation units:
^ ltrpnber and Tlpe of Fireplaces: Gas Appliances_ Gas Logs_ wood/pellet_v^lr********************************* vALUATToNs ***** ******** ********************
i1t*:yl | /, i - ELEcTRTCAL: $_ orHER:PLUMBfNG: lr ' IECHANTCAT.: i- .n^mr?.
Electrical Contractor:Address:Town of Vail
Phone Number:
Town of Vail
Phone Number:
Town of VailPhone Nunber:
Reg. NO.
Reg. No.
Reg. NO.
orFrcE usE ** * ** ******** *********** *******
BUU,DTNG PIAN CHECK FEE:
PLT'I'IBING PIAN cHEcK FEE3MECHANICAL PIAN CITECK FEE:
RECREATION FEE:
CI,EAN-UP DEPOSIT:
l io€.7a
.llunbing Contractor:Address:
Mechanical Contractor:
Address:
w.ffiil;H;:...U;;:hEoR
PLI'}IBING PERUIT FEE:
MECHANTCAL PER}'TT FEE:
ELECTRTCAII FBE:
OTHER TYPE OF EEE:Dl8 FgE: wrtL a-OQ ToTAL PERITlIT,prnfl:
BUTLDING: t /? d
STGNATURE:
ZONING:
SIGNATTIRE:
CI.EAT I'P I'EPOSII XEEI'f,D TO:
a ,ao
NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES
DEMO. OF PART/ALL BUDG.Pernit #: D96-0002
DEMO/EXCAVATTON/SHORTNG/WATER WELLS
Occupancy: 82 B2Type Construction:
Type Occupancy:
Valuation: 1r 146,000
Fincptace Inforntion: Rcstrictcd:#of Gas Apptiancrs:
ffi***f*********r*ffir** FEE SUti {ARy
Bui Ldingr----)
P[an Check--->
Invcst igation>
l,i l,L cal.t---->
*rr*rffit******rrtttffi
See Page 2 of this Document for any conditions that may apply to this permit.
DECLARATIONS
I_hereby acknor,tcdge that I have read.this application/ f i l.l,ed out in ful,l, the informltion requi red, conpteted an accunate ptotptan, and statc that atl thc inforFtion provided as required is correct. I agree to corp Ly ],ith tire information and pLot ptan,to compty with al't Toun ordinances and stat. tavs, and io buiLd this structufe according io thc toun,s zoning and subdivisibncodes, design rrvicH appPovcd, Uniforn Buil,ding Code and other ordinances of the Town appl,i cabte thereto.
Department of Community Development
Status...: APPROVEDApplied..: 03/L4/Les6Is6ued...: 03/20/1996Expires..: 09/L6/t996
Phone: 3038606600
802 03
Phone: 3038606600
802 03
Additional, Fees--------> .00
Total Prrmit Fee--------> 8,886.70
Paymcnts-------
BALAilCE OUE----
WEITZ-COHEN CONST., CO89 LOGAN STREET, SUITE 600,
WEITZ-COHEN CONST., CO89 LOGAN STREET, SUITE 600,VAIL CORPORATION THE
PO BOX 7, VAIL CO 81658
4,778.W R.stuarant Plan Revi e!r-->3,105.70 DRB Fee-------.00 Rccrcation Fee---------->5.00 Clcan-Up Dcposi t------->
TOTAL FEES-----
Add Sq Ft:
#Of Grs Logs:fOf .$ood/Pat Lct:
*ffitr**R*t**t*ffi
.00 Totrl Catcutated Fecs---> a,W.7O
75 South Frontage Road
Yail, Colorado 81657
970-479-213V479-2139
FAX 970-479-2452
APPLICANT
CONTRACTOR
OT,VNER
Description:
Job Addrese: 458 VAIL VALLEY DRLocation...: GOLDEN PEAK BASEParcel No.. : 2101-081-09-004Project No. : PRJ96-0006
co
co
DENVER
DENVER
.m
.00
1,000.00
8,886.70
I!e.4i .q9lq0 BUTLDTNG DEPARTMENT Depr: BUTLDTNG Division:Q3/.14/.L996 DAN Acrion: NOTE CHUCK-PLANS EXAM]NERO3'/14'/L996 CHUCK Action: ApFnI!bTi,,g54QO PLANNING DEPARTMENT DepI: PLANNING Diviaion:0311411996 DAN Action: NOfn JIM-PLANNER-- -
03'/20'/.1996 CHUCK Action: APPRQ3'/.297.1996 CHUCK Action: CANC OK pER JrM c.03'/20'/1996 CHUCK Action: AppR OK DER JiM a.Ite,Bi',g50qo FIRE DEPARTYENT Dept: FrRE Divieion:Q3/.14/.1996 DAN Action: NoTE MrKE oR JEFF'9?'/15'/I9_9_q JEFF A Action: ApFR Appiovea-5v-tire depr. pI!e4;"955q0 puBErc WORKS Dep€l pus-wonR Division:0311411996 DAN Action: NOTE TERRY --F-- -
93'/L97I99-6_TERRI M Action: AppR AppROvED By pUB WORKSI!e,{r;',gq?qo_E}IVIRoNMENTAL HEALTH -- -Debi: lie[LiH Division:Q3/.L4/.1996 DF$t Action: NOTE RUssO3'/2O'/1996 CHUCK Action: APPR
6ETTLAES20DLrQUoR Acrion: AppR N/A Dept: CLERK Division:
{P *"n'""o 'u'*
BE IIADE IUENTY-FOUR IOURS IN AOVANCE BY TELEPHONE AI 47941'8 OR AT OUR OFFICE FRONI 8:M AT 5:M Pilrdauesrs
Send c SIGNATURE OF Ot.ll{ER OR CONTRACTOR FOR HIIISELI AND OI{NER
TOWN OF VAIT
75 South Frontage Road
Vail. Colorado 81657
970-479-213V479-2139
FAX 970-479-2452
Department of Community Devebpment
********************************************************************************
********************************************************************************Permit *: D96-0002
Job Address:Location:Parcel No:
Descript.ion:
CONDITIONSas of 03/20/96 SIaTus: APPROVED
Pernit Type: DEMO. OF PART/ALL BUDG.Applicant: WEITZ-COHEN CONST., CO
3038606600
GOLDEN PEAK BASE
2101-0 81-0 9 -0 0 4
DEMO/EXCAVATTON/S!{ORrNG/WATER WELLS
Condi-tions:1. FIELD INSPECTIONS ARE REQUIRED TO CHECK FOR CODE COMPLTANCE.2. SOILS AND ENGINEERING REPORTS REQUIRED3. APPROVAL/PUBLIC WAy PERMTT rS FOR INITAL STAGES OF DEMO4. ONLY. APPLICANT MUST REAPPLY FOR A SECOND PUB WAY PERMIT5. BEFORE REROUTING VAIL VALLEY DRIVE.
Applied: 03/L4/L996Issued: 03/20/L996To Expirez A9/L6/L996
{g*nnuor*o
o o-
,concacc Eagle county Assessors Office
ri',llo u ? W'gHh ?i Xiil- ::ff Ii"FIl?.PERIIIT #
. DATB: j-//€1
/ APPLICATToN MUST BE PTLLED ouT coMPLETEtY oR IT M.Ay NoT BE AccEpTEDI
r* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * PERMIT TNFoRMATToN * * * * * * * * * * * * * * * * * * * * *:r * * * * * * *I [ ]-Building 6 ;-elunrbing I J-Electrica] [ ]_Mechanibal [ ]_other
tob N^ "r64t,y(ar*i f.a?-- Dap/r{&!{!#"ssz 4f?_W//__/*t<ry 2-,
Legal Description: Lot Block_ Filinq srrRDTvrqTnN.
)tvners Nane: l l 4, Address: ph//zf_J//Z
\rchirecr: {l&C+< -e Address: ph.?76-/(23
ieneral Descripti "n,
rork class: I i-New [ ]-Alteration [ ]-Additional g 1-n"p.ir Kl-other
Iumber of Dwelling Unit,s:Nunber of Acconnodation Units:
;rnber and Type of Fireplaces: Gas Appliances cas Logs_ Wood/pel1et
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * VALUATfONS *!t* ** **** **** * * ******** * *** ******
,
UTLDTNG; $EISCTRTCAL: $OTHER: $LUMBING: $HECHANTCA!: $TOTAI: I
**************************** * * * * * * * * * * * * * * * * * * * * * * * * * * CoNTRACTOR TNFORI,{ATION
;ff;::. contracrorz u,z_rr1_ co,(e,t> gQ(_ O oirlZ Torvn of Vail Reg. NO./7/-1Phone Number: 7d:g@6t
'pr-l-ri nz I
qress:Contractor:
lunbing Contrac-Lor:ldress:
Town of Vail
Phone Nurnber:
Town of Vail
Phone Number:
Town of Vail
Phone Nurnber:
Reg. NO.
Reg. NO.
Reg. NO.
OFFICE USE * * * ** * * rr * * * * * * * * * * ** * * * * * * * * ri **
BUILDfNG PLAN CHECK FEE: .4 lL't.76PLWBING PI.AN CHECK fEE:MECHANICAL PI"AN CHECK FEE:RECREATIoN FtE3
CI.,EAN-UP DEPOSTT:
TOTAL PERMIT FEES:
:chanical . Contracror ;ldress:
)Lt!d,***** ************rr* * ****** FoRt#Drrc PERMIT iEE: 477F.dct;UMBING PERMTT FEE:
'CHANICAL
PERMTT FEE:
.,ECTRICAL FEE:
]HER TYPE OF FEE:ts FEE: t.'tL Co 1Q.n ,c'c)
BUILDING:
STGNATURE:
ZONTNG:
SIGNATTiRT:
GROUP
nments:
VALUATION
,Concacc Eagle County Assessors office
ti',\lo o ?' l*7 2o f- iT, ! z' E -* v'91il":i Xii l, Eiff Iil"FIff *PER}IIT . #
-r--. barz: j-//€6
/ APPLfCATToN MUST BE FfI,I.ED oUT CoMPLETELY OR IT MAY NOT BE ACCEpTEDIr********:i********************* PERMIT INFORMATTON * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
|
*.r a v.rl!l'aJl4 J.\J ---xt-xll
[ ]-Building J ;-rrumbing I J-Etecrricai. I J-Mechanibat [ ]-orher
tob ttu "r T#"r"2 4f?
Legal Description: Lot Block Fitino qTTRD r r/r c rnN .
)wners Nane: (, fu_ Address: pn/aVj/yz-
\rchitect: PtArt; {,f..--' Address: _pn."Zt-fqZj
;eneral Descriptio n2 T\'--K\o r- E*cn u4 noN'1" ('.ra246 //( d|n< udLS:-
a"/ork cLass: I J-New [ ]-Alteration I J-Additional [ ]-Repair Kl-other
lumber of Dwelling Units:Number of Accommodation Units:
;rmber and Type of Fireplaces: Gas Appliances Gas Logs_ Wood/pe1let
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * VALUATIONS * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
)
ELECTRTCAL: $OTHER: $ttlMETrr^. t / tgvrrt r.tt\t. t HECHANICAL: f TOTAI: T
Phone Number:
* * * * * * * * * * * * * * * * * * * * * * * * * * * coNTRAcroR rNFoRMAtroN * * * * * * * :r * * * * * * * * * * * * * * * * * * *eneral contractorz t,.r-rrZ_co4..tt .{)Q(-Obi,7- torn of vail aeg. No./j/_4ddress
lectrical Contractor:
dress r ' ''e'6:
-
::::^t5..:ail- Res' No'
Iunbing Contractor:ldress:Town of Vail Reg. NO.Phone Number:
Town of Vail Reg. NO.Phone Nurnber:
oiilcE usE ** * ***********,************* *** *
BUTLDING PI,AN CHECK FEEz .7 IL,€.7D
PLUMBING PI,AN CHECK fEE:YECHANICAL PI,AN CHECK FEE:
RICREATTON FEE:
CI.EAN-UP DEPOSIT:
IOTAL PERMIT FEES:
:chanical . Contraci,or :ldress:
)t?16** *;* * * *******str*:t******** FORr=LBfN'c ?ERMIT FEE: 477f 6d.,UMBING PERMTT FEE:
JC}IANICAL PERI,IIT FEE:
,ECTRTCAI, FEE:
]HER TYPE OF FEE:
BUTLDTNG:
SIGNATURE:
ZONING:
STGNATUR.E:
Ur91Z /,9t2ry ?-,
VALUATION
o
,Con t ac C Eagle Councy .{ssessors office
ti.,\i' o ? w'39H"?i xiil, ;:ii3i"F3l?*. DATE. j-.//Ec
PER.I.IIT #....-
/ APPLICATToN MUST BE FTILED oUT COMPLETELY oR IT MAy NoT BE AccEpTEDI
f * * * * 'i * * * * * * * * * * * * * * * * * * * * * * * * PERMIT fNrORI'IATION * * * * * * * * * * * * * * * rr * * * * * * * * * * * * *t [ ]-Buil'ding [ ]-plumbing [ ]-Electrical [ ]-Mechanitar [ ]-other
)wnersNarne: /lH,
\rchitect:
ton Nane; 13{"==z 4ff UytZ l.gtz
Legal Description: Lot
,n taTtttffZ< zEA-Sieneral Descripti on, Dz..*u n ny,co rrn n o,u,/ffi.# fuPua /W M
tlork class: I i-New [ ]-Atteration [ ]-Additional [ ]-Repair Kl-other
lumber of DwelLing Units:Nunber of Accomnodation Units:
i:nber and ?ype of Fireplaces: Gas App).iances Gas Logs_ Wood/pellet
* * * * * * * * t * * * * * * * * * * * * * * * * * * * * * * * * VAIUATJONS * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
* * * * * * * * * * * ** * ** * * * * * * * * * * * CoNTRACTOR TNFORMATION ***************************eneral Contractor. p?/rZ_ &).{e^),OO/.- O OLtL
Block filino qrTF,n rvr q r nN .
Address:Ph//77-J4Z
ELECTRICAL: $OTHER:
TOTAT:MECHANTCAT: f
I
UILDTNG: S /, /4/r,lCo -
LUMBTNG . T
ddress:
'.ectrical Contrac.tor:dress:
Lumbing Contractor:ldress:
:chanical . Contractor:ldress:
iv*.****** r * * * * * * * * * * * * * * * * * * * * FOR}*ATJfC PERMIT FEE: 427F. (D
,UMBING PERMIT FEE:
|CIIANICAL PERMIT FEE:
,ECTRTCAL FEE:
]HER TYPE OF FEE:€ EEE': ".,tL CoZQ a , c'c)
Town of Vail Reg. No.1fo1 4Phone Number : VA:_?@--6.-ZT
Town of Vail Reg. NO.Phone Nurnber:
-
Town of Vail Reg. NO.Phone Nurnber:
Town of Vail Reg. NO.Phone Nurnber:
OFFfCE USE * * * * !r * * * * * * * * * * * * * * * * * * * * * * * * * *
BUTLDTNG PT,AN CHECK PEE: .7 JOi,76
PLUMBING PI,AN CHECK fEE:MECHANICAL PI,A}.I CHECK FEE:
RECREATTON FEE:
CLEAN-UP DEPOSIT:
TOTAL PERMIT FEES:
BUTLDTNG:
SIGNATURE:
ZONING:
SIGNATURE:nments:
VALUATION
"t
NUMBER
BLASTING PERMIT
THE FORM BELOW MUST BE FILLED OUT AND RETURNED TO THE
BUILD1NG DEPARTMENT 24 HOURS BEFORE ACTUAL BLASTING TAKES'
PLAoE'AM|N|MUM24HoURSNoT|cESHALLBESTR|CTLYADHERED
ro'eru|NFoRMATIoNMUSTBEF|LLEDoUTCoMPLETELYBYTHE
APPROPRIATE PERSON IN ORDER FOR THE PERMIT TO BE VALID.
INFORMATION TO BE FILLED OUT BY PERMITTEE:
fl
TODAY'S DATE:
BLAST DATE:
TIME OF BLAST:
PERMITTEE NAME:
L!_ lq- f6
INSUFANCE NUMBER AND NAME:
ACTUAL PERSON IN CHARGE OF BLAST:
LOCATION OF BLAST:
JOB NAME:
6+t{
floqd
tr45- Eszo *
a.t l"*rLdd,htlt-'lt - .r
,1. v -"
FIRE DEPARTMENT:
POLICE DEPARTMENT:
PUBLIG WORKS DEPT.:
MOUNTAIN BELL:
PUBLIC SERVICE CO:
HOLY CROSS ELECTRIC:
TCICABLE VISION:
UPPER EAGLE C.W.& S.D:
BUILDING DEPARTMENT
(FTNAL APPROVAL):
/f - rt/2.)
/4/,a,/Q.o:'tc T/a t'*O^tl
bla s a H<c ra"rr 1,.
CONTRACTOR TO PROVIDE ALL TRAFFIC CONTROL AS IS
NECESSITATED AND APPROVED BY THE VAIL POLICE DEPARTMENT.
o ta-r2
STA|E OF COLORADO
DEPARTMENT OF TABOR AND EMPLOYMENT
DIVISION OF LABOR
1515 fuapahoe St. - Tou'er 2, Suite 750 Denva, CO 80203
(303) 572-2ers_
Collins Drilling company
Michael S Collins
0238 Hawk Ln.Basalt, Co 8152t-
I}XIDL()I;IITI]S lDIltSilrI'l
pERMtT# o33l--04s-0627 EXptRAnONDAIE 06/ot/96
SCOPE OF PERMIT
USER
TRANSPORTER
lHrs PEFMr F 6SUEO UNDEF iHE PROV lstcr{S OF TrlLE 9. AHTICI E 7.105. C.R.S. 19E6, AS AMENOEo. fl€ qEBllT ls lssuE9
ro rxe noruouel |DiNTFEo A80vE. rs r,toN.rarnreR^gle rNo sxa! 8E UNDER THE Co}{TRO[ OF rHE PEBM'T I€LDER
AT
^|.I.
TN'ES.
lssuED: 05 / 24 / e5
DIRECTOR
: ---: :- :-- --.-'- -- - -- =- -_:-
IF ANY OF THE INFORMATION ESTABLISHED BY YOUR APPLICATION CHANGES, COMACT THE
DIVISION OF LABOR. YOUR SIGNATURE ON THE PERMIT CARD IS REQUIRED FOR VALIDATION.
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THE scoPE oF THIS PERMIT, WHICH EXPIRES ON I THIS PERMIT HAS BEEN ISSUED BY THE i06/or/e6
USER
IS LIMIIED TO:
EXPLOSIVES
TRANSPORTER
COTORADO DIVISION OF IABORTO:
Permit #: 0331-045-0627
Collins Drilling ComPanYMichael S Collins
0238 Hawk Ln.
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CHECK REQUEST
PREPARED BY:
VENDORNAMil/ ttt ^n /-^, -.--Z. UA -! aU4 o <_c, e-&
VENDORNUMBER:
DESCRIPTIoN oF EXpENSE: CLEAN up DEposrr REFUND FoR Bp t A? 6-oo
NAME OFJOB:&1n
ACCOLINTNUMBER: 0l 0000 22002
AMOUNTOFREFUND:#toeo-oo
DATE APPROVED:
APPROVAL SIGNATURE: