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HomeMy WebLinkAboutTIMBER FALLS CONDOMINIUMS UNIT 1506 (3)TOWN OF VAIL DEPARTMENT OF COMMUNITY DEVELOPMENT 75 S.FRONTAGEROAD VAIL, CO 81657 970479-2138 NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES ADD/ALT MF BLIILD PERMIT Permit #: 805-0333 Job Address.: 4470 TIMBER FALLS CT VAIL Status.....: ISSUED lncation......: TIMBERFALI-S UNIT #1506 Applied...: 1012012005 Parcel No....: 210112308013 Issued...: lll0ll2005 Legal Descriptiont ?RT O s -o\ E1 Expires...: ul30l2w6 Project No...: o$tNER EAsr EAGTJE 1 IJrJc Lo/2o/2oo5 708 BROADWAY KA}ISAS EITY MO 64105 APPLICAI{IT HAIJIJER CONSTf.UCTION IrIJC LO/20/2OO5 Phone: (97O) 471,-9842 PO Box 5095 Avon co 8L620 Lricense:757-B CoN'TRACTOR ITAI,LBR CONSTRUCTTON rJrJC L0/20/2OO5 Phonez (970l- 47L-9942 PO Box 6095 Avon co 81620 Licenge: 75'l-B Desciption: TIMBERFALI.S #1506-BATHROOM REMODEL Occupancy: Rl Multi-Family Tlpe Corutuction: V A Type Occupancy: ?2 Valuation: $200.00 Add Sq Ft: 0 Fir€plac€ Information: Rcstrictd: Y # of Gas Apliances: 0 # of Gas Logs: 0 #.of wood Pe[et: 0:l|l$t|.**.|*tl**|t||,t||||.|t|||||||ilt3|**|'**|i++|'+**||||l|t||i.t*+FEEstJMMARY.{t**l*'.'.t*****i* So . 0o Total Calculaled Fecs- > S65 .28Building---> S23.50 Rcstuarant Plan Review- > PlanCheck--> $15.28 DRB Fee- - - -> Investigarior'> 923 .50 Reqeation Foe------ > WillCall--->$3 .00 Clean up Deposit----> TOTAL FEES--------- > S0.00 AdditionalFees----->$0. oo so. oo Totat Permit F€e----- > $65 ' 28 90. 00 $0. 0o$65.28 BALANCE DUE------- > Approvals: Item: 05100 BUIIJDING DEPARII{ENT 10/3112005 ,JRI'{ Action: AP Item: 05400 PLANNING DEPARII{ENf ITEM: O55OO FIRE DEPARII{BST to/26/2o05 mcgee Action: AP Item: 05500 PITBIJIC V|ORKS |**l.'}.**+i,l*|||a|t|||itt+l*||i|*|tt||*.|l.|ttil|lt+l+|tt*+|**|.|l|tl See page 2 of this Document for any conditions that may apply to this permit. DECLARATIONS I hereby acknowledge that I have read this application, filled out in full ttte information required, complercd an accurate plot plan, and staE ftat all the information as required is conect- I agre€ to corryly with the information and plot plan, to comply with alt Town orrdinances ard surc laws; ard to build this according to the towns zoning and subdivision codes, design otlrer ordimrrccs of the Town applicable tbereto.review approved, International Buildi4g and Residential REQTJESTS F1OR INSPEETION SHALL BE MADE TWENTY-FOUR IIOT.IRS PM. BY TELEPHONE AT 479-2149 OR AT OI,R OFFICE FROM 8:00 AM - 4 OF OWNER OR CONTRACTOR FOR HIMSELF AND OWNEI PACE 2 '}:*,}:|.'}**l.*:*{t:*,}'|.'}!t+,t***'|.l.,}'t**!t{.:t*,t!t:t*'***+,**:t.*!t'}'**!*|**:t.1.*{.*,i*!t*****{.******* CONDITIONS OF APPROVAL Permit #: 805-0333 as of 1l{l-2fi)5 Status: ISSUED *******************{.tt******'}*,}***'1.*X.************'*******,t{.!i*************************rl***'r*,r*****,r******** Permit Type: ADD/ALT MF BIJILD PERMIT Applicant: HALLERCONSTRUCTION LLC (970)47r-98A Job Address: 4470 TIMBER FALIS CT VAIL Location: TIMBERFALI-S LJNIT #1506 Parcel No: 2lOll23OWl3 Description: TIMBERFALTS # IsO6-BATTIROOM REMODEL Conditions: Cond: 12 (BLDG.): FIELD INSPECTIONS ARE REQLIIRED TO CHECK FOR CODE COMPLIANCE. Cond: 14 (BLDG.): ALL PENETRATIONS IN WALI-S, CEILINGS, AND FLOORS To BE SEALED WITH AN APPROVED FIRE MATERIAL. Cond: 1 (FIRE): FIRE DEPARTMENT APPROVAL IS REQI.JIRED BEFORE ANY WORK CAN BE STARTED. Cord:4O (BLDG): (MFR/COMM) FIRE ALARM REQIIRED PER NFPA 72. Applied: I0l20l2W5 Issued: l1.l0ll2005 To Expire: Ml30l2W6 '*+'t******f*a!{"t**l'*f***l**+'}{'***ftfffi***'}***'t't{'{"1******'}*l+****+*+++****t*****+**++++**+**** TOWNOFVAIL, COLORADO Statement f+*'l+*'t*********{.+|'*l'****'t*r***+***'*t!t't**'}************t*********+l**************{.*+++***+*** Statement Number: R050001841 Arnount: 955.28 LL/OL/200508:59 AM Palment Method: Check Init: DDG Notation: HaLLer 2234 Permi t No: Parcel No: Site Addresg : Location: This Payment: BP 00100003111100 PF 00100003112300 PN 00100003153000 r{c 00100003112800 B05-0333 2101- 123 - 08 01- 3 4470 TIMBER FAIJIJS CT VAII' TIMBERFALIJS UNIT #1505 $6s.28 Description TIT)e: ADD/ALT MF BUIL,D PERMIT Total Fees: Total AL,L Pmts : Balance : $55 .28 $5s.28 $0.00+++++*+***f*!t*++*t**+**+t++**'|!t'|'l{.tt+*{'*'t***********l'****+'t*t*****i*++ff*'1.:}**f***f*f,+**+***+ ACCOTJNT ITEM LIST: Account Code CuEent Pmts BUII.,DING PERMIT FEES PIJAII CHECK FEES IM/ESTIGATION FEE (BLDG) WILI, C3I,I, INSPE TTON FEE 23.50 L5 .28 23 .50 3.00 ll APPLICATION WILL NOT BE ACCEPTED IF INCOMPLETE OR U Proiect #: -avffi NVTIOFYAIL 75 S. Frontage Rd. Vail, Colorado 81657 80r'633t OF L BUILDIN PLICATION Separate Permits are required for plumbing, mechanical, etc.t CONTRACTOR INFORMATION 1 !neral Contractor: - '1o ll an A,t iruc\a4 '"*"iirsrts Contact and Phone #'s:'Lt/t - 1 9+z_ Email addresst rWlto- d VQ,r,t. /Cl conrractorsisnature, l/lX COMPLETE VALUATIO-NSIOR BUILDING PERMIT (Labor & Materials) Contact Assessors Office at 970-328-8640 or visit EdtH€ttr 2to\tZ.J O &Utj Job Name: ?-r t /'"""'""i7ob TilhrL//5 t'&)$IjuTat"4,tt cl. (/r,{, & osv Legal Description ll Lok ll Btock: ll riling:Subdivision: 9w1ers*" tt1ot lrn\t,x llAddress:?d6 $raa,-,.rr^-,lv //o /a,t9llF,\"t:'hr -(oto ArchitecUDesigner:Address: /Phone: Engineer:Address:Phone: Detailed description of work: Wln)'g 4**vr uJC(f (t"Ja e^ [o.4rlo-. .,/. \ WorkClass: New() Addition( ) Remodel(),/Repan() Demo( ) Other( ) Work Type: lnterior !4 Exterior ( ) Both ( )Does an EHU exist at this location: Yes ( ) No ( ) Type of Bldg.: Singfe-bmily ( ) Two-family ( ) Mul!-tamily f.fiommerdal ( ) Restaurant ( ) O0rer ( ) No. of Existing Dwelling Units in this building: b No. of Accommodation Units in this building: No/Type of Fireplaces Existinq: Gas Apoliances ( ) Gas Loos ( ) Wood/Pellet ( ) Wood BurningL-f Noffype of Fireplaces Proposed: Gas Aopliances ( ) Gas Loqs ( ) Wood/Pellet ( ) Wood Burning (NOT ALLOWED) - Does a Fire Alarm Exist: Yes ( ) No (Does a Fire Sprinkler System Exist Yes ( ) No 621 For Parcel # ffiFOROFFICEUSEONLYffi iy' Documene ?cS' 6tq?-o 05/2012005 €{n"u ll ,*ffi Department of Community Development Project Name: Prcject Address: This Chsklist must E ampletd before a Building Permit aooliation is arcofud, All pages of applicauon is complete Has DRB approval obbined (if required) Provide a copy of approval form Condominium Association letter of approval attadred if project is a MulU-Famity comple"r Plan Check Fee required at submittal for projects valued over $100,000.00 (See attached Construdion Fee Schedule for calculations) Complete site plan submitted Public Way Permit application included if applicable (refer to Public Works checklisi) Staging plan included (refer to Public Works checklist) l{o dumoster,oarkinq or material storaqe allowed on roadwavs and shoulderc without written aooroval Asbestos test and results submitted if demolition is ocorrring Architect stamp and signature (All Commercial and Multi family) Full floor plans including building sections and elevaUons(3 sets of plans for remodeiladditions, 4 sets of plans for nevrr SFR and Duplo<, 5 seE of plans for MultFFamily and Commercial Buildings) Window and door schedule Full structural plans, including design criteria (i.e.loads) Structunl Engineer stamp and signature on structural plans (All Commerdal and Multi Family) Soils Report must be submitted prior b footing inspection Fire resistive assemblies specified and penetrations indicated Smoke detectors shown on plans o o o tr o o o o o o a o o o EI o o Types and quantity of firgplaces shown I have read and unde Applican(s Signature: Dab of submittal: DocumenE Received By: 05/202005 tl MVNOF BUITDING PERMIT ISSUANCE TIME FRAME If this permit requires a Town of Vail Fire Depaftment Approval, Enginee/s (Public Works) review and approval, a Planning Depaftment review or Healh Department review, and a review by the BuildingrDepartnent the estimated Ume for a total rervlew may take up to six (6) weeks. All commercial (large or small) and all multi-family permits will have to follow the above mentioned maximum requirements. Residential and small projects should take a lesser amount of time. However, if residential or smaller projecB impact the various above mentioned departments with regard to necessary review, these proJects may take up to six (6) weeks to review and approve. Every attempt will be made by this deparbnent to expedite this permlt as soon as possible. I, the undersigned, understand the plan check procedure and time frame. I also understand that if the permit ls not picked up by the expiration date, that I must still pay the plan check fee and that if I fail to do so it may affect future perm'tts that I apply for. Agreed to by: Print name Project Name: Date: DocumenE Signature 05t20t2005 LglLgl2OgS 09:08 8164?40518 IRAEI.I G}'ETI-TIIC Tirnber Falls Condominirur, Sbdh PbrG Ociobcr 1t,2005 To: City of Vtil, Colondo Frorn: BoedofDitccton Timber Fdls Condominium" Si:ah Phasc Subjoot Unit 1506 Plcasc be advisod wc arr awrt of the rchdflitlion of uit 1506 imlrding tbc mving of a htrroom wdl rix inchcr into thc m.!trr bcdroom clora of thlr unit, Wc rpporc thc rnoviry of this rnll e *cll as Op nrmrining nhabilinion' BordofDirccton ThonrrtI. Tnbon Boad Mcmbcr sod Trc€rct PAGE g2 Qequested InspcctDate: Wednescay, Decenber07, 2005- !ns:e:tl:n Area: SH sii* Adrlress: 447C TIMBER FALLS CT VAIL TIMBERFALI-S I-INIT f1 506 A/P/D lntormaflon licth'ltr: E0€-0150 Tvoe: E-ELEC SubTvpe: A!'lF Status: ISSUED Const Type: Occupahty: O'se: InspArea: SH O,7ri€r: EAST EAGLE 1 LLC Appllcan!: A-PHASEELECTRIC,LLC Phcne: 97C'845-0188 Cohbactor: A-PFIASEELECTRIC; LLc Phane: 970-84$0188 Descrlptlon: TMBERFALLS tISCIOBAT}|ROOM REMODEL-ADD LISHT]NG lN KITCHEN AND B.ATHROOMS AND' PO"JIJER FCR STEAtvl SHOUJER AIJD JETTUE Redueste J lnsoectlcn(s) Itern: 130 ELEC-Flnaf Inspection Request Tlm€ Exp: Reouested Tlme: 09:30 AM' Phc,ne: 3C4-0533 EnteredE;: DGOLDEN K Reqirestor: Comments: Assigncd.To: ACUON: lnspectlcn tllstrrv ?tem: Item: A.PHASE ELECTRIC, LLC lYlll coll 904'C593, unit 159€ SFIAHN fur'*',s-v; t\t-[rlur 1?C Item: 130 Item: 1zl0 Item: 190 ELEC-Temp. PovrerELEC-Rouoh " Aooioved " 11.C205 lnsD€ctor: shahh' Actlon: Pl PARTIAL lt:9PECTlCli COIIdNENL INSFES]ED WALLS ONLY TOALLOW G.C.TIME TO RRE RA;E RECESED CANS PER CHARLIE DAVIS 11?2./05 Insp€ctor: Ee Actlon: APAPPFCVED Comment ELEC-Condult ELEC-Mlsc. ELEC-Flnal REPT131 Run Id: 3997 TOWNOp',V^Ur 75 S. FRONTAGEROAD VAIL, CO 81657 970-479-2138 OWNER EAST E,AGI.,E 1 I,IJC 708 BROADWAY KA}TSAS CITY MO 54105 APPLICAIIT A-PIIASE EIJECTRTC, LLC PO BOX 1564 AVON co 81.620 L,icense:313-E coNrR.AcToR A-PHASE ETJECTRTC, IJrrC PO BOX 1554 AVON co 8L620 Licenge:313-E Job Address: lt470 TIMBER FALLS CT VAIL Location.....: TIMBERFALIS LINIT#1506 ParselNo...: 210112308013 Project No : ?R.SOS:-O..{ 8c{ Status. Applied Issued Expires to/2L/zoos Lo/2!/20Os Phone: 970-845-01-88 LO/2L/2005 Phone: 970-845-0L88 DEPARTMENT OF COMMUNITY DEVELOPMENT NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES ELECTRICAL PERMIT PCrMit #: EO5-0260 3S OS:S3 ISSUED r0t2t/2w5 ru0!2005 04t30t20M Desciption: TMBERFALLS # 1506-BATIIROOM REMODELADD LIGHTING IN KITCHEN AND BATHROOMS AND POWER FOR STEAM SHOWER AND JET TUB Valuation:$0.00 Square feet:1000 ***||*|*|{:l|{||lt*ii{*t*'tt*i**|.t'*r|*lt.t****t*t**{t|.*:|i|*****|.*'*'|FEEstJMMARY'}|**'t+*****|*1** Elccnicsl----- > DRB Fce--> Invcstigation-- > \l/i|l Ca -> TOTAL FEES-> $51 . ?s $0.00 $0.00 s3.00 s54. ?5 $54 . ?s $0. 00 s54 . ?5 s54.7s $0.00 Total Calculated Fees-- > Additioml Fees----- > Total Pemit Fee---- > Psyrnnts-------- > BAI.ANCE DIJE-_--> Approvals: Iten: 05000 EITECTRICAI DEPARIIIEIIT LL/OL/2OO5 SHATTN Action: AP ItENr: 05600 FIRE DEPARTMETiIT *r*t{*ta.titllllll CONDITIONS OF APPROVAL Cond: 1-2 (BL,DG.): FIELD IIISPECTIONS ARE REQIIIRED TO CIIECK FOR CODE COMPIJIAT.ICE. Cond: CON0007595 MAIMTAIN 1 HOI'R FIRE R,ATING F'OR FIXTTJRES A}ID PENETRJATIONS. t**t+tt*ttrtl.{r**t**l*t{*llt**tt*rr DECLARATIONS 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 with the information and plot plan, to compty with all Town ordinances and state laws, and to build this struchre review approved, International Building and Residential Codes and to tlrc towns zoning and suMivision codes, design of the Town applicable thereto. REQT'ESTS FOR INSPECTION SHALL BE MADE Tq/ENTY-FOUR HOI'RS IN ADV AT 479-2149 OR AT OUR OFFICE FROM 8:00 AM - 4 'l'l*ff++*+***tt***ffff++**+**l***t**ffat+tftl**ttl*ttll*+aalatl*{'*{'{'{'l'*++++*++++********{'*'}** TOWNOFVAIL. COTORADO Statement Staternent Nurnber: Palment MeChod: R050001842 AnorDtr $54.75 Check tt/07/2ooso9:03 AInit: DDG Notatsion: HalLer 223 5 Permit. No: Parcel No: SiEe Addrees: Location: Ihie Payment: EP 0 0100003111100 wc 00100003112800 805 - 0250 2101- 123 - 0801- 3 44?O TIMBER FAIJIJS CT VATL TIMBERFALI.S T]NIT #1506 $s4 .7s T)4)e3 ELECTRICAL PERMIT Total FeeE: Total ALIr Pmts ! Balance: $s4.7s $s4.7s 90.00!t'i*'t:*'l***lr***+*****ff*f*+***flll**'}t**'t'i******'t'l!t'|*1*ll*l**+ll************'|!**'i****+********* ACCOUNT ITEM LIST: Account Code Deecriptsion Current Pmt6 EIJECTRTCAIJ PERMIT FEES WIIJIJ CAIJIT INSPECTION FEE 51.75 3 .00 01.!..11:. 20053.,9: 1 6,A}lr-pnSesall _Egi,l!l DEvEr0prEr{T *0'rr.r?nulo'.b.19.?',oz P : .1,r 75 9. tr'ronu3c Rd. ValL coloff'o f1657 *+rrr*.t****rr r* t ftt r* r*r*************FOR OFFIC! USE ONLYr*r**t*i****+r**lr*+***|t******'rr*** ** -\ i,)s\il2 cotiITR croR lt|FmilAtroil coHpt"ETE se. FElr FoR NEW gurLDs rnd uALUATtoI{s FoR AtL OTHERII (tator t Hrtrhb) ELECTRICAL VAUJATION: fAMOUT{T OF SQ FT IN STRUCTURP: on-ftUWe*t-S @E,nrnlg rct la_ffc*a\'t ggqeaqs AnRtttuW t$ork Ctrso: ti€w ( ) AddiUon ( )ffiuon: Ycs( I No( )E:<terior( ) Eo!1( ) ) R'rbuErG( ) Omer( ) -A il61-of Ro.'tndatnn thits in thb building: l,to. of Etlsul€ hmdling Unts h this bulld'utgr \wdltdms{cl^FoR}t t\pEnuml\ELEc?ERMD'OC TOWN OF VAIL 75 S.FRONTAGEROAD VAIL, CO 81657 970-479-2138 Job Address: Location.....: Parcel No. . .: hoject No : PLUMBING PERMIT 4470 TIMBER FALLS CT VAIL TIMBER FALLS UNIT 1506 2l0r 12308013 \$A DEPARTMENT OF COMMI.JNITY DEVELOPMENT NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES OM{ER EAST EAGI,E 1 I.,LC 708 BROADWAY KANSAS CITY MO 64105 APPI.ICAIiIT i' G PI,UMBING & HEATING PO BOX 245 RED CIJIFF co 81549 L,icense: 837-B CONIRACTOR ,J G PIJI'MBING & HEATING PO BOX 245 RED CIJIFF co 81549 L,icenge: 837-B Fteplace Infonmtion: Restricted; ?? Permit #: Status...: Applied . . : Issued . . : Expires . .: to/L4/2oos 1,O/L4/2005 Phone: 970-390-9438 Lo/L4/20os Phone: 970-390-9438 # of Gas Appliances: ??# of Gas Itgs: 't2 # of Wood Pallet: ?? FEE SUMMARY $0 - 00 Tolal Calculated Fees--> S0. 00 Additional Fees------> $70.50 Total Pemit Fee-----> PaYmens---------- > BALANCE DUE--------- > P05-0r42 ISSUED t0n4t2w5 t0/r4/2w5 Mn2t2w Desciption: CHANGE TUB TO SHOWER ANS SHOWER TO TLIB; CHANGE FAUCETS AND GAS LINE TO RANGE Valuation: $1.200.00 Plumbing--- > Plan Check--- > Investigation- > Will Call--- > S3 0. 00 Reshrarant Plan Review- > 57. s0 DRB Fee------------ > s3 0 . 00 ToTAL FEES--------> $3 .00 $70. s0 90. 00 970. 50 $?0. 50 $0 .00 Item: 05100 BUILDING DEPARTMEIII LO/I4/20O5 JS Action: AP ItEM: O55OO FIRE DEPARII{ENT CONDITION OF APPROVAL Cond: 12 .!?-P-',n;1";--llI*.,H*$",t*qT."t-?$--*L.*PJIY.3,.ff,*:.T,i5J.91..9,o3,T*.:.?yi*1H93;*..'...,-:r****:r*,.:r:i'.'!r*{.,r*,r',.ir:}+* DECLARATIONS 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 towns zoning and suMivision codes, desigt review approved, International Building and Residential Codes and other ordinances ofthe Town applicable thereto. REQUESTS FOR INSPECTION SHALL BE MADE TWENTY-FOUR HOIjRS IN ADVANCE PM. 49 OR AT OIJR OFFICE FROM 8:0 AM - 4 r**ff********l***a****+*+*+{'****+*f*f******+****t**l****++*****+{'+**{'*+*++++*++***++**+***** TOWNOFVAIL, COIORADO Statement******* * * + +*** t t | ++****+*** *tl ++** * * *****+*t*+*++f++f**++++*t++++++*+t** * * * * + l' * * l' * ** * + + {' + +++ $?0. s0 to/LL/2oosL2:L2 Prtl INiU: DDGNotation: iIG Eeating Statement Nr:mber: R050001718 Anrount I Payment, Method: Check 118 3 Permit No: Parcel No: Site Addresa : Location: Thie Payment: PF 00100003112300 PN 0 010 0 0 03153 000 PP 00100003111100 wc 00100003112800 P05 -0142 TlPe: PL,t MBING PERI4IT 2101- 123 - 0801-3 4470 TIMBER FA],IJS CT VAII' TIMBER FAIIJS UNIT 1506 $70. s0 DescriDtion ToEaI Fees: Total ALL Pnte : Balance: $70. s0 $70. s0 $0.00t+t+++++{"}***+tttt+ttl"}**'ttt***lltt++f+++fftf*ta*'lt+++****+**ff****'}'}*{.+****+******t*i*++*+'lr ACCOUNT ITEM LIST: Account eode Current Pmta PIrAtiI CHECK FEES IIiVESTIGATIOIC FBE (BI,DG) PLT'UBING PERMIT FEES WILI, CAI,I, TNSPB TION FEE 7.50 30.00 30.00 3.00 APPUCATION WILL NOT BE ACCEPTED IF INCOMPTETE OR UNSIGNED Prcject #:SPoso t9l wtfNuF rruv 75 S. Frontage Rd. Vail, Colorado 81657 Building Permit #:_e;i;;iil p*'ii*BffilY? 97 0-479-2149 (Inspections) CONTRACTOR IN FORMATION COMPLETE VALUATION FOR PLUMBING PERMIT (Labor & Materials) Plumbing Contractor:Contact and Phone #'s:o q/ssTown of Vail Reg, No.: E-Mail Address: PLUMBING: $ ca /( Assssorc Office at 970-328-8640 or visit Parcel # Job Name:< r/tqto€R Job Address: /.fO6 Detailed description of work:Tl, lo S,/tte 4 -ilutg E nL ( WorkClass: New( ) Addition( ) Alterationpfl Repair( ) Other( ) Type of Bldg.: Single-family ( ) Duplex ( ) MultFfamily ffi Commercial ( ) Restaurant ( ) Other ( ) No. of Accommodation Units in this building:No. of Existing Dwelling Units in this building: 7 Is this a conversion from a wood burning fireplace to an EPA Phase II device? Yes ( ) No C ***** ** *********** ** **** ****** ** ******* FOR OFFICE USE ONLY************************************* t' 1o RE0D ocT 13 2005 \WAil\dAI8\CdEYUORMS\PE RMTTS\PLMBPERM.DOC 07n6t2N2