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Subdivision Addressing - 233594 - 1581 N PALAESTRA AVE - 12/18/2023 City BuildingPermit New Hone- Single Family Residential Permit#: 233594 Fees: Property Owner VILNIUS HOMES LLC Building New Home Plan Review Deposit$200.00 Owner Address P&Z Review Fee-Residential $50.00 Owner City State Zip Building ACHD Fee $3,493.00 Issue Date 12/18/2023 Building JR'CC-Residential $50.00 Foundation Only Issue Date Building Impact Fee-Fire $2,111.00 Builder Name VILNIUS HOMES LLC Building Impact Fee-Police $111.00 Builder Address Building Park Development Impact Fee $2,080.00 Builder City State Zip Nampa ID 83686 Building Pathway Development Impact $330.50 Builder Telephone (208)509-6269 fee Building Permit Fee $3,833.46 Builder Registration# Building Residential Plan Review Fee $1,141.71 Subdivision SNOQUALMIE RIVER SUB NO 04 Total Fees $13,400.67 Less Deposit $ Lot 06 Block 04 Less Foundation Only $ ...._..Property Address 1581 N PALAESTRA AVE Balance Due $0.00 Type Deposit Receipt# 29.000919 Issue Receipt# 13.001647 [Living [Basement Sq Ft LivingArea S Ft Bmnt Square S Ft Gr 758 Square q q q g Feet] Feet] [Porch Sq Ft Porch Square Value of Improvement $626254 Feet] Eagle Water COE EM2 Fee Eagle Sewer 2300276 Development [Eagle ACHD ACHD Certificate# Development/Impact] [ Notes: New Home Ff Contractor's Printed NamMO+. 'K'e ' Contractor's Signature City Clerk/Authorized Personnel To schedule inspections. Please go to portal.iworq.net/Eagle/permits/600 Said structure and/or use to conform to specifications and plans submitted and must be in full compliance with ordinances of the City of eagle subject to inspection permits and fees as required. City of Eagle Water Permit New Ho, e- gle F ' .siden 660 E. Civic Lane, Eagle, ID 836.6 Contractor's Portal: s . jt ;:11 ( Permit#: 233596 Fees: Property Owner VILNIUS HOMES LLC Water-3/4 $1,115.00 Owner Address Total Fees $1,115.00 Owner City State Zip Less Deposit Issue Date 12/18/2023 Builder Name VILNIUS HOMES LLC Balance Due $0.00 Builder Address Builder City State Zip Nampa ID 83686 Builder Telephone (208)509-6269 Builder Registration# Subdivision SNOQUALMIE RIVER SUB NO 04 Lot 06 Block 04 Property Address 1581 N PALAESTRA AVE Type Deposit Receipt# 29.000919 Issue Receipt# 13.001647 Notes: New Home phP Contractor's Printed Name : „i Contractor's Signature City Oerk/Authon7ei Personnel „,. C4144444P 4. 0 I I 4 Ile pp op op I m I 41 44 4 4(1 Ih Ph I I h 11111I ii Iv111111 1111 1111I II1111111111111111 10 Ida 11400 4111/141.1 rhhp rhor Phil& VI.‘41011141‘ mst 111 Utters oo°Ili 11111 1111 0000l000lo'oo' 11 00 00 ,,!!mit 00 hiludl hi oh h S 11111 k 101 100 110 " 1111 I • I t4 N Pa!,r,e (208)0.5.9 0137 f703)339 946 2300276 eit o ate: 12/1 */2023 .ler a e: ILI'S E jIHier ull er s: 11700 C OSS SLOPL AY Ci te, 'A, P , ID 83. al 6 • er a e: LEGCY loc y e: 6,4, esiden al eH Ice ss: 1581 I ST' 4. AVE onne s: 1 a e tI C r: 20.6 Total o nt: h 5510.00 SW Authorized sersonnel: Date: •eExpires 6 mo s from date of issue kt 4., ion to krtip to t .r 'et;in - inc 4 4-d °underlies;on real properly IL! 015, 1AJLk :',-- ,,,,,,,1 ',',.„, ",-: 3 11 0 RESIDENTIAL BUILDING PERMIT itk PLICAT1(pN 660 E. Civic Lane, Eage, Idaho 83616 Phone: (20 8)4 8 9-876 0 viv v,"r,,,,iv c; t',,,t i 04), , -) ,---, 00 , BLDG PERMIT NO: 11,............... NEW RESIDENTIAL SUBMITTAL DEPOSIT $250 / SMALL PROJECTS $50 PPUCANT INF *I, "'TON • . „I HOMEOWNER INFORMATION Contractor Co. Name 1' ' 1-, c 1 Homeowner Name I \ Company Address , , '1'1 (I', v\i - ' ' , '',.1tr',.,.,11:,.4.:.,'_NC,,,,,/ Owner Address - - - ,,,,_- ,, ,$-,,,,-. -',,-,,,,,, T,i''''i'''' ''';', .. .4 ,' ' ,; '' t', :, ' City,State,Zip Code City, State,Zip Code ",1:- NI. , .,- ' ' -r Contact Name ,,,,-, ,, m ' 1 . '" j ( Scope of work: ,'' ''',.(:,,,,‘, RCE License# .. .' .,, . License Exp. Date Contractor Phone# - r,-7,:% ' - ,: --i ','.„,..p-s,!, - 00 Contractor Email : (REQUIRED) 00 0, 40,,1,., ..4-,''''''::2.. r,1,,,,:„4,, h '1 e:,),rrl ..... _ lo 0 IINTYPE i F'PEW,' •" -* 1 il New El Addition El Remodel E..] Other: 1111"1111111PEfti1rt ACIIVITY1 ciHome E] Garage El Shed E:1 Pool El Patio El Other: 01 PeRIVOT A BORESS 1?:,' ---' t.,1 g."'-'I - '9,' - -I* rt> It:r),' 11 '''r\b, '.:-'2-7 . #,"-, ' ..., .:*,,, '::,", (,' is, : ".\'4, ../1. '1, "'''' t',, s.s ',r; ,1,2..... I SUI3 I'18,161"1 SIII L t: - ' ,k, le 0 Q t 'iv P' 0 In111111111111. ,,,, y PROJECTS PROPERTY INFOROAA ON Sq. Ft. Living Area 1 i_;.: :.,,:.,- C:, ' 11,1 , ' 5 1 Lot Size Sq. Ft.Garage -1 i,-,,:iy c„, '- I In 100 Yr.Floodplainl El Yes i;34No Sq. Ft. Patio/Porch ."ed HONACC Req'd R'Yes E No Sq. Ft. Deck ,, „,,. 1 Int.Remodel Project Value $ lo Cu. Ft. Pool 1 _ _ I Pool Project Value Required $ _----- - or t II ' 1 11' DEP; 16-- E 7' -0 6 : I oi 1' °rice Ise my Total Project Value: Used to calculate fees for the , Value $ le 1:,,e0,1„,.,, -"'_en, ., ,„. ., - permit. Project value is the total value of all Permit Fee $ -707C, , construction work for which the permit is issued Plan Review Fee $ ir':?'(.-1 1 , '-*-1--1 i 11 L-1 1 ',71,'••.- 1 , (including overhead and profit)as well as finish EGG Fee $ c---;1'" 0'''' ---P&Z-- Review Fee $ (:::;,7') 6,) ',,,,,,,„ -I work, painting, roofing, electrical, plumbing, Dev impact Fee $ „Li 1 0:C5 17) 1 heating, air conditioning, elevators, fire prevention ACHD Impact Fee _ $ -70a LI/-,,i 0.4 IV systems and other permanent equipment. _ 1[-Fire Impact Fee $ '2 lil 11' -) ,,,--,,, ,, 4,4,., ,,,,,,,,3,_ -,•,,,, 0, .47' t i-ir::::„„' -,,, I, w.- - Police Impact Fee $ 11 I iri ) Int. Remodel Project Value should not include any __. List. Fee 1 $ work inside of a new addition. - , eposit Receiv-d $2g.b.CNI.D 11 Receipt#24.tec,09,101 c 11 ; )6/23 BP TOTAL DUE $ i L,,,,, lic:),,,0) , (1"-'3,- e ,e,,,,,,-,,-•p.,,,' 7 ,,, Water Company Fee if ',,,b,, $ 11 Applicant's Sighature TOTAL WITA'WATER $ Date Receipt No: 13 . 001647 Dec 18, 2023 Elizabet Meskenas Previous Balance: . 00 BUILDING PERMITS BUILDING & INSPECTION 3, 833 .46 PERMITS - 233594 BUILDING PERMITS BLDG PLAN REVIEW FEES- 1, 141. 71 233594 BUILDING PERMITS ENERGY STANDARDS (I E C C) - 50 . 00 233594 BUILDING PERMITS ACHD IMPACT FEES- 233594 3, 493 . 00 BUILDING PERMITS DEV IMPACT FEES- PARKS- 2, 080 . 00 233594 BUILDING PERMITS DEV IMPACT FEES- 330 . 50 PATHWAYS- 233594 BUILDING PERMITS DEV IMPACT FEES - FIRE- 2, 111 . 00 233594 BUILDING PERMITS DEV IMPACT FEES - POLICE- 111. 00 233594 BUILDING PERMITS CITY WATER / HOOK-UP FEES 1, 115 . 00 233596 Total : 14, 265 . 67 CHECK Check No: 207 14, 265 . 67 Payer: Elizabet Meskenas Total Applied: 14, 265 . 67 Change Tendered: . 00 12/18/2023 1 : 19 PM CITY OF EAGLE 660 E. Civic Lane PO BOX 1520 EAGLE ID 83616 (208) 939-6813 CITY OF EAGLE W RESIDENTIAL BUILDING /ADDITION PERMIT SUBMITTAL CHECKLIST 1.11 f it) 11111 cyst sib clays Is It 111111 poo s oo tau'tit; I's 1111111s It cid oy pie tett coo 11111 coo 11111'1111 OI t 000 Yor t 11111111 oo tows n ill tott crofts op toy flay f ye yr o 111111 t it tits)11111'1 c 11 t 111111 lc Ye toly toly 11111111 s ttot ct yos n 1 co 11111 edit no dt a a tt rri 1c?d a n ti or it tit is itYY ri tails rassyst be acccoblett Ids sof scaled!, cionti the titan ries deposit tee Inn List de lade! 'before r virew c a rot og sty 111 it o orf Etc!)sot it 11,11 ltyl 0910 1 1 no ooy„it 11111'111111 111P lily°oollY os lletto *11ttIll (Y11" 1" ""7",'111 I. Electronic Submittal- Digital PDF on CD or USB drive of all submitting documents must be reviewed at the permit counter where staff will verify that the project submittals are complete. Digital plans will require the builder to print approved to scale completed city stamped plans and have them on site for inspections. Pictures, jpeg files or scans of scans are not acceptable for digital review. Digitally locked documents cannot be reviewed by the City. 2. Hillside Developments-Avimor&Valnova Hillside development submittals will in addition to standard submittal requirements be required to provide structural stamp plans for all homes in these designated developments due to topographic wind effects, special ground snow load areas, and Seismic Zone C. If required grading permits will be submitted prior to building permit submittal. 3. TownHomesiDuplex- Plans for townhouse projects shall be prepared, signed and sealed by an architect licensed by the State of Idaho. TownhomesiDuplex per City Code will require architectural review and approval of the building documents prior to review of the building dept. One set of plans shall be submitted for all attached units. Each property will be issued a building permit. II GE IIERAL S1 :IMTTIAL i I Applicant STAFF Use USE )211/4 0 A complete New Residential Building Permit Application form (it is the applicant's responsibility to use a current application). Additional Planning &Zoning Letter(s)of Approval- I-10A/ACC Letters of Approval/ (Conditional approvals will not be accepted)All approvals must be in letter format and signed/dated by the HOA/ACC (email chains are not accepted), Floodplain Development Permits, Conditional Use Permits, Grading/Hillside Permits, if required from Planning and Zoning 0 Elevation Certificate (For structures located in Floodplain only) Preliminary Certificate of Elevation shall be submitted with the Building Permit Application. Post-Construction Certificate of Elevation shall be submitted prior to issuance of the Certificate of Occupancy Structural Calculations/Engineered plans: Stamped and signed by a licensed Idaho engineer. Such as for tall walls, non-typical light frame construction wall bracing that is not prescriptive, beams, connections, retaining walls more than 4' in height from the bottom of the footing to the top of the wall. Note: Any plan sheets with engineered design components are required to be stamped by the design engineer, two or more areas of engineering design may require complete engineering. Lateral engineering-wall lines will be designed by the engineer for the length of the wall line running through the home. Where a building, or portion thereof, does not comply with prescriptive bracing a engineered design will be required. II Applicant STAFF Use USE LI Compliance with the Prescriptive Table within the IECC- Method must be shown on plans per Table 402.1.1 Climate Zone 5 2009 lECC as adopted by the State of Idaho. All other IECC Codes per 2018 IECC or REScheck-Software analysis completed and signed. -ErLI ACCA Approved Design Software Analysis Output Report Showing compliance with the design requirements of Manual J (load calculations), Manual 0 (duct systems), & Manual S (equipment selection). Include fresh air ventilation design and a duct system layout noting duct sizes, lengths, and termination points with cfm outputs. SITE PLAN Applicant STAFF Use USE LI Site Plan drawing's dimensioned with North arrow and streets indicated. l'EfrLI Show location of all existing and new structures on the site and show any foundation walls or column piers on the site plan. 14" LI include Deasure e its from jines front, rear, sides, and dimensions Doe een str, cture& 1 El Indicate location and dimensions of all easements on the site. 171' LI Indicate foundation elevation at top of foundation. LI Area Special Flood Hazard: Label and indicate Floodplain Floodway and dimensions from property. LI Building design criteria required to be on plans. Indicate wind zone location or wind speed, exposure category, building risk category and design loads, Live, Dead, Snow. 1'41 OWreNP LAN Applicant STAFF Use USE Specify locations and sizes for all concrete footings, piers, slabs, and foundation walls. Show all reinforcement types, locations, sizes, and spacing. Include heights and limits for stem walls of varying heights. El Show all holddowns and type (H(1,,,quiir,H1). Specify any mechanical connectors and/or fasteners such as anchor bolts and column-to-footing connections. E311 El Detail insulation material types with notes as to R-value, location, and weather protection of thermal envelope for slabs, foundation stems, mono footings, crawlspaces and/or basement walls. *12/1El Indicate location and size of all foundation vents or conditioned crawlspace specifications. FLOOR PLA Applicant STAFF Use,/ USE 21" El Provide a square footage summary, by floor, of each of the following: livable area, garage, carport, covered patio, porch, decks and basement(finished or unfinished), and any other areas. El Provide dimensioned floor plan for each floor, labeling the intended use for all rooms and ceiling heights of each room. El Provide location of all smoke detectors and carbon monoxide alarms. 11.] FOR ADDITIONS: Provide expanded floor plan for all rooms adjacent to the addition. .E:Y1 El Indicate location and types of fire separations, including construction methods to be used. [2/ El Location of all plumbing fixtures. El Location of all required GFCl/AFI and waterproof race, tacles. El Show location, construction details and deck ledger connection details for all decks, porches and stoops. El Locations, opening sizes and types of all windows. Plan must note any required safety glazing locations. El Indicate attic access and crawlspace access locations and sizes. El Dwelling/garage opening/penetration protection and dwelling/garage separation. [ 11/ El Location of appliances, elevation above floor and impact protection. El Spray Foam Insulation Provide information on the specific product or the approved ICC-ES Evaluation Services Report or other code compliance report. AH L. t3}1ACING.Will be on its own page Applicant STAFF Use USE LI Provide a plan specifying all brace wall line locations including the bracing method on each wall line per IRC. Include any alternate braced wall panels or portal frame details where applicable. LI Braced wall lines(exterior and interior) shall be clearly indicated, and a schedule shall be provided specifying the method of bracing to be used and the foundation attachments. LI Show dimensions of braced wall panels in width required by IRC based on wall height. Show foundation requirements, reinforcement, any hold-downs and fastening requirements of braced wall panels. Braced wall line calculations are required to be on the plans or will be considered incomplete. Z;11 El Indicate areas of tall walls-1 1'-121 walls with floor or truss spans (simple or multi-span) over 24ft per table R602.3(6) (Requires Tall Wall Engineering) Engineers must verify the load path the length of the wall line. Multiple areas of lateral engineering will require a full lateral from the engineer of record. Calculation packets with red-lines indicated are required for verification or stamped plans with a calculation packet. V..." lir? ill „ill r: iv 119 por ilik000 joiii:ion loin ell oe ill ono 11101„1 011 00111101 100 longDJODV ID-10 010111111110r 1111 0 1111 i ii 00111 5 tooi Ht ti1010 CIO iirreci(1 iii0iititt%ie.,: for iiinera I hitt°cily, 11 ELEVATIONS Applicant STAFF Use USE LI Elevations shall be scaled at 1/8" or larger. El Show all sides of the structure and indicate exterior finish materials for all sides. LI Indicate roof slopes and final grade line and chimneys. LI Dimension from grade to finished floor, and from grade to beginning of roofline and to roof peak or tallest point to include chimneys. LI Show exterior doors, windows, wall materials, roofing materials, roof drainage, decks, porches, and stoops. L:1 Show attic vents and/or crawlspace vents. LI If in a Flood Hazard Area, dimension from required design flood elevation at finished floor to beginning of roofline and to roof peak. ',RAL. BUILDING SECTIONS Wall section(s)from foundation through roof including wall assembly (exterior& interior) materials including connectors manufacturer, model number and uplifts. More than one section may be required. Cross section of the foundation shall include the following: Slab Thickness '.111'15 Reinforcing/steel/mesh W Dimensions Er E Specify reinforcement sizes and spacing, and minimum frost depth from grade to the bottom of the footing. Specify sizes, embedment and spacing of all anchor bolts, and specify sill plate as pressure treated or wood of natural resistance to decay. EgjLi Specify floor framing member sizes, spacing, spans, and floor sheathing. 2" Li Specify underfloor clearance, vapor barrier and venting. If conditioned crawl space, provide details and method of conditioning. [S! LI Insulation information indicated for foundation, floors, walls, and attic/ceiling; R-Values must match energy forms. Li Specify types, sizes, spacing, and lengths of all wall studs. El Li Provide framing details and gable end bracing details. CZ' El Indicate location and size of all beams, lintels, and headers. E?' Li Provide a schedule for all connectors or clips. E Indicate nailing pattern for all wall and roof sheathing. Li Fire blocking/draft stopping locations identified, as applicable. Li Specify type and thickness of wall sheathing, exterior moisture resistant barrier, siding material, interior wall covering, and interior vapor barrier. ROOF FRA !NG PLAN Applicant STAFF Use USE r Li Specific rafter and/or ceiling joist type, size, spacing, and spaces. Show any interior bearing points. JIII 4111111 1)1) If utilizing manufactured trusses, please specify/provide truss layout, spacing, spans, and style (scissor, mono, hip, standard, or girder). Show any interior bearing points. E Beams, Headers and Columns: Specify types and sizes of supporting beams, headers, and columns. Show any interior bearing points. Beam calcs may be provided for spans exceeding prescriptive tables in the 2018 IRC. El/ Li Mechanical Connectors/Fasteners: Specify any mechanical connectors/fasteners such as for rafter/truss to beam, beam to beam, girder truss to beam, or beam to columns. Applicant STAFF Use USE FiiP LII Specify type, size, spacing and spans for all floor joists. Show any interior bearing points. El Specify types and sizes of supporting beams, headers, and columns. Show any bearing points. E2/ D Note stud type, size, length and spacing for any pony or cripple walls, ladder framing etc. CY' El Specify location, type, and size of any mechanical connectors and/or fasteners, such as floor joist to beam, beam to beam, or beam to columns. OTHER SECTION DETAILS Applicant STAFF Use USE Stair construction details indicate proper tread/riser relationship, handrail location, handrail/guardrail heights, headroom clearance and maximum open rail spacing indicated. El Fire Resistive Assembly Wall Section Details: (Townhouse separation, duplex separation, exterior walls or fire-rated eave details due to location on property or wildland urban interface code) Note applicable tested/listed assembly number and construction details (gypsum board type, orientation, fastening, etc.) on the plans. WLE"1GEMENT I acknowledge that all items on the checklist are included in the submittal package and that all documents are single sided with no staples. V%," I Apumplicafit/RepresentAtive Punted Name Date Applicant/Representative Signature " 11 11, Staff Cht6ckerilignature/Printed Name Date Aps,00,'"Tv Iv CODr 2018 International Building Code (IBC) 2018 International Residential Code (IRC) 2018 Inter ational Energy Code (Resident I) 2018 International Energy Code (Commercial) CITY OF EAGLE RESIDENTIAL BUILDING PERMIT AND PLAN REVIEW FEES EAGLE CITY BUILDING DEPARTMENT FEES ADOPTED BY EAGLE CITY COUNCIL 660 E. CIVIC LANE oRlroo,S,0 I_ILITI ON 00' III, oOlo IIII Approved DI ol looh. . , ,, EAGLE, IDAHO 83616 (208)489-8760 -, ___ - ........_ .......... !Permit#233594 Enter Data in Blue A as when Applicabol: .I_ ,,....., k........ ,.,-.............. _R-3 Residential Enter Total Sq.Feet Cost per SF , - Value .... Living Area 3,405 $166.08 $565,502.40 ol Basement 0 $166.08 $0.00 Utility, iscellane000s Enter Total Sq.Feet Cost per SF** Value ,. - Garage,Shop,Pool House,Pole 758 $66.48 $50,391.84 ...] Buildings _ Patio,Patio Covers,Porch,Carport, 518 $20.00 $10,360.00 Breezeways,Covered Decks,Gazebos Addition(no plumbing),Convert 0 I $91.34 $0.00 Attic/Bonus Room Deck $12.00 $0.00 • Garden Shed(i.e.Store-More, $23.00 $0.00 Tuff sheds,etc.) Interior Remodel C o n I 1:„3C t 01'Iv"a l LiS t o r, ai (Structural only-Does not include " ,.. , ,,. t,,,, , , -,, I., ,„,,,_ $0.00 painting,carpet,tile,cabinets,etc.) ,,,,1 J,,,,,, ,v,r,,...,eiL,,LIA.., 1 .,,,,„,' ,,; ,,r,,,,f, I Re Roofing (per squares) $200.00 $0.00 Retaining Wall(linear foot) $12.00 $0.00 ... Sunroom $66.48 $0.00 Unfinished Basement(R-3 only) $31.50 $0.00 Swimming Pool 0 o(olio'to t:,o, /o oo00010,- - OH $0.00 Other $0.00 Total Value_ $626,254.24 o- ,.... „ EAGLE CITY 2007 JOB VALUE PER' IT PLAN REVIEW Total VALUATION FEE FEE _ 110$500 0 $0.00 $0.00 $0.00 . _ . over$500 to$2,000 0 $0.00 $0.00 $0.00 _ over$2,000 to$25K 0 $0.00 $0.00 $0.00 _ Lover$25K to$50K 0 $0.00 $0.00 $0.00 , over$50K to$100K 0 $0.00 $0.00 $0.00 over$100K to$500K 0 $0.00 $0.00 1 $0.00 ....... Over$500K to$1000K :,626,254.24 $3,833.46 $1,341.71 1 4...... $5,175.17 _ Over$1000K _ _ 0 $0.00 $0.00 $0.00 _ 1 A d 1..I yo 1111 yo..1 111111111111 1111 0 111...0 Dot 10.1.1.III.DlL VIII1111.1111.II. VOODOO,.:DJV,1. Ill.. .. - ' Residential IECC 1 $50.00 (International Energy Code) - P&Z Plan Review Fee x $50.00 (New Structures&Additions) Parks&Pathway Develop.Impact Fee i $2 410 50 (New Home Only) , , X , , . - ACHD Impact Fee , $3,493.00 Do (New Home Only)(Adu Fee-1075) _ Eagle Fire Impact Fee x $2,111.00 I (Single Family Only) -, 1....... Eagle Police Impact Fee $111.00 ( ,A,HrnOnlY ......_ , _ ITD Mitigation FeeI, $0.00 ,(AVIMQR OW Y)H ........ , _ Total Additional Fees $8,225,50 L Total ° ult In. Pe II it Fees Mil ate $13,400 67 **SF Value is from the International Code Council Building Valuation Data published-August 2022 Form Updated 25 January 2023 CITY OF EAGLE 660 E. Civic Lane PO BOX 1520 EAGLE ID 83616 (208) 939-6813 Receipt No: 29 . 000919 . Nov 15, 2023 Elizabet Meskenas Previous Balance: . 00 BUILDING PERMITS BLDG PLAN REVIEW FEES - 200 . 00 1581 N Palaestra Ave BUILDING PERMITS PZ, PLAN REVIEW FEES - 50 . 00 1581 N Palaestra Ave Total: 250 . 00 CHECK Check No: 205 250 . 00 Payor: Elizabet Meskenas Total Applied: 250 . 00 Change Tendered: . 00 Duplicate Copy 11/15/2023 2 : 05 PM