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Home My WebLink AboutB12-0278NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES .. �aw��v�u � Town of Vail, Community Development, 75 South Frontage Road, Vail, Colorado 81657 p. 970.479.2139, f. 970.479.2452, inpsections 970.479.2149 COMBINATION BLDG PERMIT Permit #: B12-0278 Job Address: Location......: Parcel No....: 5056 MAIN GORE DR NORTH VAIL 209918202010 OWNER SCHULTZ, ERIC T. & HEATHER S 07/03/2012 5056 MAIN GORE DR VAI L CO 81657 APPLICANT GOLF RESORT HOMES INC DON DOTSON PO BOX 4105 GYPSUM CO 81637 License: C000003531 CONTRACTOR GOLF RESORT HOMES INC DON DOTSON PO BOX 4105 GYPSUM CO 81637 License: C000003531 Project #: PRJ12-0278 Applied.....: 07/03/2012 Issued. . . : 09/04/2012 07/03/2012 Phone: 970-524-5620 07/03/2012 Phone: 970-524-5620 Description: TEAR DOWN EXISTING SINGLE FAMILY RESIDENCE AND REPLACE IT WITH A NEW SINGLE FAMILY RESIDENCE (DRIVEWAY TO BE RELOCATED). Occupancy: Building Permit ---�--> Electrical Permit > Mechanical Permit ------> Plumbing Permit --> Type Construction: Valuation: $781,505.00 ••,•,••••••,»•»•••••••••••••••••••••••••,• FEE SUMMARY ��:�:�ttti+xrx►:r�e*z��*ee�wrrevw+xwreere�rRVrwwwwwwwwrirwx�ww�.xv»wr►rw��wre+. $4,573.25 Bldg Plan Check ---> $2,972.61 Use Tax Fee --- > $15,430.10 $483.00 Elec Plan Check – > $313.95 Restuarant Plan Review > $0.00 $580.00 Mech Plan Check - > $145.00 Additional Fees— > $0.00 $180.00 Plmb Plan Check ------> $45.00 Recreation Fee--- -> $512.60 Investigation— ---> $0.00 Will Call— > $20.00 TOTAL PERMIT FEES--- > E25,365.51 Payments– —> 525,365.51- BALANCE DUE -> 50.00 .....................................................................+..........,....,.......,......«............................+......+.,..............,............................ DECLARATIONS 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 approved, Intemational Building and Residential Codes and other ordinances of the Town applicable thereto. REQUESTS FOR INSPECTION SHALL BE MADE TWENTY-FOUR HOURS IN ADVANCE BY TELEPHONE AT 970.479.2149 OR AT OUR OFFICE FROM 8:00 AM - 4:00 PM. combination permit_012811 �!!ill� ez►�►vs*R ww�ww►wvewww�rtwttr��wr�t��erfr*�wrtvwrer►�www ��wmxsn«�.ewwww�s.wr:w�n.wt►�►�rrrrwrt+ve+wwwxww rt►�ei� CONDITIONS OF APPROVAL TO BE MET PRIOR TO FINAL SIGN OFF Permit #: 612-0278 Owner: SCHULTZ, ERIC T. & HEATHER S. Address: 5056 MAIN GORE DR NORTH VAIL Location: •w►wwsxwwxw�-awawr.�ttwrr��t�z�ewwwwwsmwetrwxwwwwtrttts.►��rvr►rwwxwxsex»w�w�trrre�wwwrwtrr�:fi�►r�x:f+x+v�vw�ex+xwe�wteWrwrrtt��t��k►*x�e►vww►►rwew►xrweexxwewre.r��.�.wrewrRttrrt��:�tt�s.tt Cond: 52 (FIRE 2002) Monitored fire alarm system required and shall comply with NFPA 72 (2002 ed.) and VFES Standards Cond: 53 (FIRE 2007) Monitored fire sprinkler system required and shall comply with NFPA 13 (2007) and VFES Standards. Cond: 42 (BLDG 2009) CARBON MONOXIDE DETECTORS REQUIRED TO BE INSTALLED PER 2009 IRC R315 combination permit 012811 �o�o�v�i� .,.*..**.......*..*........,.****..*..* ................*.*......*..*..**.*..,,..........*..*x.**..*.**...#.................�*****.*...***........*....*..., REQUIRED INSPECTIONS AND STATUSES Permit #: 612-0278 Owner: SCHULTZ, ERIC T. & HEATHER S. Address: 5056 MAIN GORE DR NORTH VAIL Location: «..,.* ..............*...***.,...**,,,.......«.**.,..*..,.«******...**............,.....*......**..,................*.*.,,..*#«*..*..*.*.,...*....,.........,�*....... Item: 00501 PW-Access/Staging/Erosion 08/02/2012 By: Is Action: AP Item: 00010 BLDG-FOOTING 08/24/2012 By: nc Action: AP Item: 00020 BLDG-Foundation/Steel 09/04/2012 By: mdenney Action: AP Item: 00021 PLAN-ILC Foundation Plan Item: 00210 PLMB-Underground Item: 00120 ELEC-Rough Item: 00110 ELEC-Service Item: 00220 PLMB-Rough/D.W.V. Item: 00230 PLMB-Rough/Water Item: 00240 PLMB-Gas Piping Item: 00310 MECH-Heating Item: 00410 Special Inspect-progress rept Item: 00030 BLDG-F�aming Item: 00050 BLDG-Insulation Item: 00060 BLDG-Sheetrock Nail Item: 00390 MECH-Final Item: 00190 ELEC-Final Item: 00290 PLMB-Final Item: 00420 Special Inspect-final rept Item: 00090 BLDG-Final Item: 00503 PW-Final Driveway Grade Item: 00532 PW-TEMP. C/O Item: 00539 PW-FINAL C/O Item: 00540 BLDG-Final C/O combination permit_012811 **************�*****************************************�**************s**�***r�r**s******** TOWN OF VAIL, COLORADO Statement ***ss**********�**�**r�*********s*********�*�***s*s��**s**r***********�**************�*****• Statement Number: R120001237 Amount: $110.00 09/04/201212:11 PM Payment Method:Credit Crd Init: LC Notation: credit card from Don Dotson, Cole Resort Homes ----------------------------------------------------------------------------- Permit No: B12-0278 Type: COMBINATION BLDG PERMIT Parcel No: 2099-182-0201-0 Site Address: 5056 MAIN GORE DR NORTH VAIL Location: Total Fees: $25,365.51 This Payment: $110.00 Total ALL Pmts: $25,365.51 Balance: $0.00 *.**s******r***�**�******s************��**********r**********************s*�********�***** ACCOUNT ITEM LIST: Account Code -------------------- PF 00100003112300 Description Current Pmts ------------------------------ ------------ PLAN CHECK FEES 110.00 ----------------------------------------------------------------------------- � Department of Community Development � 75 South Frontage Road TOWN 0� VAIL �` vai�, co s�ss� Tel: 970.479.2128 www.vailgov.com Development Review Coordinator TRANSMITTAL FORM Use this form when submitting additional information for planning applications or building peRnits. This form is also used for requesting a revision to building permits. A two hour minimum building review fee of $110 will be charged upon reissuance of the permit. Application/Permit #{s) infoRnation applies to3P—��,—nZ�� Project Street Address: 3'USb y►?r�;y Gon►� d7n. �l (Number) (Street) (Suite #) Building/Complex Name: Applicant information (architect, contractor, owner/ wner's rep) Contact Name: d/ 0/{ J/ 0�� '�/ Address: �� D � I y� !� � j� City ! �t � State: (r � Zip: 0�D .3 Contact Name: Contact Phone: Contact E-Mail: Attention: �Revisions (� Response to Correction Letter �attached copy of correction letter (� Deferred Submittal � Other 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 ordinan d state , and to build this structure according to the wn's z nin and b' ision codes, design review ap- pro d, Intema ion I Buil in nd Residential Codes and other ordi ances of e w . X t� Owner/Owner's Representative Signature (Required) For Office Use Only: Fee Paid: Received From: Cash CC: �sa / MC Last 4 CC # Autf�orizadon # Check # exp. date: Description of Transmittal/ List of Changes, Items Attached: � ; �r1,y�. �11 0 �,� rz. �r ,c , .r; ,'� d ti / ,-rz. (use additional sheet if necessary) Building Pertnits: Revised ADDITIONAL Valuations (Labor & Materials) (DO NOT include oriqinal valuation) Building: Plumbing: Eledrical: Mechanical: Total: Date Received: $ �"' V $ $0 Inspection Items for B12-0278 14:49 01/15/2015 Sec Item Id Descri tion A r Re Items Action Inheritable " 530 BLDG-Tem .C/O Yes R 1 AP No ' 501 PW-Access/Sta in /Erosion Yes R 1 AP No * 10 BLDG-FOOTING Yes R 3 AP No ' 20 BLDG-Foundation/Steel Yes R 2 AP No ' 21 PLAN-ILC Foundation Plan Yes R 1 AP No * 210 PLMB-Under round Yes R 2 AP No * 120 ELEC-Rou h Yes R 2 AP No 110 ELEC-Service Yes R 1 AP No 220 PLMB-Rou h/D.W.V. Yes R 1 AP No * 230 PLMB-Rou hNVater Yes R 1 AP No * 240 PLMB-Gas Pi in Yes R 2 AP No 310 MECH-Heatin Yes R 5 AP No 22 PLAN-ILC FRAMING Yes R 1 AP No ' 30 BLDG-Framin Yes R 2 AP No 50 BLDG-Insulation Yes R 1 AP No 60 BLDG-Sheetrock Nail Yes R 1 AP No 390 MECH-Final Yes R 1 AP No * 190 ELEC-Final Yes R 1 AP No 290 PLMB-Final Yes R 2 AP No * 420 S ecial Ins ect-final re t Yes R 1 AP No * 90 BLDG-Final Yes R 3 AP No 533 PLAN-TEMP.C/O Yes R 1 AP No 535 DIA-30 DAY REMINDER Yes O 2 AP No " 534 PLAN-FINAL C/O Yes R 1 AP No ' 540 BLDG-Final C/O Yes R 2 AP No Total Rows:25 Page 1 �� Community Development Department 75 South Frontage Road � ,� Vr�il, Colorr�do USA 81657 - ,� �f�� 1 x�]U,,L�c � ' + � TEMPORARY � 5 5. CERTIFICATE OF OCCUPANCY � � k � This certificate is issued pursuant to the requirements of Title 10, Section 10-1-2, ADOPTED CODES of the Vail Town � Code certifying that, at the time of issuance, this structure was substantially in compliance with the various ordinances of the town regulating building construction ar use far the following except for items listed under conditions: Name and description of project Sin�le Family Residence Address of project: 5095 Gore Circle,Vail,Colorado 81657 Owner name and address: Schultz,Eric T&Heather S 5095 Gore Circle,Vail,Colorado,81657 � � IBC Edition: 2009 IBC Occupancy Group(s): R# Type(s) of Construction: VB 6 Permit Number B12-0278 Occupant Load: NA Sprinkler System: Yes i Ex'' Dat : Tune 30,2014 11/19/2013 Martin Haeberle,Building Official Date SEE ATTACHED CONDITIONS. c The following items need to be completed for issuance of CO: 1. Landscaping to be completed and approved by the Town of Vail prior to June 30,2014 2. Plumbing systems to be completed and an approved final inspection obtained prior to expiration date. 3. Obtain an approved building final prior to expiration date TCO good till June 30,2014 � � � � � ;, s � Martin Haeberle From: cottonranchl2@yahoo.com Sent: Monday, November 18, 2013 11:54 AM To: Martin Haeberle Subject: Re: TCO Request for Permit# 12-0278 Hello,just went thru fire inspection with Mike Vaugh and he signed off on the system. He mentioned he was real busy today so not sure he would have opportunity to contact you on the inspection.Thanks Don Sent from my iPhone On Nov 15, 2013, at 8:23 AM, Martin Haeberle<MHaeberle@vail�ov.com>wrote: >Your request to move furniture in is approved. Still not allowed to occupy until TCO is isssued > >Thanks > > Martin > >-----Original Message----- > From: cottonranchl2@yahoo.com [mailto:cottonranchl2@yahoo.com] >Sent:Thursday, November 14, 2013 1:13 PM >To: Martin Haeberle >Subject:TCO Request for Permit# 12-0278 > > >Golf Resort Homes requests a TCO for the residence at 5059 Gore Circle. Formerly 5056 Main Gore Dr. N. >There are 2 items that are not complete at this time. > > 1. Laundry Room countertop. > Expect completion by November 30th. > >2. Landscaping- replanting of areas disturbed by construction. Planting of additional trees and shrubs per approved landscape plan. Expected completion lune 30th. 2014. > >The completed TCO form and a check for 125%of proposal to complete landscaping will be delivered to your office today. > > If any further information is needed please contact me at 970-390-2291 > >Thank You > Don Dotson >Golf Resort Homes, Inc > >Sent from my iPhone 1 NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES . � ��u�v�,�. Town of Vail, Community Development, 75 South Frontage Road, Vail, Colorado 81657 p. 970.479.2139, f. 970.479.2452, inpsections 970.479.2149 COMBINATION BLDG PERMIT Permit #: B12-0278 Project #: PRJ12-0278 Job Address: 5056 MAIN GORE DR NORTH VAIL Applied.....: 07/03/2012 Location......: Issued. . . : 07/30/2012 Parcel No....: 209918202010 OWNER SCHULTZ, ERIC T. & HEATHER S 07/03/2012 5056 MAIN GORE DR VAI L CO 81657 APPLICANT GOLF RESORT HOMES INC 07/03/2012 Phone: 970-524-5620 DON DOTSON PO BOX 4105 GYPSUM CO 81637 License: C000003531 CONTRACTOR GOLF RESORT HOMES INC 07/03/2012 Phone: 970-524-5620 DON DOTSON PO BOX 4105 GYPSUM CO 81637 License: C000003531 Description: TEAR DOWN EXISTING SINGLE FAMILY RESIDENCE AND REPLACE IT WITH A NEW SINGLE FAMILY RESIDENCE (DRIVEWAY TO BE RELOCATED). Occupancy: Type Construction: Valuation: $781,505.00 ...............................,..,.................,...................,......... FEE SUMMARY ..,.....................,........................,...........»....««...,......, Building Permit-----------> $4,573.25 Bldg Plan Check----------> $2,972.61 Use Tax Fee-----------------------> $15,430.10 Electrical Permit---------> $483.00 Elec Plan Check----------> $313.95 Restuarant Plan Review--------> $0.00 Mechanical Permit------> $580.00 Mech Plan Check---------> $145.00 Additional Fees--------------------> $0.00 Plumbing Permit--------> $180.00 Plmb Plan Check---------> $45.00 Recreation Fee------------------> $512.60 Investigation--------------------> $0.00 Will Call------------------------------> $20.00 TOTAL PERMIT FEES--------------> $25,255.51 Payments----------------------------> $25,255.51 BALANCE DUE------------------------> a0.00 fRMMiRrtY`t'M'iRi(i(*41`1`R}A�fitelRRffrLfittk'k+FMSfrf/f1f►R4RN#ffYYrrtA'trt�Fk4}}�+tRRff't'Rf'R Vtff V4ffrYfYew'tfY`f.Y.�t}1t1�##fi4RRRNfRRf4Yrrtffl�frtrtrt'RIIYV Y`rt�Ytr'R*1elefrRfl'fr1'4rrtfrfFfYy'YeM4+tRitAf`f'f'frff'wV fRYrtttkik�FiRY'kf+tff(+t1rkRRtrtlf# DECLARATIONS 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 approved, International Building and Residential Codes and other ordinances of the Town applicable thereto. REQUESTS FOR INSPECTION SHALL BE MADE TWENTY-FOUR HOURS IN ADVANCE BY TELEPHONE AT 970.479.2149 OR AT OUR OFFICE FROM 8:00 AM -4:00 PM. combination permit_012811 i � �� a «wwxw�ww,.wrw��r�wxw�s.��+�rwr��:::xx��:xxxxxexxx�ixwww�ww�r�ww�www�w,twrrrw+wrtr��w�xw��reew�wrww�w��wx+�iwr��rx��::��+��:�x+��::�w�r��w:aw�:+.��rx�xra�+rrwo-trr��rwwerwwww�rw,.«xw CONDITIONS OF APPROVAL TO BE MET PRIOR TO FINAL SIGN OFF Permit#: B12-0278 Address: 5056 MAIN GORE DR NORTH VAIL Owner: SCHULTZ, ERIC T. & HEATHER S. Location: ..................................................*.......,,..,...,..,,,,,...,.........................,..,..,........................................,.................,....,,....., Cond: 52 (FIRE 2002) Monitored fire alarm system required and shall comply with NFPA 72 (2002 ed.)and VFES Standards Cond: 53 (FIRE 2007) Monitored fire sprinkler system required and shall comply with NFPA 13 (2007)and VFES Standards. Cond: 42 (BLDG 2009) CARBON MONOXIDE DETECTORS REQUIRED TO BE INSTALLED PER 2009 IRC R315 combination permit_012811 • � T�OWN OF Y� . ***...�*�*********.*..******..************.*****.**************�********.*.**.******...***�*�*****�*.**.*..***********,************...****..******.** REQUIRED INSPECTIONS AND STATUSES Permit#: B12-0278 Address: 5056 MAIN GORE DR NORTH VAIL Owner: SCHULTZ, ERIC T. & HEATHER S. Location: ***.**«***,...,..*..«**„«.«...*.�*.��***«**«.****,..,...*.,�«*«*«««««««*.*««*„«,,.,.««*«************.�.*****************�..**.*,►**...*..****�«*�.*«��..�***� Item: 00501 PW-Access/Staging/Erosion Item: 00010 BLDG-FOOTING Item: 00020 BLDG-Foundation/Steel Item: 00021 PLAN-ILC Foundation Plan Item: 00210 PLMB-Underground Item: 00120 ELEC-Rough Item: 00110 ELEC-Service Item: 00220 PLMB-Rough/D.W.V. Item: 00230 PLMB-Rough/Water Item: 00240 PLMB-Gas Piping Item: 00310 MECH-Heating Item: 00410 Specia4 Inspect-progress rept Item: 00030 BLDG-Framing Item: 00050 BLDG-Insulation Item: 00060 BLDG-Sheetrock Nail Item: 00390 MECH-Final Item: 00190 ELEC-Final Item: 00290 PLMB-Final Item: 00420 Special Inspect-final rept Item: 00090 BLDG-Final Item: 00503 PW-Final Driveway Grade Item: 00532 PW-TEMP. C/O Item: 00539 PW-FINAL C/O Item: 00540 BLDG-Final C/O combination permit 012811 *************s�*�*�**************�*********�****��************��*************�************* TOWN OF VAIL, COLORADO Statement *****r*rs**ss***********��****�***********�**��****�+***********��***************�*�******* Statement Number: R120000854 Amount: $2, 966.44 07/03/201211:18 AM Payment Method: Check Init: LC Notation: #101/ ERIC SCHULTZ, HEATHER SCHULTZ ----------------------------------------------------------------------------- Permit No: B12-0278 Type: COMBINATION BLDG PERMIT Parcel D7o: 2099-182-02Q1-0 Site Address: 5056 MAIN GORE DR NORTH VAIL - Location: Total Fees: $24,742.91 This Payment: $2,966.44 Total ALL Pmts: $2,966.44 Balance: $21;776.47 **�**************�r*s********�**�*******s*s*****��********************r***�****�**********rr ACCOUNT ITEM LIST: Account Code Description Current Pmts -------------------- ------------------------------ ------------ PF 00100003112300 PLAN CHECK FEES 2, 966.44 ******************************************************************************************** TOWN OF VAIL, COLORADO Statement ************************************************************************************�******* Statement Number: R120000998 Amount: $22,289.0707/30/201210:49 AM Payment Method: Check Init: WC Notation: Check Number 104 Eric Schultz ----------------------------------------------------------------------------- Permit No: B12-0278 Type: COMBINATION BLDG PERMIT Parcel No: 2099-182-0201-0 Site Address: 5056 MAIN GORE DR NORTH VAIL Location: Total Fees: $25,255.51 This Payment: $22,289.07 Total ALL Pmts: $25,255.51 Balance: $0.00 ******************************************************************************************** ACCOUNT ITEM LIST: Account Code Description Current Pmts -------------------- ------------------------------ ------------ BP 00100003111100 BUILDING PERMIT FEES 4, 573 .25 EP 00100003111100 ELECTRICAL PERMIT FEES 483.00 MP 00100003111100 MECHANICAL PERMIT FEES 580.00 PF 00100003112300 PLAN CHECK FEES 510.12 PP 00100003111100 PLUMBING PERMIT FEES 180.00 RF 11100003112700 RECREATION FEES 512.60 UT 11000003106000 USE TAX 4$ 15,430.10 WC 00100003112800 WILL CALL INSPECTION FEE 20.00 ----------------------------------------------------------------------------- �:• 3� — lc�. 3 � __ � �Ca - oa�g I � 11-13-2013 Inspection Request Re orting Page 11 4:36 �m Vail, C(L('�tv O� Requested Inspect Date: Thursday November 14 2013 Site Address: 5056 MAI�I GORE DR I�dRTH VAIL A/P/D Information Activity: B12-0278 Type: COMBO Sub Type: NSFR Status: ISSUED Const Type: Occup ancy: Use: Insp Area: Owner: SCHULTZ,ERIC T.&HEATHER S. Contractor: GOLF RESORT HOMES INC Phone: 970-524-5620 Description: TEAR DOWN EXISTING SINGLE FAMILY RESIDENCE AND REPLACE fT W ITH A NEW SINGLE FAMILY RESIDENCE(DRIVEWAYTO BE RELOCATED). Reauested Ins�ection(s1 ftem: 90 BIDG-Final Requested Time: 08:00 AM i Requestor: � Phone: Comments: 390-2291 0� Assigned To: """""" Entered By: MHAEBERLE K Action: Time Exp: Rem: 540 BLDG-Final C/O Requested Time: 09:00 AM ' Requestor: Phone: Comments: 390-2291 Assigned To: """""" Entered By: MHAEBERLE K � Action: Time Exp: 1�I•13 Rem: 534 PLAN- L C/O I I quested Time: 08:15 AM ' Requestor: ( 1 Phone: ' Comments: 390-2291 ' A ' Assigned To: GRUTHER �/`��`� Entered By: MHAEBERLE K Action: Time Exp: �� y�� °`t�n-� -��c-�r►w�.l mefer� �nf -fc;an5w�a� ve✓rf' on no�f�► ��e�a-��-A,� Item: 190 ELEC-Fi�al �Requested Time: 03:30 PM fa ��f�� ae��K�eo1f Requestor: Phone: Comments: 390-2291 ryl�er;ct� �o��r Assigned To: JMONDRAGON Entered By: MHAEBERLE K Action: Time Exp: Rem: 290 PLMB-Final Requested Time: 04:00 PM Requestor: Phone: Comments: 390-2291 Assigned To: JMONDRAGON Entered By: MHAEBERLE K Action: Time Exp: Rem: 390 MECH-Final Requested Time: 03:00 PM Requestor: Phone: Comments: 390-2291 Assigned To: JMONDRAGON Entered By: MHAEBERLE K Action: Time Exp: Ftem: 503 PW-Final Driveway Grade Requested Time: 04:30 PM Requestor: Phone: Comments: 390-2291 Assigned To: JMONDRAGON Entered By: MHAEBERLE K Action: Time Exp: item: 539 PW-FINAL C/O Requested Time: 04:45 PM Requestor: Phone: Comments: 390-2291 Assigned To: JMONDRAGON Entered By: MHAEBERLE K Action: Time Exp: REPT131 Run Id: 14652 - � � � � \°/ � D ��° � 4 2013 November 14, 2013 Tow�v o� v�i� To Whom it May Concern : Eric and Heather Schultz, of 5059 Gore Circle, Vail, CO 81657, hereby accept any liabilities (loss or damage to contents of home, injuries to selves, etc. ) that may occur on the premises while moving in to the space. . �� /�i Eric Schul � � �� , _ 1� ' �, l� - ae Heather SChultz � � � �1 /y � � ' date Department of Community Development 75 South Frontage Road TOWN DF V+. Vail, CO 81657 Tel: 970.479.2128 www.vailgov.com Development Review Coordinator TRANSMITTAL FORM Use this form when submitting additional information for planning applications or building permits This form is also used for requesting a revision to building permits. A two hour minimum building review fee of $110 will be charged upon reissuance of the permit. - ------------------------------------------------------------ Application /Permit #(s) information applies to: Z PR.,T Project Street Address: ,/� 5- U L %Yl /�i •� c tL iL L . N (Number) (Street) J (Suite #) Building /Complex Name: SC nl�,� ✓X ILf c Applicant Information (architect, contractor, owner /ownelr's rep) Contact Name: Dv '-t D,., ' 4' 0 N Address: Ad rJ 916- City State: Ct} Zip: Contact Name: Contact Phone: Contact E -Mail: (mot) 74(11.1 ✓'c. 4K fh 12._ CQ Attention: 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 tow ' zo ing a d ubdivision codes, design review ap proved, ternati nal uild ng nd Residential Codes and other ordina ces of t To n a Ii b reto. X k Owner /Owner's Representative Signature (Required) For Office Use Only: Fee Paid: Received From Cash Check # CC: Visa/ MC Last 4 CC # exp. date: Authorization # (� Revisions Response to Correction Letter _attached copy of correction letter Deferred Submittal (C) Other Description of Transmittal/ List of Changes, Items Attached 1LC (use additional sheet if necessary) - ----------------------------- Building Permits: Revised ADDITIONAL Valuations (Labor & Materials) (DO NOT include original valuation) Building: $ Plumbing: $ Electrical: $ Mechanical: $ Total: $ 0 - - -- ---------- - - - - -- Date Received: Novo , 2012 � CG 4: so P^�' TOWN F VAIL