HomeMy WebLinkAboutB12-0436 REV1 TRANSMITTALDepartment of Community Development
75 South Frontage Road
Vail, CO 81657
tI Vhf is ,; .3 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:
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]Attention:
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Project Street Address: r7
(Number) (Street) (Suite #)
Building /Complex Name: I TG —
Applicant Information
(architect, contractor, owner/owner's rep)
Contact Name: STI E—r Fl ry
Address: ;2,4 ,`
City CP-WA e5 State: / w Zp:
Contact Name: Z_( i,ZE AT6-X-
Contact Phone: �y7n �37� - 3'
Contact E -Mail:
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, Internatio uilding and Residential Codes and other
ordinances of own applicable thereto.
X _
Owner /O er's Representative Signature (Required)
For Office Use Only:
Fee Paid:
Received From:
Cash Check #
CC: Visa / MC Last 4 CC # exp. date:
Authorization #
Revisions
e�Response to Correction Letter
O_ copy of correction letter
O Deferred Submittal
(C) Other
Description o fTransmittal/ List of Changes, Items Attached:
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rZ) b m_Ari�) Z-50C; Pry 1+
Lt- `�,C5�� I VC f �4 10 F6
(use additional sheet if necessary)
Building Permits:
Revised ADDITIONAL Valuations (Labor & Materials)
(DO NOT include original valuation)
Building:
Plumbing:
Electrical:
Mechanical:
Total:
Date Received:
D
DEC 0 Zt 2012
TOWN OF VAIL —
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\ Department of Community Development
/ � 75 South Frontage Roari
� Vail, CO $1657
Tei: 970-479-2128
www.vaiigov.cam
Development Review Coordinator
�3U1LDI�VG P�R�iT �PPLIC�.T��N
(Separate applications are required for alarm & sprinkler)
_ _ _ _ __ _ . _
;, Project Street Address:
; __�� } � ��[ � l � C51- �3
; (Number) (Street) (Suite #)
BuildinglComplex Name:
Contractor Information
Business Name: ���K.�' I Li� (,�"rCI��J�I;I
Business Address: �Il�� �tl.(�jc,� �,Q/� G5i `��
City ��jL State: � Zip: 1� �
Contact Name: ���-' �P � � !'6 � _
Contact Phone: �d ~ 3� � — �3 � �
Contact E-MaiL• � t��{'��Pc��i ✓G� 1 4� q0 �:���
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, Intemational Building and Residential Codes and other
ordinances f the Town applicable thereto.
X
ner/Owner's Representative Signature (Required)
Project #: 1� i ����
DRB #:
Building Permit #: !t!L!� — � �s� �
Lot #: Block # Subdivision:
Work Class: New ( ) Addition ( ) Alteration�)
Type of Building:
Single-Family ( ) Duplex (
Commercial � Other (
) Multi-Family ( )
_ _ _ _.._.... __
�
Work Type: Interior (� Exterior ( ) Both () �
! `� E
Valuation of
Work Included Plans Included Work
cal 1�qYes ( )NO (�dYes
Mechanical (�Yes ( )No '�1'es ( )No �vUu
Plumbing ( �es ( )No ( �'es ( )No �i ���
Building ( )Yes ( )No ( )Yes ( )No
Value of all work being performed: $ ��
�value based on IBC Section 109.3 & IRC Section 108.3�
Electrical Square Footage
Applicant Information � Detailed Scope and Location of Work:
Applicant Name: �vC� �ctf'� � �"' �. � 1= �l4 �Or�� 1.J4 TE2.__ 1�C
Applicant Phone: � -'d 6 �� � •
i ����E
Applicant E-MaiL ��� �+�I� �'f7�� C1Q�6�='v��� � � �
? Project Information
€ Owner Name: F�iJF I,J�(.LOtJ /�Q,�iDGE�QMME2ClRL
:Parcel#:�Lp1 -O$ai— $�{OO- �
'(For Parcel #, contact Eagle County Assessors Office at (970-328-8640 or visit
€ www.eaglecounty.uslpatie)
For Office Use Only:
Fee Paid: __(e`(rJ,9y _ ___
Received From:
Cash Check # _
CC: Visa / MC Last 4 CC # exp date:
Auth #
(use additional sheet if necessary) �
Date Received: ���
L'-�- �V' � � V ��
0�� 1 2 2012
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TOWN OF VAIL
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State of Colorado
Asbestos Testing & Abatement Reyuirements
Asbestos testiny and abatement protects workers, homeowners, neighbors and emergency services responders from ex-
posure to harmful asbestos. It is your responsibility to be in compliance with the State. Please contact the State directiy
for their requirements at the contact info listed below.
When is asbestos testinq required?
ANY building projects disturbing more than these threshold levels of building materials require asbestos testing:
One- and Two-Family Dwellings: 32 square feet
All Others (commercial spaces, hotel rooms, etc): 160 square feet
Definition of a single-family dwelling: any dwelling unit that is used primarily for a single family, including
multi-family/condominium units, and fractional fee units. ,
Asbestos testing results must be provided with your application for a building permit.
Tests which identify POSITIVE results at more than 1% require abatement by a State-certified abatement contractor. The
clearance letter must be submitted to the Town of Vail before the building permit will be issued.
Project Checklist
My project falls into the category checked below:
�
�
Will not disturb more than the threshold limits identified above.
Tested negative, or at 1% or below (1 copies of test results included}
� Tested positive at more than 1%, requires abatement (1 copies of test results included)
Tips & Facts:
• Even recent construction projects may include asbestos-containing materials, so buildings of a� age require testing.
• The "1989 Ban" on asbestos-containing materials is commonly misunderstood. "In fact, in 1991 the U.S. Fifth Circuit
Court of Appeals vacated much of the so-called "Asbestos Ban and Phaseout" rule and remanded it to the EPA. Thus,
much of the original 1989 EPA ban on the U.S. manufacturing, importation, processing, or distribution in commerce
of many asbestos-containing product categories was set aside and did not take efFect." - CDPHE
Asbestos test results and abatement permit applications should be submitted to: Town of Vail, Community Development,
75 S Frontage Rd, Vail, CO, 81657.
Town of Vail Contact:
Fire Prevention Bureau
Vail Fire Department
75 S Frontage Rd
Fire_inspectors@vailgov.com
970-479-2252
www.vailgov.com
State of Colorado Contact:
Colorado Department of Public Health
and Environment
Asbestos Compliance Assistance Group
303-692-3158
asbestos@state.co.us
www.cd�he.state.co. us
Ol-Ian-11