HomeMy WebLinkAboutB12-0019 Special InspectionTOWN OF VAIL i
Department of Community Development
75 South Frontage Road
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: Attention: () Revisions
/-� 06�vl
/-a I I -6 70!
( ) Response to Correction Letter
_attached copy of correction letter
() Deferred Submittal
( ) Other
Project Street Address:
a6-_ -_ F0121rs r
(Number) (Street) (Suite #)
Building /Complex Name: M:n6r Description of Transmittal/ List of Changes, Items Attached:
Applicant_ Information
(architect, contractor, owner /owner's rep)
(
Contact Name: e K eye
Address: 4b 3o Ho 'r-ro -I& A�,¢M IW 1
City State: CO Zip: 60!5-Z1
Contact Name: (use additional sheet if necessary)
(I 7o) 4 7/ - /,6
Contact Phone: _ / Building Permits:
Revised ADDITIONAL Valuations (Labor & Materials)
Contact E- Mail:.. Ids, cc M (DO NOT include original valuation)
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, International Building and Residential Codes and other
ordinance the Town applica thereto.
X -- r-`� "- ��_�
Owner /Owner's Repres�9t tive Signature (Required)
For Office Use Only:
Fee Paid:
Received From:
Cash
CC: Visa / MC Last 4 CC #
Authorization #
Check #
exp. date:
Building: $
Plumbing: $
i
Electrical: $
Mechanical: $
Total:
Date Received:
D
/NW 2 2014
TG OF VAIL
Project: Fmal)a, Permit Number: piz CpI9
'Project Location: 4(o5 FOTz155 T R11
Owner Fo J EST 90AI) . C LC
Address I ,�2I S. Mo�AC ExP1�,�lCiS City: /k/, T X- Zip: I %
Design Professional In Charge:_ ` , a'{ I 'Ciri ./0 Lam_
.Address (Lo t;,o f:iCLLgtP4 E::1 � hJ ! G CZ- City- c t< /L Stater �� Zip:O 1(0 Phone�'Z(2 - Mo `'
Fax: s Ir . E- mail: L E%�? Q � ► t4
To the best of my information, knowledge, and belief, the special inspections and /or testing required for
this project, have been completed.in accordance with the contract documents.
Interim reports submitted prior to this Final Report of Special Inspections form a basis for, and are to be
considered an integral part of this final report. Any discrepancies that were noted in all interim reports
have been corrected.
Prepared by:
uate
.� Preparer's Seal and Signature Required'
-12
TOWN OF VAII `
Department of Community Development
75 South Frontage Road
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: Attention: () Revisions
/n�Z v( 1-06/
{) Response to Correction Letter
_attached copy of correction letter
( ) Deferred Submittal
( ) Other
Project Street Address:
ryArS 7-
(Number) (Street) (Suite #)
Building /Complex Name: Description of Transmittal/ List of Changes, Items Attached:
Applicant Information
Fly-1.4t 0 s P�cI4L
(architect, contractor, owner /owner's rep)
Contact Name: gat to lm�71 CO
Address: 4b-36 /id i RA61,,MIq
City AWk State: CO Zip:
Contact Name: �� /� �(, d 7C�L ✓' (use additional sheet if necessary)
Contact Phone: (I7d ) 4 71 - f �3_! Building Permits:
9
Contact E -Mail /Sr Cc� Revised ADDITIONAL Valuations (Labor & Materials)
PaU,oc /CbUI Gf (DO NOT include original valuation)
I hereby acknowledge that I have read this application, filled out Building: $
in full the information required, completed an accurate plot plan,
and state that all the information as required is correct. I agree to 1 Plumbing: $
comply with the information and plot plan, to comply with all Town
ordinances and state laws, and to build this structure according = Electrical: $
to the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Mechanical: $
ordinance the Town applica le thereto.
X Total: $
Owner /Owner's Repres t tive Signature (Required)
Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash
CC: Visa / MC Last 4 CC #
Authorization #
Check #
exp. date:
' E H V
J%W 2 2014
TG1VN OF VAIL
WNOF VAIL `
FINAL REPORT OF SPECIAL INSPECTIONS
Project: ► 1 zr(7 ^79010peL Permit Number:
Project Location: _ T%S
Owner ,i (01 foe T MO.A14011 0 t, LC. _ --
Address 12 Z1 S • M4 0 f4C 14PY • #W?06 city: U.STIu Zip 7 8-7
Design Professional In Charge:— eO W 4" 16. fr-1 C r—s O N A.R„ C t- t rc&r. 4,14
Address: L B 0% Fae.4t u-S C) Ql o f
City: SJ Sri K State: 7)�— Zip: 2873 Phone: s 12- ' CO2-- q 3 3 o
n l r
Fax: �— E -mail: - ri'ellsOri L 0.US Tl A • r C 0 ..
To the best of my information, knowledge, and belief, the special inspections and/or testing required for
this project, have been completed in accordance with the contract documents.
Interim reports submitted prior to this Final Report of Special Inspections form a basis for, and are to be
considered an integral part of this final report. Any discrepancies that were noted in 211 interim reports
have been corrected.
Prepared by:
�W T,G''i'ypeeoor rrint Name
I
�r `
Signature
Date
MAR 1 2 2014 -12-
TOWN OF VAIL -- --------- -. —.._
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F t< /R
L4.a�S
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Preparer's Seal and Signature Required