HomeMy WebLinkAboutB14-0042 Special Inspection transmittal ra Department of Community Development
75 South Frontage Road
TOWN OF VAIL � va�i, 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 permits.
This form is also used for requesting a revision to building permits. Atwo hour minimum building review
fee of$110 will be charged upon reissuance of the permit.
Application/Permit#(s)information applies
to: Attention: �Revisions
PRJ13-0699 Martin A. Haeberle (�Response ro Correction Letter
�attached copy of correction letter
B14-0042 (,�Deferred Submittal
(�j Other �^�Po���^,
Project Street Addresr.
1265 North Frontage Road
(Number) (Street) (Suite#)
Building/Complex Name: Lion's Ridge Apartment Homes Description of Transmittal/List of Changes, Items Attached:
� Compliance Letter: Building 1
Applicant Infarmation
(architect,contractor, owner/owner's rep)
�Contact Name: Rob Padley �
Address: 200 N. Main St.
City Oregon State: WI ZiP; 53575
Contact Name: Rob Padley
� (use additional sheet if necessary) ,
Contact Phone: 608-320-5330 '.Building Permits:
Contad E-Mail: rpadley@gormanusa.com ��� Revised ADDITIONAL Valuations(Labor&Materials)
(DO NOT include original valuatian)
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 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: $
ances of th own apprliclable thereto.
X '\'�_A� V Ql � �,Total: $0 �
Owner/Owner's Representative Signa e(Required)
Date Received:
For Office Use Only:
Fee Paid:
Received From: .
Cash Check#
CC: Visa/MC Wst 4 CC# exp.date:
Authorization#