HomeMy WebLinkAboutB14-0043 Special Inspection transmittal f Department of Community Development
75 South Frontage Road
TOWN OF VAIL � vai�, 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.
ApplicationlPermit#(s)information applies
to: Attention: (j Revisions
PRJ13-0699 Martin A. Haeberle 1�Response to Correction Letter
�attached copy of correction letter
�� B14-0043 Q Deferred Submittal
(�.j Other �^�Po�^^a
Project Street Address.
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 2
Applicant Information
(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: 608320-533o �: Building Permits:
: Revised ADDITIONAL Valuations Labor&Materials
Contact E-Mail: rpadley@gormanusa.com � (DO NOT include original valuati n) )
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: $
X�nces of theha applicable thereta
�(� \���� Total: $0
�LJ=�
Own�Owner's Representative Signatu �(Required)
Date Received:
For Otfice Use Only:
Fee Pdid:
Received From: -
Cash Check#
CC: Visa/MC Last 4 CC# exp.date:
Authorization# �