HomeMy WebLinkAboutB14-0042 Air Duct transmittal Department of Community Development
$ 75 South Frontage Road
TOWN OF VAIL �� � va�i, co a�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. A two hour minimum building review
fee of$110 will be charged upon reissuance of the permit.
Application/Permit#(s) information applies
��.to: Attention: Q Revisions
I PRJ13-0699 Martin A. Haeberle (�Response to Correction Letter
�attached copy of correction letter
B14-0042
�j Deferred Submittal
!(.y Other ^e�^•
Project Street Address. �
I 1265 North Frontage Road ,
(Number) (Street) (Suite#)
Building/Complex Name: Lion's Ridge Apartment Homes Description of Transmittal/List of Changes, Items Attached:
. . .... . . . . . . ... . _ . ..� . ... . .... . . . ��I Building i Report: �',�.
Applicant Information
: �; Attic Duct LeakageTest Report �,
i(architect,contractor,owner/owner's rep)
, Contact Name: Ben Marshall
Address: 200 N. Main St.
'City Oregon State: WI Zip: 53575 ,
�ContaCt Name: Ben MarSh811 � (use additional sheet if necessary) �
I Contad Phone: 608-835-5534 Building Permits: �
bmarShallQa gormanusa.COm '� Revised ADDITIONAL Valuations(Labor&Materials) .
Contact E-MaiC '(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, I
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 code design review ap- ,
proved, In national B ' an e tial Codes and other Mechanical: $
ordinan ofth n pli er o.
�X �..Total: $� �
OwnedOwner's Re resentative Signature(Required)
�� . '� Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp.date:
Authorization #