HomeMy WebLinkAboutB14-0045 Special Inspection Transmittal Department of Community Development
75 South Frontage Road
TOWN OF VAf L ' � vai�, 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. 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
Q Response to Correction Letter
B74-0045 Martin A. Haeberle �attached copy of correction letter
Construction and Materials
�j Deferred Submittal
�Other �^•�<���^•
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 Leiter. Constmction Observation and Materials Tesiing
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: 608-320-5330 � �Building Permits: �
!Revised ADDITIONAL Valuations Labor&Materials
Contact E-Mail: rpadley@gormanusa.com (DO NOT indude 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 wrrect. 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 subdi " ' n codes, design review ap-
proved, In i i ing an esidential Codes and other ' Mechanical: $
ordin es e own appl' le thereto.
X Total: $�
OwnedOwner's Repre Signature(Required)
P.P6E¢.t eAOL�u SR. pQ�J��-t t1°la�a1�Q�
/ Date Received:
For Office Use Only:
Fee Paid:
Received From: �
Cash Check#
CC: Visa/MC Last 4 CC# exp. date:
Authorization # . �