HomeMy WebLinkAboutB14-0044 special inspection transmittal Department of Community Development
> 75 South Frontage Road
TOWN OF VAIL '''� vai�, C087657
Te1: 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 hvo hour minimum building review
fee of$110 will be charged upon reissuance of the permit.
Application/Permit#(s)information applies
to: Attention: (�Revisions
B14-OOaa Martin A. Haeberle (�Response to Correction Letter
�attached copy of correction letter
Construction and Materials Q Deferred Submittal
�Other �^•Po=�^^,
Project Street Address:
1265 North Frontage Road
(Number) (Street) (Suite#)
Building/Complex Name: Lion's Ridge Apartment Homes Description of TransmittaU List of Changes, Items Attached:
- � - �� - � � � � � � '�. Compliance Letter. Construction Observation and Materials Testing �
Applicant Information
(architect, contractor, ownedowner's rep)
�� Contact Name: Rob Padley . �.
Address: 200 N. Main St.
City Oregon State: WI ZiP; 53575
�Contact Name: Rob Padley �
���.(use additional sheet if necessary)
Contact Phone: 608-320-5330 . Building Permits:
rpadley@gormanusa.com '� Revised ADDITIONAL Valuations(Labor$Materials) ��.
Contact E-Mail: (DO NOT include original valuation) ,
I hereby acknowledge that I have read this application,flled 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 codes, design review ap-
proved�Jntem�tioryal-BG il�ng and Residential Codes and other Mechanical: $
ordin nce d�the Town apQJ/i�ble�i reto.
�n ��- !/' !� � ��Total: $� �'.
OwnedOwner's epre ntat$ ive Sigy� ure(Required) � �� � . .
�_/
Date Received:
For Office Use Only: .
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp.date:
Authorization #