HomeMy WebLinkAboutB14-0044 Blower Door transmittal Department of Community Development
75 South Frontage Road
TOWN OF VAIL '� vai�, 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 b0ilding permits.
This form is also used for requesting a revision to building permits. A rivo 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 to Correction Letter
�attached copy of correction letter
B1a-0044 �Deferred Submittal
I(.'Other A•Po^�
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:
Building 3 Report:
Applicant Information
Blower poor Test Report
(architect, contractor,owner/owner's rep)
Contact Name: Rob Padley '
Address: 200 N. Main St.
City Oregon State: WI Z�p: 53575
Contact Name: Rob Padley �. (use additional sheet if necessary)
. Contact Phone: 608-320-5330 �Building Permits: .
Contact E-Mail: rpadley@gormanusa.com . Revised ADDITIONAL Valuations(Labor&Materials)
(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, ,
and state that all the information as required is correct. I agree to I 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: $
ord na es o¢th Town applicable thereto. ',
X� � �;'� � CCC� l,�L '.Total: $� -
Owner/Owner's Represe ta i e Signature(Required)
. . .. Date Received:
Far Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp.date:
Authorization#