HomeMy WebLinkAboutB15-0344_B15-0344 Special inspection transmittal_1446851160.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAlf A Vail, 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.
Application/Permit#(s)information applies
to: Attention: 0 Revisions
BP 15-0344 JR Mondragon 0 Response to Correction Letter
D attached copy of correction letter
®Deferred Submittal
0 Other Special inspection Result
Project Street Address:
521 E. Lionshead Cir
(Number) (Street) (Suite#)
Building/Complex Name: Vail 21 Description of Transmittal/List of Changes, Items Attached:
Please see attached welding inspection result from
Applicant Information
Western Slope Testing and Inspection(HP Geotech)for the
(architect, contractor, owner/owner's rep)
metal pan at the 2nd level pan repair.
Contact Name: Bryan Langdorf
Address: 25 N.Cascade Ave
City Colorado Springs State: CO Zip: 80903
Bryan Langdorf
Contact Name: (use additional sheet if necessary)
Contact Phone: 970-980-3771
Building Permits:
langdorfb@gejohnson_coms Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: (DO NOT include original valuation)
I hereby acknowledge that l 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: $
ordinances of the Town applicable thereto.
Xi Total: $
Owner/Owner's Representative Signature(Required) - -
Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/ MC Last 4 CC# exp. date:
Authorization #