HomeMy WebLinkAboutB14-0226 Special Inspection Transmittal.pdf Department of Community Development
75 South Frontage Road
°:-‘)
TOWN OF VAlI 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
B14 0226 Carolyn Godfrey O Response to Correction Letter
n attached copy of correction letter
0 Deferred Submittal
0 Other Final special steel inspection report
Project Street Address: `V
9 Vail Rd 41
(Number) (Street) (Suite#)
Building/Complex Name: 9 Vail Description of Transmittal/List of Changes, Items Attached:
Final steel inspection report
Applicant Information
(architect,contractor,owner/owner's rep)
Contact Name: Mark Hallenbeck
Address: 120 Willow Rd Suit 7
City Vail State: Co Zip: 81657
Contact Name: Mark Hallenbeck
(use additional sheet if necessary)
Contact Phone. 476-4458
Building Permits:
kh rock mountainconstruction rou com Revised ADDITIONAL Valuations(Labor& Materials)
mar
Contact E-Mail: @ y g p' (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,
and state that all the information as required is correct. I agree to Plumbing:
comply with the information and plot plan, to comply witfLall Town
ordinances and state laws, and to build this structure according Electrical: $
to the town's zoning and subdivision codes, design review ap- >
proved, Internatiorial Building and Residential Cody and other Mechanical: $
ordjtence • 'the T.wn applicable.thereto.
X 7' �� / �___ Total: $0
Owner/• ner's Representative Signature(Required)
Representative
Date Received:
For Office Use Onlc
Fee Paid:
Received From: _
Cash Check N
CC: Visa/MC Last 4 CC# exp.date:
Authorization #