HomeMy WebLinkAboutB14-0301 B14-0302 Special Inspection Reports.pdfDepartment of Community Development
75 South Frontage Road
Vail, CO 81657
Tel: 970.479.2128
www.vailgov.com
Development Review Coordinator
TRANSMITTAL FORM
Use this fonn 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: O Revisions
~ r~ '-a 30 J ?i~\~\'1 \)[~ O Response to Correction Letter
Q_attached copy of correction letter 0 Deferred Submittal
()other ___________ _
j Project Street Address: 1
1i-11-rz_ Co t'k T1A11i I.MU
! (Number) (Street) (Suite#) .......................... . ...................................................... . ..................................... .
. Building!Complex Name: ~ln_aiLLb _ _.__P-_ .. _r0_· __ f205 _______ i Description of Transmittal/ List of Changes, Items Attached:
................................... , ~ci& \h)~FKd-ibi16
I:~ W1
!conractName:__!.\19'11!1.Li.._-=~~-=-.!..::....l--......:..1..L..:;..=..u::=: _ _,.L....~
j
!Address: __________________ _
f Cfy iOwN2:0'2 State: LO Zip: 2((o32..
I Conract Name: fuAA ~ ck.utlk~?--¥=
I contact Phone: 9io-33 /-4, 3 0
lconractE-Mail: ~YI~~ V~C,U~~ ' ~r\I\
I hereby acknowledge that I have read this application, filled out
in full the information required, completed an accurate plot plan,
and state that all the information as required is correct. I agree to
; comply with the information and plot plan, to comply with all Town
~ ordinances and state laws, and to build this structure according
! to the town's zoning and subdivision codes, design review ap-l l prove Intern · nal Building and Residential Codes and other l ordin es of Town applicable thereto.
iX ._......_,~.....,..-'--t-:::;JI'"''----------------:-~
1 Owner/OWners
~ (use additional sheet if necessary)
~ v:-~:-:'!X.·X.~:r.·:~X.~~-:-:,;-:-:-:-~:'X-X.XXr.r.r.X·X-:O:·X.r.'X-x.r.~:-r.·:-:=·x.r.x.r.r.-:-:r.-:-:r.r.-x,·~:-:-:r.:~~~r.X.X.X.·X.X.:O:-r.~-:-:-;-:-;,:-;-:-::-;-:-:-:-::-:-:-:x-:«-:~~r.-:-:-:-:·~:""-""'°''"--·"'°"
; Building Permits:
) Revised ADDITIONAL Valuations (Labor & Materials) I ::::T Include original valuati•:_> ________ _
~ ; Plumbing:
! Electrical:
I Mechanical:
!Total: ~ ' ~
$ ________ ~
$ ________ ~
$ ________ ~
$0
~:..... .. . . . .. . ....... .. ... . . . .. .. ......... ... .. . .............. . .. . .. . . .. .............................................. '.. ... . ............................... .
~ ............................................................................................................................................................................................. . Date Received:
For Office Use Only:
Fee Paid:-------------------
Received From:-----------------
Cash _________ Check# _______ _
·CC: Visa / MC Last 4 CC # exp. date:-----
Authorization#-----------------
SEP 2 4 2015
TOWN OF VAIL
FINAL REPORT OF SPECIAL INSPECTIONS
Project: GO Y' V' ~a. r1 T2 ec::. ~ deV\.Cc::'.'. Permit Number: _______ _
Project Location: Lot 13 B/o(._k B vt!l: I (J.1,b1;1 Z1ZZ (or./1 v'Cl La 11\L-,, Va:/
< I J
Address -------------City: _____ Zip: ____ _
Design Professional In Charge:""""'~~_v_lQ\~_ft...._._, ....,tf ....... (l.._£-'l._..__t'l_Jt--"'-t-<l_,~ftt---__,lj,__._P_. _.b-..'-:;-ev~"-fec~_c--'A.__
Address: 5D Z 0 Q oa.J 154-
City: G/et1.wo'td Sf 1 , Y'ff
Faxq ]O q4 5 '6 lf SlJ-
State: to Zip: St bl>! Phone:Cf7D9t.J.571'68'
E-mail: ck v( I h f1@e'ofec4 • W VVl I
To the best of my information, knowledge, and belief, the special inspections and/or testing required for
this project, have been completed in accordance with the contract documents. ·
Interim reports submitted prior to this Final Report of Special Inspections form a basi~ for, and are to be
considered an integral part of this final report. Any discrepancies that were noted in all interim reports
h•v"_ beeO ';."t::;edf!o / 0 /y u c._ f-vt. ,. o { c;. ke I t · , fl:. c. f.' tn15
s · -G~~
Date
I~ ~ .. A:.}b~ ... ~
I~ ~\ :; =· ~ (;',: --I -\1 32'"216 i ~ s ~~ ·"~~ ~ ~~~ .. -·::~~~$ "11. ONA\,. t:>-,\." l1,,,, .. ,,,,,,
Preparer's Seal and Signature Required
FINAL REPORT OF SPECIAL INSPECTIONS
Project: C1
0>"flfJCtr'\ ~e~(J e vt<t Permit Number: --------
Project Location: Lg.\--13, BI oc.J. 'Bl V4: \ \2.\ A3~ ( 212Z lorFi V1a Lou''Lt Ve.: I
Owner-----------------------------~
Address City: _____ Zip: ____ _
Design Professional In Charge:J»..1~J. ~.you Vl.:J wt~ If. t'. bevte~ h
Address: 5V 20 R. 0 tt.d l5 lJ= fZJ
City: G/e"-.WVM ~('""'JS State: Co Zip: .<6160/ Phone:91ifl~Z9~ r
Fax:f./JO q 4 5 ({, 4 ~;l/ E-mail: ck tl e ~ hp 3 eD fee h , Ci> /IVI
To the best of my information, knowledge, and belief, the special inspections and/or testing required for
this project, have been completed in accordance with the contract documents.
Interim reports submitted prior to this Final Report of Special Inspections form a basis for, and are to be
considered an integral part of this final report. Any discrepancies that were noted in all interim reports .
have been corrected. on I for fou v1. d_~ h 0 I\ thf ~,~te c.1/ ~/led re: )Jar 7 ... ~ .. ,< .,, ...
;2 Type od(ifut Nam ~ ~-q-15
Date
Preparer's Seal and Signature Required
FINAL REPORT OF SPECIAL INSPECTIONS
Project: Co{{' l(JC< 0-/2e s l d ~ Permit Number: --------
Project Location: Lo+ \ ~ '\?I@ JS f Va: / (.2 <l:e , 21 2-Z Cvtfi A Or Lvc ~ Va·'/ I ~ I F
Address -------------City: Zip: ____ _
A. fa> v. 0j w11-it //-.? 6~ufec h
+=-'-'---='-"-"------=.+r---.......i'"'-State: Co Zip: '6/ f:D J Phone: 'f 7D Cf 45 rl '60 "'--'-""'<....-!--........,___~~--E-mail ckve !fL hf:je;;eC h . C.'.7Yn
To the best of my information, knowledge, and belief, the special inspections and/or testing required for
this project, have been completed in accordance with the contract documents.
Interim reports submitted prior to this Final Report of Special Inspections form a basis for, and are to be
considered an integral part of this final report. Any discrepancies that were noted in all interim reports
have~ i'i"l:i-/)?I' MD. vt~ So:/ i1ti .' ( u..)u. (/ Oin~fl qc),'c) V1
'---Type or F Name ~
Prepared by:
_.l)ivtd A. l/v_ u V
Date
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_4fl -G~~"~ !IT.J -... .. ~ I A. Y-a·· ..... ~
" 'r ~\t:l:;. = ca G:: :;
\1.\ 3?"216 /f5i ~ ~.... ,;I' .j!;:. ~~\' ... ~ ........... ~G'-l '!.'\~ ~.1?TONAL ~\ ... ,\,~ 1,,,,,,."''\\
Preparer's Seal and Signature Required