HomeMy WebLinkAboutB12-0308 REV1 transmittal_structuralTRANSMITTAL FORM Project Street Address: __________ ______________________________ ___________ (Number) (Street) (Suite #) Building/Complex Name: ________________________________ Building
Permits: Revised ADDITIONAL Valuations (Labor & Materials) (DO NOT include original valuation) Building: $_____________________ Plumbing: $_____________________ Electrical: $_____________________
Mechanical: $_____________________ Total: $_____________________ Description of Transmittal/List of Changes, Items Attached: __________________________________________________ _______________________
___________________________ __________________________________________________ __________________________________________________ __________________________________________________ __________________
________________________________ (use additional sheet if necessary) Application/Permit #(s) information applies to: Attention: ( ) Revisions ( ) Response to Correction Letter _______________________
_____________ __________________________ ___attached copy of correction letter ( ) Deferred Submittal ____________________________________ __________________________ ( ) Other 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. Date Received: Department of Community Development 75 South Frontage Road Vail, CO 81657 Tel: 970.479.2128 www.vailgov.com
Development Review Coordinator For Office Use Only: Fee Paid: Received From: Cash _____ ____ Check # __ _ _______ CC: Visa /MC Last 4 CC # exp. date: Authorization # Applicant Information
(architect, contractor, owner/owner’s rep) Contact Name: ________________________________________ Address: City _____________________ State: _______ Zip: ____________ Contact Name: __________________
_______________________ Contact Phone: _________________________________________ Contact E-Mail: _________________________________________ 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 approved, International
Building and Residential Codes and other ordinances of the Town applicable thereto. X___________________________________________________ Owner/Owner’s Representative Signature (Required)
B12-0272 Plan review 1817 Meadow Ridge Rd 2 Capstone Townhomes SRE Building Assoc PO box 6376 Vail CO 81658 Sarah 970-390-5776 sarah@srebuilds.com Revised structural plans reflecting
existing conditions. 0 Sarah Wyscarver Digitally signed by Sarah Wyscarver DN: cn=Sarah Wyscarver, o=SRE Building Associates LLC, ou, email=sarah@srebuilds.com, c=US Date: 2012.09.07
10:21:00 -06'00' Received By Lynne Campbell at 1:35 pm, Sep 07, 2012