HomeMy WebLinkAboutB12-0040 - REV6 - 092812 TRANSMITTAL AND ARCHITECT LETTERTRANSMITTAL FORM
Project Street Address:
__________ ______________________________ ___________
(Number) (Street) (Suite #)
Building/Complex Name: ________________________________
Revised ADDITIONAL Valuations (Labor & Materials)
(DO NOT include original valuation)
Building: $_____________________
Plumbing: $_____________________
Electrical: $_____________________
Mechanical: $_____________________
Total: $_____________________
Description / List of Changes:
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
(use additional sheet if necessary)
Permit #(s) information applies to: Attention: ( ) Revisions
( ) Response to Correction Letter
____________________________________ __________________________ ___attached copy of correction letter
( ) Deferred Submittal
____________________________________ __________________________ ( ) Other
Revision Submittals:
1. “Field Set” of approved plans MUST accompany revisions.
2. No further inspections will be performed until the revisions are approved & the permit is re-issued.
3. Fees for reviewing revisions are $55.00 per hour (2 hour minimum), and are due upon issuance.
Date Received:
01-Oct-11
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: ________
Auth # _________
Contractor Information
Business Name: ________________________________________
Business 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 ap-
proved, International Building and Residential Codes and other
ordinances of the Town applicable thereto.
X___________________________________________________
Owner/Owner’s Representative Signature (Required)
Applicant Information
Applicant Name: _______________________________________
Applicant Phone: _______________________________________
Applicant E-Mail: _______________________________________
B12-0040Rev6MartinHaeberle
292WestMeadowDrive
VailPublicLibrary
EvansChaffeeConstruction
77MetcalfRd,Ste301
AvonCO81620
ToddGoulding
970-331-1732
tgoulding@evanschaffee.com
TownofVail-GregHall
970-479-2160
ghall@vailgov.com
Additionalwallstiffeners&structuralsteelper
REIStructuraldesigninPRNo25
0Todd Goulding Digitally signed by Todd Goulding
DN: cn=Todd Goulding, o=Evans Chaffee Construction
Group, ou, email=tgoulding@evanschaffee.com, c=US
Date: 2012.09.28 16:15:05 -06'00'