HomeMy WebLinkAboutB12-0454 CR1 Transmittal-PlansDepartment of Community Development
75 South Frontage Road
TOWN OF UAIL ��� va�i, co s�s5�
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: r. Revisions
� Response to Correction Letter
612-0454 �attached copy of correction letter
(Q Deferred Submittal
(� Other
Project Street Address:
4248 Columbine Drive
(Number) (Street)
Building/Complex Name: Streamside Duplexes
Applicant Information
(architect, contractor, owner/owner's rep)
Contact Name: Michael Keyser
Address: P.O. Box 810
❑�
(Suite #)
City Eagle State: CO ZiP 81631
Contact Name: Michael Keyser
Contact Phone: 970-328-2699
Contact E-Mail: michaelk@randhmechanical.com
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
ordinanc f wn appli le thereto.
X
Owner Owner's sentative Signature (Required)
I�� For Office Use Only:
' Fee Paid:
Received From:
Cash
CC: Visa / MC Last 4 CC #
Authorization #
Check #
exp. date:
Description of Transmittal/ List of Changes, Items Attached:
Responses to required corrections
(use additional sheet if necessary)
Building Permits:
Revised ADDITIONAL Valuations (Labor 8� Materials)
(DO NOT include original valuation)
Building: $
Plumbing: $
Electrical:
Mechanical:
Total:
Date Received:
$
$0
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