HomeMy WebLinkAboutB12-0264 REV6 TransmittalDepartment of Community Development
75 South Frontage Road
TOWN QF VAIL ' va�i, CO 87657
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.
ApplfcatioNPermtt #(s) information applies
to: Attention: � Revisions
612-0264 Martin Q Response to Correction Letter
�attached�copy of correction letter
� (� Deferred Submittal
� Other
Project Street Address:
288 Bridae Street
(Number) (Street)
R-2
(SWte #�
Building/Complex Name: Rucksack Building Description of Transmittal/ List of Changes, Items Attached
Applicant Information
(architect, contractor, ownerlowner's rep)
Contact Name Crestone Building Company
Address: PO Box 3386
��� Vail State: CO
Contact Name: Scott Hoffman
Contact Phone: 376-0292
Contact E-Mail: scott@crestonebuilding.com
Zip: 81658
I hereby acknowledge that I have read this appiication, 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
ord�i es of t Town applicable thereto.
%� '�`z
Owner/Owner's Representative Signature (Required)
ror Office tise Onlv:
Fee Paid:
Received From:
Cash
CC: Visa / MC Last 4 CC #
Authorization #
!
Check #
exp. date:
Building Permit Revision-
Revisions to Electrical Plan- Sheet E2.0
All changes/revisions have been clouded.
(use additional sheet if necessary)
Building Permits:
Revised ADDITIONA� Valuations (Labor & Materials)
(DO NOT include original valuation)
Building:
Plumbing:
Electrical:
Mechanical:
Total:
Date Received:
$
$
$
$
x0