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HomeMy WebLinkAboutB12-0530 REV1 TRANSMITTALTRANSMITTAL 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 ap- proved, International Building and Residential Codes and other ordinances of the Town applicable thereto. X___________________________________________________ Owner/Owner’s Representative Signature (Required) B12-0539Martin Haeberle 141East Meadow Drive111 Solaris Paul Todd - Architect 1523 15th Street DenverCO80202 Paul Todd 303-446-0460 paul@toddarchitecture.com Paul Todd Permit sheets A101 and A102. ASI-001 showing proposed wood sleeper system in lieu of lightweight slab topping 0 10/24/2012 2:33pm REVISION 1