HomeMy WebLinkAboutB12-0488 TRANSMITTALT�W� 0'F YAtI `
Department of Community Development
75 South Frontage Road
Vail, CO 81657
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:
B 12-0488
Project Street Address:
675 Lionshead Place
(Number) (Street)
Building/Complex Name: Vail Square
Applicant Information
(architect, contractor, owner/owner's rep)
Contact Name: Starr De La Cruz
Address: 2413 Pacific Coast Hwy Suite 202
Attention:
Building Department
P214
(Suite #)
���, Lomita State: CA Zip: 90717
Contact Name: Starr De La Cruz
Contact Phone: 310-606-2078x110
Contact E-Mail: starr@permitsdirect.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 Resid ti es and other
ordinan of e Town appli le t r
Owner/Owner's Represen ' ignature (Required)
For Office Use Only:
Fee Paid:
Received From:
Cash
CC: Visa / MC Last 4 CC #
Authorization #
Check #
exp. date:
Revisions
. Response to Correction Letter
attached copy of correction letter
Q Deferred Submittal
� Other
Description of Transmittal/ List of Changes, Items Attached:
Sheets updated per comments/redlines on plans
(use additional sheet if necessary)
Building Permits:
Revised ADDITIONAL Valuations (Labor & Materials)
(DO NOT include original valuation)
Building:
Plumbing:
Electrical:
Mechanical:
Total:
Date Received:
$ �
$
$� a
$
$0