HomeMy WebLinkAboutB12-0264 Rev7 CR transmittalDepartment of Community Development
75 South Frontage Road
�tIWN QF VA11 � vai�, CO 81657
Tel: 970.479.2128
www.vailgov.com
Development Review Coordinator
TRANSMITTAL FQRM
Use this foRn when submitting additional information for planning applications or building permits.
This form is aiso used for requesting a revision to building permits. A two hour minimum building review
fee of $110 wiil be charged upon reissuance of the permit.
_ _.... , _ __
ApplicationlPermit #js) information applies
to: Atte�tion: Q Revisions
812-0264 �f5� � Martin
�;��Il—�� �r�li —���T
D5�1._ __
_ _ _
Project 5t�eet Address: .
288 Bridge Street R-2
(Numberi (Street) (5uite #)
Building/Complex Name: Rucksack Building
Applicant information
(architect, contractor, owner/owne�'s rep)
Contact Name: VMDA
Address: 0090 West Benchmark Road
City Avon State: CO Z;P: 8162�
Q Response to Correction Letter
�attached copy of correction letter
(j Deferred Submittal
�j Other
Descrip6on of TransmittaV List of Changes, items Attached:
} Building Permit Revision- 7�
'°; Included Revised Loft Plan & Corresponding Elevations
; per Martin. All changes/revisions have been
; ciouded.
Contact Name: Chris Juergens
� (use additional sheet iT necessary)
970-949-5200 : _ _ _
Contact Phone: Buiiding Pertnits:
chris vmda.com Revised ADDITIaNAI ValuaGons (Labor & Materiais)
Contact E-Maii: 1°� (DO NOT include original valuation)
i hereby acknowledge that I have read this application, filled out Building:
in fuli the information required, completed an accurate piot plan,
and state that all the information as required is correct. I agree to ; piumbing:
comply with the information and ptot plan, to comply with all Town ;
ordinances and state laws, and to build this structure according ; Electrical:
to the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other t Mechanical:
XrajAau��e`o1 the own appit ica�le thereto.
�� �L__.� Total:
Owner/Owner's Representative Signature (Required) ----- -----
_ __ ._. _... _ li Date Received:
For Qftice l'se Only:
Fee Paid:
Received From:
Cash Check � TO WN 0 F VA I L'
CC: Visa / MC Last 4 CC # exp. date:
Authorization #
�
$
$
aO
Received
By Carolyn Godfrey at 3:07 pm, Dec 11, 2012