HomeMy WebLinkAboutB12-0264 REV8 TRANSMITTAL r� Department of Community Development
75 South Frontage Road
�'��j� �� �jf��� � 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: Attention: (�Revisions
�Response#o Correction Letter
B12-0264 Martin �attached copy ot correction letter
Q Deferred Submittal
�Other
Project Street Address:
288 Bridge Street R-2
(Number) (Street) (Suite#)
Building/Complex Name: Rucksack Building Description of Transmittal/List of Changes, Items Attached:
Building Permit Revision- �
Applicant Information
Re-submittal of plans with Architects stamp and
(architect,contractor, owner/owner's rep)
signature per Martin. All changes/revisions have
Contact Name: VMDA
Address: 0090 West Benchmark Road
clouded.
City Avon State: CO Zip 81620
Contact Name: Ch�is JuefgenS (use additional sheet if necessary)
Contact Phone: 970-949-5200
Building Permits:
chris vmda.com Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: 1@ (DO NOT include original valuation)
I hereby acknowledge that I have read this application,filled out Building: $
in full the information required,completed an accurate plot plan,
and state that all the information as required is correct. I agree to Plumbing: $
comply with the information and plot 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 Mechanical: $
or es of the Town applicable thereto.
X�--r--��.�J�.�— Total: $0
Owner/Owner's Representative Signature(Required)
Date Received:
For Office L se Onh:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp.date:
Authorization#
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