HomeMy WebLinkAboutB12-0552 REV2 ELECTRICAL TRANSMITTALTOWN OF VAR'
Department of Community Development
75 So-.rth 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:
B10 -0390
i&1 L --b 553 — E%s Ci2,C,+
Project Street Address:
45 Forest Road
Martin
Attention Revisions
O Response to Correction Letter
attached copy of correction letter
Q Deferred Submittal
0 Other
ot a -U Ls - PLUVL4131N(A.
tX - 6.2 - ME3 -A NtC A L_
Number) (Street) (Suite #)
Building /Complex Name: Description of Transmittal/ List of Changes, Items Attached:
Building Permit Revision - Includes structural drawings
Applicant Information
and specification's by Maximum Comfort Pool & Spa for
architect, contractor, owner /owner's rep)
the grotto pool &pump pit.
Contact Name:
i, / '
Sheets: S8.1, S8.2, P1.1, P1.2, P1.3, 1 of 1
Address: 4C
City State:_ zip: 33 (3l
Contact Name: V "6 C (
use additional sheet if necessary)
Contact Phone: ( ItiG ' Building Permits:
wised ADDITIONAL Valuations (Labor & Materials)
Contact E -Mail: l/ t ""v d"' `" ' DO NOT include original valuation)
I hereby acknowledge that I have read this application, filled out uilding:
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 isElectrical:
to the town's zoning and subdivision codes, design review ap-
proved, Intern ional Building and Residential Codes and other s Mechanical:
ordinances o e T n cable thereto.
X Total:
Owner/Ownkr%s Representative Signature (Required)
I Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check #
CC: Visa / MC Last 4 CC # exp. date:
Authorization #
sa
10k
125k l9,-63tf,)_
DEC 13 2011
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