HomeMy WebLinkAboutB12-0329 REV1 TRANSMITTAL.pdf 0 75 Department of Community Development
South Frontage Road
TOWN OF VAIL 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: i@ Revisions
B12-0329 Martin Haeberle C)Response to Correction Letter
JZattached copy of correction letter
Deferred Submittal
David Rhoades Other
Project Street Address:
846 Forest Road
(Number) (Street) (Suite#)
Building/Complex Name: Vail WWTF Description of Transmittal/List of Changes, Items Attached:
Changes to Vail WWTF Electrical Service Entrance
Applicant Information
Revised Drawings VE1-04 and VE2-02
(architect,contractor,owner/owner's rep)
Contact Name: Glacier Construction Co., Inc
Address: 8490 E. Crescent Pkwy, Ste 250
City Greenwood Village State: CO Zip: 80111
Contact Name: Jennifer Smith
(use additional sheet if necessary)
Contact Phone: 720-234-3785
Building Permits:
JSMITH GCCLCOM Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: @ (DO NOT include original valuation)
hereby acknowledge that I have read this application,filled out Building: $0
in full the information required,completed an accurate plot plan,
and state that all the information as required is correct. I agree to Plumbing: $0
comply with the information and plot plan,to comply with all Town
ordinances and state laws, and to build this structure according Electrical: $92,571.00
to the town's zoning and subdivision codes, design review ap-
proved, Intern nal Building and R ntial Codes and other Mechanical: $0
ordinances the Town appli le ere o.
Total: $NaN
caner/Own ' epresentative Sig aty� ure(Required)
�J Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp.date:
Authorization#