HomeMy WebLinkAboutB13-0065 CR1 TRANSMITTAL.pdf Department of Community Development
0 75 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
ffee of$110 will be charged upon reisspance of the permit.
Application/Permit#(s)information applies
to: Attention: O Revisions
Response to Correction Letter
B13-0065 j 1 attached copy of correction letter
Q Deferred Submittal
C)Other
Project Street Address:
278 Hanson Ranch Road 403
(Number) (Street) (Suite#)
Building/Complex Name: Bridge Street Lodge Description of Transmittal/List of Changes, Items Attached:
- - Clarification on plans as requested
Applicant Information
(architect,contractor,owner/owner's rep)
'Contact Name: ContractOne
Address: PO Box 8530
City Avon State: Co Zip: 81620
Contact Name: Bryan Johnson I
(use additional sheet if necessary)
Contact Phone: 970-390-1068 =Building Permits:
b an Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: rY @ contractone.com (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 sub ivision codes, design review ap-
proved, International Buildin and Residential Codes and other Mechanical: $
ordina of the Town a is thereto
Total: $0
�prnlative Signature(Required)
.. Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp.date:
Authorization#