HomeMy WebLinkAboutB12-0356 REV8 transmittal Department of Community Development
75 South Frontage Road
TOWN OF UAII.�� va�i,co s�ss�
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.
ApplicationlPermit#(s)information applies
to: Attention: • Revisions
Response to Correction Letter
B12-0356 �C,�J g �LpG� �L�4NNInlC� n,attached copy of correction letter
Q Deferred Submittal
'��5�a—(�D �(p f('�Other
Project Street Address:
841 Vail Valley
(Number) (Street) (Suite#)
Building/Complex Name: Ford Park Description of TransmittaU List of Changes, Items Attached: ,
Signage package- 3 files
Applicant Information
Ford park V3 T of V production proofs
(architect,contractor,owner/owner's rep)
Signage location plan T of V Ford Park
Contact Name: Chuck Collins
51 ea le Dr#2 Signage inventory and quotation
Address: g
City Avon State: C� Zip: $1620
Contact Name: Chuck Collins
(use additional sheet if necessary)
Contact Phone: 9�0 471 2873 Building Permits:
ccollins ranelson.com Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: @ (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: $
ordinances of the Town applicable thereto.
Digitally signed Cy Mike Kowalski
X M i ke Kowa l s ki ON rn=MlkeKOwalski o=RANelson,ou Total: $
mail=mkowalsklpranelson.com,c=US
Owner/Owner's Representative Signature(Required)
Date Received:
For Office Use Only:
Fee Paid:
Received From:
�Sh Check# RECEI VED
CC: vsa/ MC Last 4 CC# exp.date:
Authorization# By David Rhoades at 9 9:47 am, Apr 18, 2093