HomeMy WebLinkAboutB12-0537 REV2 TRANSMITTAL.pdf Department of Community Development
OT 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
fee of$110 will be charged upon reissuance of the permit.
Application/Permit#(s) information applies
to: Attention: Revisions
B12-0537, J12-0487 REV2 JR Mondra on Response to Correction Letter
g 1 attached copy of correction letter
C)Deferred Submittal
Other
Project Street Address:
4254 Columbine Way Unit#9
(Number) (Street) (Suite#)
Building/Complex Name: Bighorn Terrace Description of Transmittal/List of Changes, Items Attached:
Add safety film to window on North Elevation of project to
Applicant Information
meet code. Product is NFRC certified and 4mil
(architect, contractor, owner/owner's rep)
LLumar safety and sceurity window film. See
Contact Name: Preferred Home Repair and Const.
Address:
8874 N. Awl Road performance data for(SCL SR PS4) Company
City Parker state: Co Zip. 80138 that is installing is Sun-Ray- Ray Winsor, Eagle Co
Contact Name: Rodney Molitor
(use additional sheet if necessary)
Contact Phone: 720-343-6994
Building Permits:
referredhrc.com Revised ADDITIONAL Valuations (Labor&Materials)
Contact E-Mail: Rod@preferredhrc.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 subdivision codes, design review ap-
proved, International Building and Residential Codes and other Mechanical: $
ordinances of the Town applicable thereto.
X Rodney Molitor Total: $0
Owner/Owner's Representative Signature(Required)
Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/ MC Last 4 CC# exp. date:
Authorization #
