HomeMy WebLinkAboutB13-0013 REV1 TRANSMITTAL.pdf Department of Community Development
75 South Frontage Road
T�DUII'N (1F URd� vai�, 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
B13-0013 Martin Haeberle f�Response to Correction Letter
D_attached copy of correction letter
(a Deferred Submittal
(�Other
Project Street Address:
305 Mill Creek Circle
(Number) (Street) (Suite#)
Building/Complex Name: Description of Transmittal/List of Changes, Items Attached:
Revised Structural Plans
Applicant Information
Revised Civil Plans
(architect, contractor, owner/owner's rep)
Contact Name: �eff Kissane
Address: PO Box 373
City Vail State: CO Zip: 81658
Contact Name: Jeff Kissane
(use additional sheet if necessary)
Contact Phone: 9�0-376-6184
Building Permits:
effk sconco.com Revised ADDITIONAL Valuations (Labor&Materials)
Contact E-Mail: 1 @g (DO NOT include original valuation)
I hereby acknowledge that I have read this application,filled out Building: �No Change
in full the information required,completed an accurate plot plan,
and state that all the information as required is correct. I agree to Plumbing: $No Change
comply with the information and plot plan, to comply with all Town
ordinances and state laws, and to build this structure according Electrical: $No Change
to the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Mechanical: $No Change
ordinances of the Town applicable thereto.
X - �;,c� , ,.r::t-_ TOt81: �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 #