HomeMy WebLinkAboutB12-0596 REV1 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
B12-0596 REV1 MARTIN Response to Correction Letter
attached copy of correction letter
PRJ12-0700 C)Deferred Submittal
Other
Project Street Address:
635 Lionshead Circle
(Number) (Street) (Suite#)
Building/Complex Name: Lions Square Lodge North Description of Transmittal/List of Changes, Items Attached:
Modifications for foundation plan based on existing conditions.
Applicant Information
(architect, contractor, owner/owner's rep)
Contact Name: Scott Ashburn
Address: 2111 N Frontage Road West Suite E
City Vail State: CO Zip: 81657
Contact Name: Scott Ashburn
(use additional sheet if necessary)
Contact Phone: 970.977.1061
Building Permits:
vieleconstruction.com Revised ADDITIONAL Valuations (Labor&Materials)
Contact E-Mail: scott@vieleconstruction.com (DO NOT include original valuation)
I 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: $0
to the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Mechanical: $0
ordinances of the Town applicable thereto.
X Scott Ashburn 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 #