HomeMy WebLinkAboutB13-0257 CR1 Transmittal Department of Community Development
75 South Frontage Road
Vail,CO 81657
TOWN OF VAII� Tel: 970.479.2128
www.vailgov.com
Development Review Coordinator
TRANSMITTAL FORM
Use this form when submitting additional information for pianning 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.
ApplicationlPerrnit#(s)information applies Attention: Q evisions
to: � �esponse to Correction Letter
DR6130255 � — �� n,attached copy of correction letter
Q Deferred Submittal
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Project Street Address:
77p Potato Patch
(Number) (Street) (Suite#)
Building/Complex Name: Potato Patch Townhomes Description of Transmittal/List of Changes, Items Attached:
A site plan is provided.
Applicant Information
(architect,contractor,owner/owner's rep)
Contact Name: Crossroads Realty
Address: PO Box 1292
City Vail State: C� Zip: 81658
Contact Name: Amy VanGoey (use additional sheet if necessary)
Contact Phone: 970�76-4300 Building Permits:
Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: amy@crossroadsvail.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. $�
XAmy VanGoey, Managing Agent for Association Total:
Owner/Owner's Representative Signature(Required)
Date Received:
For Office Use Only:
Fee Paid:
Received From: ^���'��D
Cash Check# �{
CC: Visa/MC Last 4 CC# exP.aate: gy David Rhoades at 4:47 pm, Ju122, 2013
Authorization#