HomeMy WebLinkAboutB12-0584 REV1 transmittal Departmenl of Communily Development
75 South Frontage Road
TOWN OF VAIL` Vail,CO 81657
Tel:970.479.2128
www.vailgov.com
Development Review Coordinator
TRANSMITTAL FORM
Use ihis form when suhmitling aticlilional into�ma�ion br planning applica�ions or�uiltling permi�s.
This forzn is also used For requesting a revision to huiltling permils. A hvo hour minimum building mview
fee of$170 will be charged upan reissuance ol lhe permil.
ApplicatioNPermit ips)inTOrmation applies
m: Atlention: �. Revisiuns
B72-0584 Plan review 0 Response lo Correcfion Letter
�attachetl copy ot correction letler
Q Delerretl Submi��al
�Olher
Project Slreet Atltlress:
2572 Corlina Lane
(NUmber) (Sheet) (SUitep)
BuildinglCompMx Name: °�a Descnplion of TransmillaV Lisl o!Changes, I�ems Attachetl:
Revision to simcNral plans per atlachetl.
Applicant Inlortna�ion
�archit¢cl,contractor,owner/owner's re0)
Conlacl Name� SRE Building Assoc
ntlaress� PO Box 6376
Cily Vail S�a�e: co LP; 81658
ConlactName�. Safah �useatltlitionalsheetilnecessary)
Conlact Phone�. 39U-5776
Builtling Permits:
. sarah s�ebuiltls.com Revisetl ADDITIONAL ValuaHOns(Labor 8 Materials)
Conlacl E-Mail. @ (DO NOT include original valuation)
I he20y acknowleAge thaf I have read fhis ap0licalion,filleti oul Builtlin9-. $0
in full ihe infoimation requiretl.completetl an accurele plol plan,
and slale Ihal all Ihe intormalion as required is wrtecL I agree lo plumbing: $
comply wi�h Ihc information antl plol plan,�o camply with all Town
ortlinances antl slale laws,and lo builtl lhis slmcWre acwrtling Eleclrical�. $
lo Ihe lyw 's ioning and subdivision cotles, tlesiqn review ap
prow£d, � lional Building antl Resitlenfial Codes and o�her Machanical: $
pFtlina�e o lhe Town appLcable Ihere�o��
L1C �t .—� TolaC $�
Owner �wncr' c}rte3e�llTliveSignaWre�Required)
Date Receivetl:
ForORUe Ilu Ooly.
Fee Pdltl:
RCCCrveE Fmm:
casn rnea x
(S: Visa/MC last 9(2# ap.dare:
AuNOrvatbn x