HomeMy WebLinkAboutB13-0455 Transmittal (REVISED PLANS).pdf Department of Community Development
75 South Frontage Road
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.
ApplicationlPermit#(s)information applies
to: Attention: Pes evisi
SITZMARK AT VAIL, INC Mr.Warren Campbell a pon se to Correction Letter
)-attached copy of correction letter
REMODEL&EXPANSION ` Deferred Submittal
Other Building Permit Application
Project Street Address: �J
183 GORE CREEK DRIVE
(Number) (Street) (Suite#)
Building/Complex Name: SITZMARK AT VAIL Description of Transmittal/List of Changes, Items Attached:
Building Permit Application
Applicant Information °
� %A
(architect,contractor,owner/owner's rep)
Contact Name: MARK DONALDSON/VMDA .`15�t �1
Address: PO BOX 5300 ? v1 NSA. Cs
City AVON State: CO Zip: 81620
MARK DONDALDSON �F
Contact Name: (use additional sheet if necessary)
Contact Phone: 970-949-5200
Building Permits: i
Revised ADDITIONAL Valuations Labor&Materials
Contact E-Mail: markd @vmda.com ( ) 1
(DO NOT include original valuation)
I hereby acknowledge that I have read this application,filled out Building: $58400.00 j
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 to n's zoning and subdivision codes, design review ap-
prove ,I rnational B ' ing and Residential Codes and other I Mechanical: $
ordin n o t e To applicable thereto.
X / Total: $58400
Owner/Owner's Rep entative Si natur (Required) ll
Date Received:
For Office Use Only: Fee
Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp.date:
Authorization#
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