HomeMy WebLinkAboutB13-0411 CR1 TRANSMITTAL.pdf 47epartmi�wt of Commk4nity Development
61 75 South Frontage Road
TOWN OF VA C Vail, CO 81657
Tel: 970,479.2175
www.vailgov.com
Deveiopinent Review Coordinator
TRANSMITTAL SMITTAL FORM
Una this form when subinitiing addltiortal information for planning applications or hi3ilding pGrmit�-
This form is also LlSed for requesting a revision to building pormiks- A two hour minirnum hutlding rnviow
fee of 110 will he charged upon rcissuonps of She paymit,
AppticationfPermit 91(s) information applies
tv: Attentton; Rovisirns
Vail Val ley Medical CrntCr Martin ffaeberle Response to Correction Letter
❑ attached copy of correction letter
}D0wrarl 9uhmitial
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Project Street Address:
161 W_ Moadow Dr
{dumber} (Street) (Sulte#)
guildinglComplex Flame: Vail Valley Medical Center Description of Transmittalf List of Chongos, dtemn Altachod:
New Structural Latter
Applicant Info rma#lon
.. ..........................................................-............._..............
(architect, contractor,awnerJowrxer's rep)
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Contact Marne, Eric Moberg
Addro,.;,;: 770 Lindbergh Dr
City {gypsum ---- State: 00. Zip: 89637
Contact Name: Same —
. If ncxc _jry)
Contact Phone= 970-3 75-042 3.-. BuI lding Permits:
ernober �msafsa.corrl Revised ADDITIONAL_ Valuations(Labor&Materials)
C ontaet F_-Mai I: `..---. : (DO NOT Include original valuatlon)
I hereby acki)uwledge that I have read this ipplica#ion,filled out : Building- $
In full the information required,cnmplotad an accurate plat plan,
and state that.all that information as required Is tx.wrrect. I agree 6o : Plurnhinc
comp IV with the information and plot plan, to UQUIPly with all Town
ordinancnci and stake laws. and to build this structure acnnrding Elecirical: $
to tho#nvjn'sconing arnd subdivisioa codes, design rRvic;wap- - ---
proved, Iritereiational Building and R 3Winntial Codes and other : Mechanical: $
car inarlces Df the Town apptic ble thereEo.
X Eric Moberg T� Total: $0
Own edOwner's P nprosa ntative Signature(Required)
Date Received:
Frw Orrice i'ae only
I-cr I'�itd:
Rctcivcd f-rnrrr:
Cash Check ,
CC; VEsa I HC Last 4 CC; f>!p.duke;___--..... .. ...
Authorization