HomeMy WebLinkAboutB13-0384 REV1Transmittal Department of Community Development
75 South Frontage Road
���� �� �R�� vai�, 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: (Ji Revisions
Permit B130384 JR Mondragon �Response to Correction Letter
attached copy of correction letter
Q Deferred Submittal
f(J Other
Project Street Address:
483 Gore Creek Drive 2B
(Number) (Street) (Suite#)
Building/Complex Name: T2XaS TOWnhOtll@S Description of Transmittal/List of Changes, Items Attached:
Revised building permit drawings:
Applicant Information Sheet A2.0 showing revised powder room
(architect,contractor, owner/owner's rep)
Contact Name:
Seth Bossung, Architect and closet layout.
Address: 53 Red Barn
c�ty Edwards state: CO Z�p: 81632
Contact Name: S2th BOSSU11g
(use additional sheet if necessary)
Contact Phone: �970) 390-0013
Building Permits:
seth@intentionarchitecture.com Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: (DO NOT include original valuation)
I hereby acknowledge that I have read this application,filled out Building: $
3000
in full the information required,completed an accurate plot plan, 1500
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 5�0
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: $5OO
ordina th own applicable th reto. 5500
X Total: $
Owner/Owner's Representative Signa ure (Required)
Date Received:
For Office Usc Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp. date:
Authorization #