HomeMy WebLinkAboutB13-0488 CR1 TRANSMITTAL.pdf Department of Community Development
75 South Frontage Road
Vail,CO 81657
TOWN OF MAIL 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: Q Revisions
Response to Correction Letter
I Tivoli Lodge David Rhoades attached copy of correction letter
O Deferred Submittal
Building Permit#B13-0488 ( Other
Project Street Address:
386 Hanson Ranch Rd.
(Number) (Street) (Suite#)
'Building/Complex Name: Tivoli Lodge Description of Transmittal/List of Changes, Items Attached:
Attached:transmittal form, response letter to corrections,
Applicant Information
Sheets A1.0, A2.0, A3.0 and A4.0
(architect,contractor, owner/owner's rep)
Beaudin Ganze Letter
Contact Name: Robert Lazier
Address: 386 Hanson Ranch Rd.
City Vail State: CO Zip: 81657
Contact Name: Robert Lazier (use additional sheet if necessary)
970-390-1919
Contact Phone: Building Permits:
bob @tivolilod Revised ADDITIONAL Valuations(Labor&Materials)
e.com
Contact E-Mail: g (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: $
j 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.
Total: $0
Owner/Owner's RepresentaVve Signature(Required) — - — -
Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp.date:
Authorization#