HomeMy WebLinkAboutB14-0005 CR1 transmittal Departm�nt of Cornmunity DeVelopment
,• 75 South Frontage �Raad
TUWN OF VAIZ �f ���i, co a�s�7
Tel: 974.479.2128
www.va i f g ov.co rn
Developmer�t Review Goordinator
TF�A�ISMITTA� FORM
Use this farm when submitting additional information for p4anning applications or building permits.
This form is also used for requesting a revision to building perrrzits. A two hour m�nimum building review
fee of$110 will be charged upon reissuance of the permit.
ApplicationfPermit#{s)information app[ies
ta: Att�ntion: Q Revisions
(�Response to Correetian Letter
814-01�05 Plan Review for Bldg Permit
�attached copy of cssrrectifln letter
�Def@rr�d Submittal
�Other
Project Street Address:
1195 Vail Vall�y Dr
(Number) (Street) (Suite#)
BuildinglCamplex Name: ��Johnson F�esidence Description of Transmittall List of Changes, ifems Attached:
Respons�to correction letter. Items added;
Applicant Informatio�
East Ele�afion.
(architect,contractor,ownerfowner°s rep}
Note clarifying dining room daor change
Can4act Name: G�'�rge Shaeffer�onstructian
41D11 US W 6 Removal of original architecYs info
Address: �'Y
City Avon State: CO Zip: 8'€F20
Contact Name: Inge �1�11
(use additional sheet if necessary}
Gontact Phone: ��Q-390-7622
Building Permits:
in eh sconco.com Rewised ADDITIaNAL Valuations(Labor& Materials)
Gontact E-Mail; � �� (DO�JOT include original �aluationy
I hereby acknawledge that f have re�d this application,filled out Building: $
in full the information required,completed an aecuea#e plo#plan,
and state that all the infarmation as required is correct. I agree to Plumbing: $
eomply with the infpr�nation and plot p�'an,to comply wi#h afl Tpwn
nrdinances and state laws, and to build this structure according Electrical: $
to the tawn's zoning and subdivision codes, design review ap-
proved, Internatior�al Building and Residential Codes and other Mechanical: $
ordinar� es t e T wn applicable thereto.
�( f� Total: $d
Ownerl0 ner's Representatiue Signature(Required)
Date Received:
�or Oflicc Use dnly:
Fee Paid:
Received From:
Cash Check#
CC: Visa�MC Last 4 CC# exp.date:
Authorization #